Vendor Meetings
Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
May 19, 2005
CMS is reporting the National Percentage for migration to the HIPPA formats at 99.41%.
BCBS of Kansas is reporting 100% Submitters of claims and 100% of claims volume are received in the HIPAA format, ANSI 4010A1.
General Announcements:
- EDI Services is currently working to validate provider numbers and transactions used by providers in the last 6 months. If a transaction is not used for a 6-month period of time, the setup will be deleted.
- EDI Services is currently reviewing new edits for NPI. More information on the edits will be provided in future conference calls.
EDI System Status Update:
- A production deployment is scheduled for May 23, 2005.
- With this production deployment an NPI edit will be added as a warning for BCBS of KS only. The edit allows for the submission of the “XX” qualifier. The NPI will then be authenticated.
Upcoming Events
- June 26, 2005 an EDI System production deployment is scheduled.
- A warning edit will be put in place for BCBS of KS Dental claims. The warning edit is for the date of service by procedure code.
- EDI is evaluating eligibility edits to improve the first pass pay rates. EDI is looking at adding edits for BCBS of KS. Today EDI validates the ID number but, the new edits will be validating the first two characters of the last name of the insured. If the insured is the patient they will validate date of birth, 9 characters of the first name. If the insured is not the same as the patient the date of birth of the patient, 9 characters of the first name and the relationship to the insured (IRC). Before any implementation of these type of edits is made EDI must evaluate system resources and several other areas they could impact. Eligiblity edits would be phased in. Currently payers such as BCBS of KS are educating providers on the importance of obtaining and submitting accurate information.
MCS Transition:
- The Medicare claims processing system is moving from the VMS System to the Multi Carrier System ( MCS). The transition date of June 1, 2005 had been postponed. The MCS transition is scheduled for August 3, 2005.
- A special MCS Vendor call will be held on May 26, 2005 at 10:00 A.M. The call can be access at the same phone number (1-877-346-2337) and pass code (2102557).
835 Information:
- Medicare A has announced and has been educating providers beginning July 1, 2005 31 days after production status is reached for the ANSI 835 4010A1 transaction the paper remittance advice will no longer be received by the provider.
- For Medicare A only, June 1, 2005 PC Print free software will be available for download on the Medicare Web site:
http://www.kansasmedicare.com/part_A/edi/free.htm PC Print software supplies the Trading partner with a mechanisum to create a print image of the ANSI 835 4010A1 remit. This free software does not post the ANSI 835 4010A1 remittance advice. The free PC Ace Pro32 software can also be used for this purposes, as well.
- When moving from test to production for Medicare, there is a possibility of partial or no test or production remits being created. Providers need to be prepared to work from the paper remit.
Telecommunications Changes:
- Dial-up options for PINQ, FISS, DDE, PPTN, and BCBSKS Abstracts will be eliminated on June 1, 2005. Dial-up users will need to use either Ivans or Vision Share for the connection. Dial-up for file transfer (sending claims) is not affected by this change.
- The local Wichita server, used with file transfers for X, Y and Z modems, will be removed in late May 2005. Trading Partners using this server for file transfer will need to change the dial-up number from 316-337-0200 to 800-388-9012.
- Notification of changes will be mailed to both Vendors and Trading Partners.
- Information has been posted to the following web sites concerning Connectivity options and Connectivity FAQ’s.
http://www.bcbsks.com/providers/edi/vendors.htm
http://www.ask- edi.com/vendors/index.htm
http://www.kansasmedicare.com/part_A/edi/part_a_EDI.htm
http://www.kansasmedicare.com/part_B/edi/index.htm.
Provider Communications:
- The Just ASK Newsletter was mailed the first week of April.
- The Medicare CMS Transition has been postponed.
- Special web page has been setup for MCS Transition information http://www.kansasmedicare.com/part_b/mcs.htm
- Implementation has been scheduled for August 3, 2005
- Workshops are being rescheduled for July and should soon be posted to the Medicare web:
http://www.kansasmedicare.com/part_b/workshops.htm
- Medicare is currently waiting approval of an MCS Communiqué to be mailed prior to the second week of June.
- May 11, 2005 Medicare notified vendors by mail concerning the Johnson and Wyandotte counties of Kansas payer ID number change that was delayed.
270/271 Issues:
- BCBSKS is in production and is currently testing Real Time transactions over the Internet.
276/277 Issues:
- Currently Medicare A and B are working with beta test sites for these transactions.
- BCBSKS is ready for production and is currently working the following problem:
- BCBSKS reported a problem if the service line date at the 2210D and 2210E is submitted with no claim service date at the 2200D and 2200E. This problem does not occur if the service date is submitted in the 2200D and 2200E.
- Some issues occurred during beta testing for BCBSKC. Vendors will be notified when these are corrected.
A Special MCS Conference call is scheduled for 05/26/2005.
The next regularly scheduled conference call is scheduled for 05/19/2005.
For both calls use:
Phone Number: 1-877-326-2337 – Pass code 2102557
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