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Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes

May 15, 2008

General Information:

  • In preparation for NPI May 23, 2008, the EDI System will not be available Thursday May 22, 2008, from 6:00 p.m. C.T through 9:00 p.m. C.T.  
  • The submission of the Employer's Identification Number, EI qualifier, and/or the Social Security Number, SY qualifier, structure is validated on the EDI Front End.  When submitting an EI with no dash (-) it must be 9 digits long. When submitting an EI with a dash, the dash must be in the third position and the length must be 10 characters. When submitting an SY with no dashes (-) it must be 9 digits long. When submitting an SY with dashes, a dash must be in the 4th and 7th position and the length must be 11 characters.  

NPI Information

  • On May 6, 2008, email notification of NPI edits was sent to all clients signed up for the Blue Cross and Blue Shield of Kansas and ASK email notification list.
  • The May 2008 JustASK newsletter was published on May 6, 2008.  The newsletter contained important EDI System information as well as NPI edit information for all payers.      
  • BCBSKS:
  • The following warning edits will become rejections effective May 23, 2008. 

837 (Claims) Blue Cross and Blue Shield of Kansas

Edit Code

Edit Description

Reject Date

B061C

Rendering NPI not tied to Billing NPI (2310B). Reject Edit Code will be B061E

5/23/2008

B257C

Group NPI can not be used as Rendering NPI (2310B). Reject Edit Code will be B257E

5/23/2008

B344B

2310B Rend Prov Loop required w/ Billing Prov.  Reject Edit Code will be B344C

5/23/2008

B376A

Billing NPI not tied to TP Number. Reject Edit Code will B376B

5/23/2008

B379A

EDI Authentication failed
(2010BB and 2010BC) Reject Edit Code will be B379B

5/23/2008

B384

Billing Number not tied to TP Number

5/23/2008

B385

EDI Authentication Failed
(2010BB and 2010BC)

5/23/2008

Beginning May 23, 2008, the only identification code qualifier and identification code being returned on the 835 (electronic remittance advice) will be the NPI.  The legacy billing provider numbers will no longer be returned.

May 23, 2008, and after Blue Cross and Blue Shield of Kansas will continue to accept legacy provider information submitted however will not edit the information submitted.   

271 (Health Care Eligibility/Benefits Information Response)
Blue Cross and Blue Shield of Kansas Reject Reason Code

Edit Code

Edit Description

Reject Date

AAA03=43

Invalid/Missing Provider Identification 2100B

5/23/2008

AAA04=C

Please correct and resubmit 2100B

5/23/2008

277 (Health Care Claim Status Response)
Blue Cross and Blue Shield of Kansas Category Code, Claim Status Code and Entity Identifier Code

Edit Code

Edit Description

Reject Date

STC01-1=E0

Response not possible  2200D and/or 2200E

5/23/2008

STC01-2=136

Entity’s Health Industry ID Number
2200D and/or 2200E

5/23/2008

STC01-3=85

Billing Provider 2200D and/or 2200E

05/23/2008

  • BCBSKC:
  • The following warning edits will become rejections effective May 23, 2008. 

 

Blue Cross and Blue Shield of Kansas City

Edit Code

Edit Description

Reject Date

K002A

Billing Provider NPI Required

5/23/2008

K002B

Rendering Provider NPI Required

5/23/2008

K382

Invalid Rendering NPI Number

5/23/2008

K385

Invalid Billing NPI Number

5/23/2008

K500

Billing NPI not tied to TP Number

5/23/2008

K501

Billing NPI not on TP file

5/23/2008

K502

Billing NPI not setup for this transaction

5/23/2008

K503

T/P Indicator invalid for Billing NPI

5/23/2008

After May 23, 2008, the only identification code qualifier and identification code being returned on the 835 (electronic remittance advice) will be the NPI.  The legacy billing provider numbers will no longer be returned. 

  • Please help us encourage all our clients to submit NPI only removing all legacy information as soon as possible.
  • We encourage all our business partners to please check with all payers concerning the continued acceptance of the legacy billing number on and after May 23, 2008.   

 

System Updates

  • The next routine system deployment is scheduled for May 18, 2008. 
  • The EDI System will not be available Thursday May 22, 2008, from 6:00 p.m. C.T. through 9:00 p.m. C.T.

Upcoming events

  • Understanding Your 2008 Clearinghouse Electronic Claims Seminar

May 15, 2008 - North Kansas City, KS

  • EDI Workshop

June 17, 2008 - Garden City, KS
June 18, 2008 - Hays, KS

  • As a reminder our Marketing Reps are available for provider community events.

We want to encourage you and your clients to share suggestions and ideas on how EDI Services can provide better assistance.  Please send emails to askedi@ask-edi.com with suggestions. 

The next regularly scheduled conference call is June 19, 2008.
Phone Number: 1-877-326-2337 – Pass code 2102557

 

Web Addresses:                      Email Addresses:
www.ask-edi.com                    askedi@ask-edi.com  
www.bcbsks.com
www.bcbskc.com                     Phone: 800-472-6481


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