Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses and Vendors

Update to Common Electronic Data Interchange (CEDI) Front End Editing for Ordering/Referring Providers

CEDI errors C200, C201 and C202 are warning errors/edits that are firing as a Warning on the CEDI GENRPT until January 1, 2010. These errors/edits are in place due to CMS CR6421 and related MLN article MM6421 that was implemented with the October 2009 Release.

Should a supplier receive one of these errors/edits on a claim, CEDI recommends they contact the Ordering/Referring Provider submitted on the claim and have them verify their eligibility with the Provider Enrollment, Chain and Ownership System (PECOS). The issue is not with the Supplier (Billing Provider); it is with the Ordering/Referring Provider.

Ordering/Referring Providers may use the following Web site to obtain information in relation to PECOS and to enroll and/or access the PECOS system to ensure they are listed and authorized to Order/Refer services for Medicare:

http://www.cms.hhs.gov/MedicareProviderSupEnroll/04_InternetbasedPECOS.asp

If you have questions, please contact your Medicare DME MAC at its toll-free number, which may be found at http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip  on the CMS website.

Thank you,
National Government Services, Inc.
Corporate Communications

 

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