| NHIC, Corp.DME MAC A ListServe | For Immediate Release |
December 05, 2008
Common Electronic Data Interchange (CEDI) Help Desk Telephone Line Modifications Effective Monday, January 05, 2009
The following changes are being made to better serve our CEDI customers. Effective Monday, January 05, 2009, the CEDI Helpdesk will modify the hours of operations. The CEDI Help Desk will be open from 9:00 am to 7:00 pm ET Monday through Friday.
Additionally, CEDI has determined there is not a need to have a separate option for password resets due to the Average Speed of Answer (ASA) stabilizing at acceptable standards and the volume of password reset calls.
Below are the options callers will hear when they contact the CEDI Help Desk by telephone at 866-311-9184.
Press 1 to hear the hours of operation and e-mail address:
- To report issues via e-mail, submit issue to ngs.cedihelpdesk@wellpoint.com
- Hours of Operation are Monday through Friday, 9:00 am to 7:00 pm ET.
Press 2 to speak to a DME CEDI Help Desk Technician:
Please be prepared to provide your NPI or PTAN number as well as your Trading Partner ID (Sender ID). Your Trading Partner ID begins with an A08, B08, C08 or D08.
Update on the CEDI Front-End Editing Process
National Government Services, Common Electronic Data Interchange (CEDI) is in the process of changing the current front-end editing process for ANSI X12 837 claims and 276 claim status request transactions.
All new edits have been added to the CEDI Front-End Reports Manual. This manual is available on the CEDI Web site at: http://www.ngscedi.com/outreach_materials/outreachindex.htm
Please note the following edits are currently in place at CEDI on the GenResponse (GENRPT) report:
| NGS0005 | C065 | C125 |
| NGS0006 | C072 | C131 |
| NGS0008 | C077 | C137 |
| B108 | C086 | C141 |
| C007 | C087 | C143 |
| C015 | C088 | C147 |
| C055 | C089 | C157 |
| C060 | C090 |
The changes to the front-end editing process will occur in two stages.
Stage 1 - Implementation will begin on Friday, January 9, 2009
- On Friday, January 9, 2009 at 3:00 pm ET, the CEDI Gateway will be brought down until Sunday, January 11, 2009 at 6:00 pm ET to implement the additional CEDI edits.
** During this time, Trading Partners will not be able to connect to CEDI to transmit or receive electronic transactions and/or reports. - The additional front-end edits for 837 claims will be added to the current CEDI GenResponse (GENRPT) report.
- 837 claims shown as accepted on the GenResponse Report will be delivered to the DME MACs.
- Claims delivered to the DME MACs will continue to edit against the DME MAC Level II edits as they do currently.
- Claims accepted on the DME MAC Level II reports will be assigned a Claim Control Number (CCN) that will be attached to the claim as it enters the DME MAC for processing.
- CEDI will deliver the DME MAC Level II reports to the Trading Partner.
- Claims rejected on the DME MAC Level II report must be corrected and resubmitted to CEDI.
- 837 claims rejected on the GenResponse Report will not be delivered to the DME MACs. These claims must be corrected and resubmitted to CEDI.
- Most, if not all, claims that reject will be returned on the GenResponse Report. It will be extremely important for Trading Partners to monitor the GenResponse Report for rejected claims in order to correct and resubmit the claims to CEDI.
- The additional CEDI front end edits will be implemented for the 276 claim status request transactions.
- 276 transactions that reject at CEDI will be reported back on a 277 claim status response.
- 276 transactions accepted by CEDI will be delivered to the DME MACs.
- 276 transactions delivered to the DME MACs will continue to edit against the DME MAC Level II edits as they do currently.
- 276 transactions accepted on the DME MAC Level II reports will be sent to the DME MAC for processing to produce the 277 to report the claim status back to the Trading Partner.
Stage 2 - Implementation will occur on January 30, 2009
- On Friday, January 30, 2009 at 3:00 pm ET, the CEDI Gateway will be brought down until Sunday, February 1, 2009 at 6:00 pm ET for the DME MACs to remove their front end edits for 837 claims and 276 claims status transactions.
** During this time, Trading Partners will not be able to connect to CEDI to transmit or receive electronic transactions and/or reports. - The DME MACs will remove their front end edits and all electronic front-end editing for the X12 837 claims and 276 claim status transactions will be done through CEDI
- 837 claim front-end rejections will be returned on the CEDI GenResponse (GENRPT) report.
- 276 claims status request front-end rejections will be returned on the 277 claims status response transaction.
- The additional GenResponse edits that were implemented in Stage 1 will replace the DME MAC Level II edits and Trading Partners will no longer receive Level II reports from the DME MACs.
- Claims accepted on the GenResponse Report will be assigned a Claim Control Number (CCN) and these will be indicated on a report that will go back to the Trading Partner from CEDI. This CCN will be attached to the claim as it enters the appropriate DME MAC for processing.
- All electronic front-end editing for the X12 276 claim status request transaction will be done through CEDI and all front-end rejections will be returned on the 277 transaction.
Note:The CCN assignment changes scheduled for Stage 2 may occur at a later stage. If this occurs, notification will be sent via the CEDI listserv.
CMN Rejection Report: The process for DME MACs to edit CMNs submitted on the 837 claims will not change. Any CMN rejections will be returned on the CMN Rejection Report produced by the DME MACs and delivered to the Trading Partners CEDI mailbox in the RPT file.
NCPDP Claims: NCPDP claims are not affected by these changes. CEDI will continue to receive the NCPDP claims from the Trading Partner and forward the claims to the DME MACs. The DME MACs will perform all front end editing and assign the Claim Control Number (CCN) to accepted NCPDP claims.
Please contact the CEDI Help Desk at 866-311-9184 or by Email at ngs.cedihelpdesk@wellpoint.com if you have questions about the upcoming changes or the CEDI front end edits.
All CEDI Listservs are posted to the "News" section of the CEDI Web site at: http://www.ngscedi.com/news/newsindex.htm
CEDI Listserv
To stay informed of all CEDI updates, visit the CEDI Web site at http://www.ngscedi.com and sign up for the CEDI Listserv by selecting the Listserv Registration Link. You will then be prompted to submit your email address and name to subscribe. This listserv is for all entities participating with CEDI whether you are a third-party billing agency or a supplier performing your own EDI transmissions.
To stay informed of all CEDI updates, visit the CEDI Web site at http://www.ngscedi.com and sign up for the CEDI Listserv by selecting the Listserv Registration Link. You will then be prompted to submit your email address and name to subscribe. This listserv is for all entities participating with CEDI whether you are a third-party billing agency or a supplier performing your own EDI transmissions.
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