Vendor Meetings
Blue Cross Blue Shield of Kansas EDI Services
Vendor Call Minutes
December 15, 2011
HIPAA 5010
- Payer Testing Information - The 5010 timelines for payers are available on the BCBSKS and ASK Websites. These are subject to change.
- BCBSKS – 837 & 835 are now in production.
- BCBSKC – 837 testing is available for everyone wanting to test. Production has been moved to 12/19/11 for both 837 and 835.
- HNNY – 837 & 835 are now in production. Trading Partners need to notify ASK at 1-800-472-6481 option number 1 when they are ready for production 835.
- EDI Midwest – 837 – Front-end testing is available. The production date is scheduled for 12/19/11.
- PHP – 837 are now in production
- Real Time Transactions
- BCBSKS is accepting production
- 835 Testing
- 5010 835 test files mirror 4010 production files in content. BCBSKS and BCBSKC create 5010 test files from the production system. The submission of a production 5010 837 to receive an 835 test file is not necessary.
- Common Questions/Problems During Testing
- GS03 must reflect payer information as published in the Companion Document.
- 1000B NM109 must reflect ASK INC, ASKINC, ASK, as published in the Companion Document.
- P.O. Box not allowed in the Billing Provider Loop. The physical address should be reported in the Billing Provider Loop and the P.O. Box can be reported in the Pay-To Address Loop.
- The full zip code + 4 is required in the Billing Provider Loop.
- Hyphens are not allowed in most fields including the EIN, SSN, or Zip Code.
- Contact information must include contact name and phone number.
- Secondary identification is not allowed when the NPI is submitted.
- Vendor Testing Information
- Vendors will determine test or production status of their clients.
- Vendors should begin testing with 2 or 3 active clients. Once the clients are approved for production the vendor will have the option to have ASK move all of their clients to production without further testing with ASK. Vendors will need to call ASK requesting to have all sites moved to production.
- All trading partners are set to test until they or their software vendor has been approved for production.
- For testing purposes, it is best that all testing be done through existing trading partners. Edits include NPI validation for the payer and subscriber eligibility.
- Trading Partner Enrollment
- Trading partners actively sending 4010 but have not received a 5010 confirmation letter should contact the ASK Help Desk for user ID and login information.
- Acknowledgements
- The 277CA is the response trading partners will receive as acknowledgment of their claims.
- Interpretation of the 277CA.
- Edit Documentation has been added to the ASK Website. Edit logic for edits can be found in the 5010 section under User Documentation.
- Companion Guides are updated as needed, so we strongly recommend signing up for email notification for HIPAA 5010 information.
General Information
- ICD-10
- ICD-10 will be date of service (10/1/2013) for 837P and date of discharge for 837I. Software will need to be able to support both ICD-9 and ICD-10.
- More information regarding ICD-10 testing will become during 2012.
System Status Update
- Deployments for the 5010 system will be scheduled as needed.
Telecommunications
All Payer Information
No new information.
Upcoming events
None
We want to encourage you and your clients to share suggestions and ideas on how EDI Services can provide better assistance. Please send an email to askedi@ask-edi.com. Information posted to the web etc.
Reminder of email addresses and phone numbers
- askedi@ask-edi.com
- 800-472-6481 option 1 = EMS Help Desk
- 800-472-6481 option 2 = Status Messaging Center
- 800-472-6481 option 3 = EDI Marketing
The next regularly scheduled conference call is January 19, 2012.
Phone Number: 1-877-326-2337 – Pass code 2102557
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