Vendor Meetings
Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
May 17, 2007
General Announcements:
Medicare B Data Center transition is moving smoothly. The transition should be seamless with the exception of online/real time access, known as Professional Providers Telecommunications Network, PPTN. Monday May 7, 2007, Medicare B mailed to current PPTN users a letter. The letter included what impacts the transition would have on the sign on and access. It included two forms to be returned by fax to 785.290.0777. The two forms require the facility to identify a PPTN Data Security Officer and all employees needing access to PPTN.
NPI
- Please encourage your clients and business partners to begin submitting the NPI along with legacy billing provider numbers at this time. If providers are required to submit NPI information to payers they should do so immediately.
- We encourage all vendors to review each payers NPI Contingency plans.
- Blue Cross and Blue Shield of Kansas
- Blue Cross and Blue Shield of Kansas City
- 837 Claims – will allow legacy and NPI (Dual usage) NPI only or legacy only beginning May 23, 2007. BCBSKC will post a NPI Contingency plan in the near future.
- 835 Remit – Beginning May 23, 2007, Trading Partners will receive both legacy and NPI on all electronic remittance if the NPI has been reported to BCBSKC.
- Medicare A
- 837 Claims – will allow legacy and NPI (Dual usage) NPI only or legacy only
- 835 Remit – Legacy provider number returned. If an NPI is submitted on the claim; the NPI will be returned at the rendering provider loop, 2100 Service Provider Name. Changes are expected in October 2007 through Change Request 5452. *At the time minutes publication the MedLearn Matters article has not been posted. It will be MM5452 when released. http://www.cms.hhs.gov/Transmittals/Downloads/R1241CP.pdf
- Medicare B
- 837 Claims – will allow legacy and NPI (Dual usage) NPI only or legacy only
- 835 Remit – Legacy provider number returned. If an NPI is submitted on the claim; the NPI will be returned at the rendering provider loop, 2100 Service Provider Name. Changes are expected in October 2007 through Change Request 5452. *At the time minutes publication the MedLearn Matters article has not been posted. It will be MM5452 when released.
- Warning edits E010a and E010b are in place for BCBSKS, HNNY, Medicare B and Medicare A. The warning message reads "No NPI submitted – begin submitting immediately".
- Warning edit E010a is triggered when no NPI is submitted in the 2010AA Loop
- Warning edit E010b is triggered when a 2310B loop is submitted without an NPI.
- Many edits have been updated or added to address changes caused by NPI. Most of these edits are currently listed as warnings. Please ask all your providers to pay attention to the warnings. The warnings are in place to assist you and your clients in correcting any problems before switching to NPI only. Announcements of edit updates will be made to our web sites: www.ask-edi.com, www.bcbsks.com, and www.wheatlandsadmin.com May 20, 2007.
- As a reminder, the Tax ID number is required to be submitted on claims with the NPI.
- The Tax ID number must be submitted in the 2010AA loop in an REF02 segment.
- Please contact 1.800.472.6481, option number 1, for assistance.
Trading Partner Education:
- Blue Cross and Blue Shield of Kansas and ASK continue to contact providers regarding errors with NPI. This is being done to ensure a smooth transition to NPI occurs.
- Medicare A is contacting, by phone, providers submitting claims without an NPI.
- On May 7, 2007, Medicare B mailed postcards to all providers who submitted a claim, from April 25, 2007, through May 7, 2007, with an NPI. Additional mailings will occur in the upcoming weeks.
System Updates:
- The next system deployment is scheduled for Sunday, May 20, 2007.
Remits:
- BCBS of Kansas
- 05/11/07 - There was an error with BCBSKS and Premier Blue electronic remits placed in trading partner mailboxes and dated 5/8/07 at about 12:20am. The data in the check number field (trn02) has been updated with the correct check number and the electronic remits have been resent. The new remits will be dated 5/8/07 and have a time frame around 6:25pm.
- Medicare A
- May 16th a delay in delivery of remittance occurred.
- Medicare B
- Remittance advices dated May 4, 2007, were delayed in delivery to Trading Partners. Remittance advices dated May 4, 2007 were delivered May 10th, 2007.
Upcoming events:
May 24, 2007 – North Kansas City, MO
June 6, 2007 – Beloit, KS
June 12, 2007 – Garden City, KS
June 19, 2007 – Parsons, KS
Provider Communications:
- Just ASK! Newsletter was posted in July 2007.
http://www.ask-edi.com/news/newsletters.htm
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 or MedicareEDI@wheatlandsadmin.com with suggestions.
The next regularly scheduled conference call is June 17, 2007.
Phone Number: 1-877-326-2337 – Pass code 2102557
Web Addresses:
www.wheatlandsadmin.com
www.ask-edi.com
www.bcbsks.com
www.bcbskc.com
Email Address:
askedi@ask-edi.com
MedicareEDI@wheatlandsadmin.com
Phone: 800-472-6481
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