Vendor Meetings
Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
November 15, 2007
General Announcements
- We welcomed Wisconsin Physician Services (WPS) to the vendor call. WPS is the new A/B MAC for Jurisdiction 5 which includes Iowa, Kansas, Nebraska, and Missouri. The Medicare transition is scheduled to be completed on March 1, 2008. The best way to keep up to date on everything happening with the transition is to enroll for email notification. Providers and vendors are encouraged to enroll for notifications at: http://www.wheatlandsadmin.com/, or http://www.wpsmedicare.com/provider/mac.shtml.
- NPI will be required on all EDI Enrollment forms received beginning December 1, 2007. New forms have been posted to the ASK website and all vendors and clearinghouses are requested to download the new forms. Forms received without the NPI will be returned for additional information.
NPI Information
- BCBSKS:
- 837 Transactions (Claims) – Accepts NPI only, Dual Use, or Legacy only. Trading partners wanting to send NPI only must notify BCBSKS first.
- NPI will be required on all claims submitted beginning January 1, 2008.
- A new edit will be added on December 3, 2007, to replace the E010A edit currently in place. This edit will be a warning until January 1, 2008, when claims will begin to reject requiring an NPI.
- 835 Transactions (Remits) – Trading partners will receive the same provider numbers submitted on the claims.
- BCBSKC:
- 837 Transactions (Claims) – Accepts NPI only, Dual Use, or Legacy only.
- 835 Transactions (Remits) – Trading partners will receive both legacy and NPI on all 835 transactions, if the NPI has been reported to BCBSKC.
- Medicare A:
- 837 Transactions (Claims) – Accepts NPI only, Dual Use, or Legacy only.
- NPI will be required on all claims submitted beginning January 1, 2008.
Claims submitted with legacy only in the 2010AA loop will be returned to the providers on remits as unprocessable, MA130. Providers were notified of this change through http://www.wheatlandsadmin.com/part_a/npi/MedicarePartANPIRequiredJanuary12008.htm.
- Medicare B:
- 837 Transactions (Claims) – Accepts NPI only, Dual Use, or Legacy only.
- Informational edits implemented on October 15, 2007 will be changed to rejections on Medicare B beginning on March 1, 2008.
- M389 2010AA NM108 Billing Provider Identification Code Qualifier Invalid value. The edit sets when the 2010AA loop and NM1 are submitted but NM108 does not contain XX.
- M390 2010AB NM108 Billing Provider Identification Code Qualifier Invalid value. The edit sets when the 2010AB loop and NM1 are submitted but NM108 does not contain XX.
- M391 2310B NM108 Claim Level Rendering Provider Identification Code Qualifier Invalid value. The edit sets when the 2310B loop and NM1 are submitted but NM108 does not contain XX.
- M392 2420A NM108 Detail Level Rendering Provider Identification Code Qualifier Invalid value. The edit sets when the 2420A loop and NM1 are submitted but NM108 does not contain XX.
- Notification was posted at: http://www.wheatlandsadmin.com/part_B/edi/MCSEdits10152007.htm
Trading Partner Education
- Warning and Rejection messages are reported back to the trading partner on several reports. It is important that all reports are reviewed for Warnings and Rejections. Warnings will not cause the claims to reject; however, they should be corrected as soon as possible to avoid rejections in the future. The EDI Help Desk will be glad to help with any questions regarding the edits. Warning and rejection edits can be found on the Claims Confirmation Report, MCS EDI Edit Reports (IXE extension), and the EDI Midwest Reports.
All Payer Information
- All batch process are working as expected.
System Updates
- The next routine system deployment is scheduled for December 2, 2007.
Upcoming events:
11/16/2007 – Northland Medical Managers – North Kansas City, MO
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 December 20, 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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