Vendor Meetings
Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
June 19, 2008
General
Information:
- 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
BCBSKS rejection edits effective May 23,
2008.
837 (Claims) Blue Cross and Blue
Shield of Kansas |
Edit Code |
Edit Description |
Reject Date |
B061E |
Rendering NPI
not tied to Billing NPI (2310B). |
5/23/2008 |
B257E |
Group NPI can
not be used as Rendering NPI (2310B). |
5/23/2008 |
B344C |
2310B Rend
Prov Loop required w/ Billing Prov. Reject Edit Code will be B344A |
5/23/2008 |
B376B |
Billing NPI
not tied to TP Number. |
5/23/2008 |
B379B |
EDI
Authentication failed
(2010BB and
2010BC) |
5/23/2008 |
B384 |
Billing Number
not tied to TP Number |
5/23/2008 |
B385 |
EDI
Authentication Failed
(2010BB and
2010BC) |
5/23/2008 |
As
of May 23, 2008, only the NPI qualifier and NPI identification code are being returned
on the 835.
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 rejection edits 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 |
As of May
23, 2008, only the NPI qualifier and NPI identification code are being returned
on the 835.
- Blue Cross and Blue Shield of Kansas
and Kansas City continue to accept legacy provider information however we
are encouraging all legacy information to be removed and the submission of
NPI ONLY.
System Updates
- The
next routine system deployment is scheduled for August 3, 2008.
Upcoming
events
July 17, 2008 – North Kansas City,
MO
July 23, 2008 – Topeka, KS
August 14, 2008 – Salina, KS
All EDI Workshop information is posted on
the Blue Cross and Blue Shield of Kansas and ASK web sites.
http://www.bcbsks.com/CustomerService/Providers/EDI/events2.htm
http://www.ask-edi.com/events/edi_workshop.htm
- 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 July 17, 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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