{"Data":[{"ID":569,"Name":"Limited Operation After Hurricane Beryl","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1720706922930)\/","Searchable":"569|Limited Operation After Hurricane Beryl|\u003cp\u003e07/13/2024 06:30pm - Our web site is returning to normal operation.\u003c/p\u003e\u003cp\u003e07/11/2024 09:00am - Due to hurricane Beryl, we were down from Monday afternoon until today, Thursday 11, 2024 at 09:00. We are currently operating on limited hours. Our system will operate normally from 9am until 7pm central time. Please have your claims ready and send in by 07:00pm central time. Our batch time will remain the same at 04:00pm central time.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e"},{"ID":562,"Name":"Change Healthcare cyber security issue","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1709585968577)\/","Searchable":"562|Change Healthcare cyber security issue|Dear Submitter,\u003cbr /\u003e\u003cbr /\u003eOn Wednesday, February 21, 2024, Change Healthcare has a cybersecurity breach on its system. Change Healthcare has disconnected its systems while it resolves the issue.\u0026nbsp;\u003cbr /\u003e\u003cbr /\u003eWe cannot send any claims to Change Healthcare nor receive ERA (Electronic Remittance Advice 835) or confirmation and payer\u0027s reports from Change Healthcare (formerly NEIC, Emdeon). This means some claims will be stuck in PAYER BATCHED status.\u003cbr /\u003e\u003cbr /\u003eThe attack on Change Healthcare remains localized. The Anvicare network is unaffected and will continue to receive claims as normal.\u003cbr /\u003e\u003cbr /\u003eTo prevent ransomware attacks, please do the following at minimum:\u003cbr /\u003e1. Backup your software and data. A backup copy should be stored offsite\u003cbr /\u003e2. Update patches to your operating system on your computers\u003cbr /\u003e3. Do not click on any seemingly legitimate links from emails even from known people.\u003cbr /\u003e4. Do not download attachments from emails from even known people.\u003cbr /\u003e\u003cbr /\u003eAnvicare Support"},{"ID":553,"Name":"Highmark NYWBC Group NPI rejecting issue","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1670599322000)\/","Searchable":"553|Highmark NYWBC Group NPI rejecting issue|\u003cp\u003eDate: 12/09/2022\u003cbr /\u003e\u003cbr /\u003eSubject: Highmark rejecting NYWBC claims due to missing group npi.\u003cbr /\u003e\u003cbr /\u003eBackground: Since Highmark took over Blue Cross, they are rejecting claims that are missing group NPI even when these claims were getting paid before without the group npi on the claims.\u003cbr /\u003e\u003cbr /\u003eIf you received rejecting EOB from your claims with payer id NYWBC due to missing group NPI, please do the following to fix this issue.\u003cbr /\u003e\u003cbr /\u003e1. Fix your configurations first at Anvicare since this is where the individual and group NPI are stored and are used to override your claims\u0027 NPIs.\u003cbr /\u003e\u003cbr /\u003egoto Claims \u0026gt; Configuration. (A list of eight configuration options will appear.)\u003cbr /\u003e\u003cbr /\u003eselect the top right button labeled NPI Match. (A pop-up window will appear.)\u003cbr /\u003e\u003cbr /\u003etype in NYWBC in the search field next to the CLOSE button at the top left of the window. This will cause the grid to only show entries with NYWBC.\u003cbr /\u003e\u003cbr /\u003eEdit each row by clicking on the EDIT button on the far right of the row.\u003cbr /\u003e\u003cbr /\u003eRemember at this point you are working on one row from the grid (not the input boxes above and outside the grid!!)\u003cbr /\u003e\u003cbr /\u003eEnter the group NPI field under the column heading \"BILLING PROVIDER\"\u003cbr /\u003e\u003cbr /\u003enote: you only need this field. You can leave all other fields blank.\u003cbr /\u003e\u003cbr /\u003eclick the UPDATE button when done.\u003cbr /\u003e\u003cbr /\u003eYour configuration is now completed and all new claims uploaded to us will be overridden with these npi when we save the claims to our database. Old claims will not be overridden with these NPIs. You will have to fix them in step 2.\u003cbr /\u003e\u003cbr /\u003e2. To fix rejected claims, you must find and bring each claim up on the screen and save it. You don\u0027t have to enter the group NPI into Box 33 NPI field. All claims saved will trigger our system to visit the configuration NPI settings and update the claim with the NPI from the configurations screen.\u003c/p\u003e\u003cp\u003e[EDITED 12/09/22 11:40 - It looks like just resubmitting will get rejected again for DUPLICATE. Please do resubmission by implementing box 22 below.]\u003c/p\u003e\u003cp\u003eIf you wish to resubmit the claim as a \"CORRECTED CLAIM\", you have to do one more step by putting a \"7\" into box 22 left field and the claim number from the EOB in box 22 right field before saving the claim. Note: the claim number usually is a long numeric number assigned to the claim by NYWBC. Doing a corrected claim method will ensure NYWBC won\u0027t reject the claim as a DUPLICATE CLAIM.\u003cbr /\u003e\u003cbr /\u003eIf you need help doing the above steps, please do not hesitate to contact our support via phone. When you call or email for support, please always give us your account no (pink number in parentheses at the top right on the screen)\u003cbr /\u003e\u003cbr /\u003eRegards,\u003cbr /\u003e\u003cbr /\u003eSupport\u003cbr /\u003esupport@anvicare.com\u003c/p\u003e"},{"ID":552,"Name":"New Edit - Taxonomy (Specialty Code)","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1645817501173)\/","Searchable":"552|New Edit - Taxonomy (Specialty Code)|\u003cblockquote\u003e\u003cspan style=\"color:#000000;font-family:Arial, Helvetica, sans-serif;font-size:small;white-space:pre-wrap;background-color:rgba(248, 249, 250, 0.04);\"\u003eDate 02/25/2022\n\nSubject: New Anvicare edit added effective 02/24/2022. Taxonomy is required on certain payers.\n\n\n\nWe have added a new edit when claims are loaded or saved to Anvicare clearinghouse. If a payer requires taxonomy (this is a code from an industry master list describing your specialty. This is NOT your tax id) and the claim does not have it, we will reject and the claim will have a red color on your dashboard.\n\nTo correct this, find out the payer id of the claim by clicking on the magnifying glass icon on your dashboard by the red Anvicare reject row.\n\nNext, go to Configurations Tab and select NPI Match (top right).\n\nNext to the CLOSE button at the top left of the pop-up window, click on the search field and type in the payer id.\n\nThe grid should discard everything else except entries that have this payer id.\n\nClick edit on each row and add your Taxonomy code to both the Rendering and the Billing Provider column.\n\nClose the pop-up NPI Match window and go back to your dashboard.\n\nAll rejected claims should now turn green.\n\nIf you need help, please contact support at 877-268-4676 or 281-325-0208.\n\nRegards\n\nAnvicare Support\u003c/span\u003e\u003c/blockquote\u003e"},{"ID":551,"Name":"PPN no longer require claims from you.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1641486548380)\/","Searchable":"551|PPN no longer require claims from you.|\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003eSubject: Patient Physician Network (PPN) claims no longer needed.\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u0026nbsp;\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003eYour account has been identified as one that has sent PPN (Patient Physician Network) claims in the past.\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u0026nbsp;\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u003cspan style=\"-webkit-tap-highlight-color:transparent;white-space:pre-wrap;\"\u003eYou are no longer required to submit claims data for PPN clinical integration. The collection of 837 outbound\nclaims submission data has ceased in 2022 as the PPN will take steps in the coming months to connect EHR practices to a regional Health Information Exchange (HIE) called HASA. \u003c/span\u003e\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u003cspan style=\"-webkit-tap-highlight-color:transparent;white-space:pre-wrap;\"\u003eThe PPN and HASA will be in touch with your practice in the coming weeks regarding the HIE connection. For questions, please call the PPN at \u003ca href=\"tel:(972)%20612-7273\" value=\"+19726127273\" target=\"_blank\" rel=\"nofollow\" style=\"-webkit-tap-highlight-color:transparent;text-decoration-line:none;color:#1a73e8;\"\u003e972-612-7273 Ext. 106\u003c/a\u003e.The PPN and HASA will be in touch with your practice in the coming weeks regarding the HIE connection. \u003c/span\u003e\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u003cspan style=\"-webkit-tap-highlight-color:transparent;white-space:pre-wrap;\"\u003eRegards,\u003c/span\u003e\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u003cspan style=\"-webkit-tap-highlight-color:transparent;white-space:pre-wrap;\"\u003eAnvicare Support\u003c/span\u003e\u003c/p\u003e\u003cp style=\"-webkit-tap-highlight-color:transparent;color:rgba(0, 0, 0, 0.87);font-family:Roboto, RobotoDraft, Helvetica, Arial, sans-serif;font-size:14px;\"\u003e\u003cspan style=\"-webkit-tap-highlight-color:transparent;white-space:pre-wrap;\"\u003e\u003ca href=\"mailto:support@anvicare.com\" target=\"_blank\" rel=\"nofollow\" style=\"-webkit-tap-highlight-color:transparent;text-decoration-line:none;color:#1a73e8;\"\u003esupport@anvicare.com\u003c/a\u003e\u003c/span\u003e\u003c/p\u003e"},{"ID":544,"Name":"New URL to get to your login","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1613403224650)\/","Searchable":"544|New URL to get to your login|\u003cp\u003eDate: Feb 15, 2021\u003c/p\u003e\u003cp\u003eTime:09:34am (CTS)\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eDear Submitter,\u003c/p\u003e\u003cp\u003eIf you can\u0027t get to the login screen, your computer may have pointed to our old website which may not work now.\u003c/p\u003e\u003cp\u003eTo get to the new website, please go to SECURE3.ANVICARE.COM on your URL line at the top of your browser. (note: there is no WWW).\u003c/p\u003e\u003cp\u003eRegards\u003c/p\u003e\u003cp\u003eAnvicare Support\u003c/p\u003e"},{"ID":543,"Name":"Website down for maintenance Feb 13, 2021 from 8am to 2pm (CTS)","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1612977286660)\/","Searchable":"543|Website down for maintenance Feb 13, 2021 from 8am to 2pm (CTS)|\u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; * * * IMPORTANT BULLETIN * * *\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eDate: February 10, 2021\u003c/p\u003e\u003cp\u003eTime:11:13am\u003c/p\u003e\u003cp\u003eSubject: Anvicare website down for maintenance.\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eDear Submitter,\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eAnvicare website will be down for maintenance this coming Saturday 2/13/2021 from 8am to 2pm (or earlier) Central Standard Time. \u003cbr /\u003e\u003cbr /\u003eYou will not be able to login during this time.\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eRegards,\u003c/p\u003e\u003cp\u003eAnvicare Customer Service.\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e"},{"ID":542,"Name":"Current System Status","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1602170692570)\/","Searchable":"542|Current System Status|\u003cp\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eDate: Thursday, Oct 8, 2020\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eTime: 10:25am\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eDear Submitter,\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eWe are experiencing some technical difficulties in processing your files. We should have the problem resolved shortly.\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eIf you can upload your files, please do so but they will not show up or stuck at 25 percent processed until we resolve the problem.\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eRegards,\u003c/span\u003e\u003cbr style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\" /\u003e\u003cspan style=\"color:#263238;font-family:Roboto, Arial, sans-serif;font-size:13px;\"\u003eAnvicare Support\u003c/span\u003e\u003c/p\u003e"},{"ID":541,"Name":"Link faxed attachment to a claim at Anvicare","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1599757708650)\/","Searchable":"541|Link faxed attachment to a claim at Anvicare|\u003cp\u003eDear Submitters,\u003c/p\u003e\u003cp\u003eIf you have to send attachments with a claim, you can still send your claims electronically. They both would go separately to the payer and you link them using the instructions below to allow the payer to match the two back together on their side.\u0026nbsp;\u003c/p\u003e\u003cp\u003eInstructions if you fax attachments to a claim sent electronically.\u003cbr /\u003e\u003c/p\u003e\u003cp\u003e1. Fill out the cover page. An example cover page can be found at this URL:\u003c/p\u003e\u003cp\u003ehttps://palmettogba.com/palmetto/mforms.nsf/files/CL-JJ-B-4100.pdf/$File/CL-JJ-B-4100.pdf?\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eGallagher Bassett Workers Comp\u003c/p\u003e\u003cp\u003e\u003ca href=\"https://app.sfmic.com/col/resourceCatalog/doc/multistate_claims_minikit.pdf?origin=N\u0026amp;tickCount=637793523170075534\"\u003ehttps://app.sfmic.com/col/resourceCatalog/doc/multistate_claims_minikit.pdf?origin=N\u0026amp;tickCount=637793523170075534\u003c/a\u003e\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e(Each payer may have their own cover page form) and fax your attachments. The ACN (Attachment Control Number) is a unique number you assign to the attachment. This number will be keyed in later on the claim in box 19\u003c/p\u003e\u003cp\u003e2. Send the claim to us. \u003c/p\u003e\u003cp\u003e3. Edit the claim and in box 19. Use this format to pass data to us:\u003c/p\u003e\u003cp\u003ePWK-(ReportType)-(TransmissionCode)-(ACN)\u003c/p\u003e\u003cp\u003eReportType is a code from this list:\u003c/p\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eCode\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Meaning\u003cbr /\u003e03\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eReport Justifying Treatment Beyond Utilization Guidelines\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e04\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDrugs Administered\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e05\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eTreatment Diagnosis\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e06\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eInitial Assessment\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e07\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eFunctional Goals\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e08\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePlan of Treatment\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e09\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eProgress Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e10\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eContinued Treatment\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e11\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eChemical Analysis\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e13\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eCertified Test Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e15\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eJustification for Admission\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e21\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eRecovery Plan\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e48\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eSocial Security Benefit Letter\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e55\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eRental Agreement\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e59\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eBenefit Letter\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003e77\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eSupport Data for Verification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eA3\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eAllergies/Sensitivities Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eA4\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eAutopsy Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eAM\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eAmbulance Certification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eAS\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eAdmission Summary\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eAT\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePurchase Order Attachment\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eB2\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePrescription\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eB3\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePhysician Order\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eB4\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eReferral Form\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eBR\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eBenchmark Testing Results\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eBS\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eBaseline\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eBT\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eBlanket Test Results\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eCB\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eChiropractic Justification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eCK\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eConsent Form(s)\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eCT\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eCertification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eD2\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDrug Profile Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eDA\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDental Models\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eDB\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDurable Medical Equipment Prescription\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eDG\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDiagnostic Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eDJ\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDischarge Monitoring Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eDS\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDischarge Summary\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eEB\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eExplanation of Benefits (Coordination of Benefits or Medicare Secondary Payor)\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eFM\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eFamily Medical History Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eHC\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eHealth Certificate\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eHR\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eHealth Clinic Records\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eI5\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eImmunization Record\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eIR\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eState School Immunization Records\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eLA\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eLaboratory Results\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eM1\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eMedical Record Attachment\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eMT\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eModels\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eNN\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eNursing Notes\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOB\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eOperative Note\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOC\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eOxygen Content Averaging Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOD\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eOrders and Treatments Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOE\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eObjective Physical Examination (including vital signs) Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOX\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eOxygen Therapy Certification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eOZ\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eSupport Data for Claim\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eP4\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePathology Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eP5\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePatient Medical History Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eP6\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePeriodontal Charts\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eP7\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePeriodontal Reports\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePE\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eParenteral or Enteral Certification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePN\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePhysical Therapy Notes\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePO\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eProsthetics or Orthotic Certification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePQ\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eParamedical Results\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePY\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePhysician\u0027s Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003ePZ\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePhysical Therapy Certification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eQC\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eCause and Corrective Action Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eQR\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eQuality Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eRB\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eRadiology Films\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eRR\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eRadiology Reports\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eRT\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eReport of Tests and Analysis Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eRX\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eRenewable Oxygen Content Averaging Report\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eSG\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eSymptoms Document\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eV5\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003eDeath Notification\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003e\u003cbr /\u003eXP\u003cspan style=\"white-space:pre;\"\u003e\t\u003c/span\u003ePhotographs\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eTransmission Code is a code from this list:\u003c/p\u003e\u003cp\u003eBM By mail\u003c/p\u003e\u003cp\u003eEL Electronically only\u003c/p\u003e\u003cp\u003eEM E-mail\n\u003c/p\u003e\u003cp\u003eFX By fax\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eFor Example: if you faxed an operative note for a claim and you assigned 45255 as a unique serial no to the attachment, you would enter this in box 19\u003c/p\u003e\u003cp\u003ePWK-OB-FX-45255\u003c/p\u003e\u003cp\u003eNote: the dashes are mandatory. There are no spaces\u003c/p\u003e\u003cp\u003eIf you have any questions on this Bulletin, please feel free to contact support at 281.325.0208 (877.268.4676)\u003c/p\u003e\u003cp\u003eRegards,\u003c/p\u003e\u003cp\u003eAnvicare Support\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eEDITED 020122-add URL for sample cover sheet by Quoc Nguyen\u003c/p\u003e"},{"ID":539,"Name":"Medicare now required new policy id format and not the old SSN+a letter format anymore","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1582825908357)\/","Searchable":"539|Medicare now required new policy id format and not the old SSN+a letter format anymore|\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003eDate: Feb 27, 2020\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003eSubject: Medicare rejects due to old policy id format issue.\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003e\u003c/span\u003e\u003cspan style=\"background-color:#ffffff;color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;\"\u003e\u003c/span\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003eIf you have bold red Medicare claims (claims rejected by payers) with the message below. Please view the claim and inspect the policy id (Medicare number). It should not be the old Social Security Number plus a letter. It should be the new Medicare policy id which is a random number in alpha numberic format. \u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003ePlease make sure that you don\u0027t mistakenly enter to letter O as the number 0 or vice versa. Also between the letter l vs the number 1.\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003eIf you don\u0027t have a picture/xerox\u003c/span\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003e of the insurance card and have to get this over the phone from the patient, please make double sure the ID is correct otherwise you will get the same error message but this time because you have an invalid character entered.\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:11px;font-weight:700;background-color:#ffffff;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Segoe UI\u0027, Verdana, Helvetica, sans-serif;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003eThe claim/encounter has invalid information as specified in the Status details and has been rejected. Entity\u0027s contract/member number. Note: This code requires use of an Entity Code. (verify Insured Name-Dob-Sex-PolicyId) [A7:164:IL].\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Segoe UI\u0027, Verdana, Helvetica, sans-serif;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Segoe UI\u0027, Verdana, Helvetica, sans-serif;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003e\u003c/span\u003e\u003cspan style=\"color:#000033;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:small;font-weight:700;background-color:#ffffff;\"\u003eversa. Also between the letter l vs the number 1.\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Segoe UI\u0027, Verdana, Helvetica, sans-serif;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Courier New\u0027, Courier, monospace;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e"},{"ID":537,"Name":"UHC reject message Modifier GP, GN or GO","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1581356128417)\/","Searchable":"537|UHC reject message Modifier GP, GN or GO|\u003cp\u003e\u003cspan style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003eDate: 02/10/2020\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003eSubject: UHC reject message Modifier GP, GN or GO\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003eIf your United Healthcare Claims are being rejected with this message:\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"color:#ff0000;font-family:\u0027Segoe UI\u0027, Verdana, Helvetica, sans-serif;font-size:11px;font-weight:700;background-color:#ccff99;\"\u003eP4999UMAT SMARTEDIT (UMAT) [PATTERN 26693] BEGINNING 4/01/20, THERAPY CHARGES MUST BE BILLED WITH THE REQUIRED MODIFIER GP, GN, OR GO. CLAIMS SUBMITTED ON OR AFTER THAT DATE MUST HAVE A REQUIRED MODIFIER. PLEASE REPAIR NOW IN ADVANCE OF THIS DEADLINE.\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003ePlease download this pdf from UHC Website:\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003e\u003c/span\u003e\u003ca class=\"html-attribute-value html-external-link\" target=\"_blank\" href=\"https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/EDI-ACE-Smart-Edits.pdf\" rel=\"noreferrer noopener\" style=\"font-size:medium;font-family:monospace;white-space:pre-wrap;\"\u003ehttps://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/EDI-ACE-Smart-Edits.pdf\u003c/a\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-family:monospace;font-size:medium;\"\u003e\u003cspan style=\"white-space:pre-wrap;\"\u003eAs you can see from the pdf by search for \"modifier gp\", even the edits said BEGINNING 04/01/20, the EFFECTIVE DATE IS 01/30/2020. Please contact UHC if needed or just add the modifier to your therapy codes and resubmit the claims (correct the red claims at Anvicare, you don\u0027t need to upload anther claim to us).\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-family:monospace;font-size:medium;\"\u003e\u003cspan style=\"white-space:pre-wrap;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-family:monospace;font-size:medium;\"\u003e\u003cspan style=\"white-space:pre-wrap;\"\u003eRegards\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-family:monospace;font-size:medium;\"\u003e\u003cspan style=\"white-space:pre-wrap;\"\u003eSupport\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e"},{"ID":536,"Name":"testing","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1581348277770)\/","Searchable":"536|testing|testing"},{"ID":515,"Name":"Blue Cross now requires Taxonomy codes","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1542130361480)\/","Searchable":"515|Blue Cross now requires Taxonomy codes|\u003cp\u003eNovember 13, 2018\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e\u003cp\u003eDear Submitters,\u003c/p\u003e\u003cp\u003ePlease be aware Blue Cross now is starting to require taxonomy code. Taxonomy code is your specialty code, not the tax id. You can edit and put your taxomony codes here at Anvicare and we will send out your claims with them.\u003c/p\u003e\u003cp\u003eIf you don\u0027t know your taxonomy code, the best method to find it is to Google it. Search for you NPI number plus the word NPI. Next find the link from hipaaspace.com to view your NPI profile. Your taxonomy code should be there in your NPI registration. If you have a group NPI, search for the group taxonomy also. It may be different than the individual one.\u003c/p\u003e\u003cp\u003eTo leave your taxonomy codes, goto Configuration Tab, click on network id, filter by the payer id of the blue cross in your state. The grid should now only show all the providers for that payer id. Next, edit each row and enter the Rendering Provider (Box31 and 24j)(Individual) taxonomy code and the Billing Provider (Box 33)(Group) taxonomy code.\u003c/p\u003e\u003cp\u003eTo see a list of all possible taxonomy codes, goto HOME, Anvicare \u0026amp; Payer forms and search for taxo.\u0026nbsp;\u003c/p\u003e\u003cp\u003eIf you had entered the taxonomy and your claims is rejecting, it is possible that your taxonomy code is not matching they the payer has on file.\u003c/p\u003e\u003cp\u003eIf you have any questions regarding this bulletin, please contact support by phone at 281.325.0208 or email at support@anvicare.com\u003c/p\u003e\u003cp\u003eRegards,\u003c/p\u003e\u003cp\u003eQuoc N.\u003c/p\u003e"},{"ID":508,"Name":"REJECT - Loop 2310B issue","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1539959604417)\/","Searchable":"508|REJECT - Loop 2310B issue|\u003cp\u003e101918 0931am\u003c/p\u003e\u003cp\u003eDear Client,\u003c/p\u003e\u003cp\u003eDue to an error on the backend process, some claims will erroneously reject for:\u003c/p\u003e\u003cp\u003e\u0026nbsp;Loop 2310B (Rendering Provider Name) is used. It should not be us\u003cbr /\u003eed when loop 2010AA is used with the same information. Loop 2310B is defined in the guid\u003cbr /\u003eeline at position 2500.\u003c/p\u003e\u003cp\u003ePlease do nothing to these payor_reject (bold red) claims as we will find them and resubmit them for you.\u003c/p\u003e\u003cp\u003eAnvicare Support.\u003c/p\u003e"},{"ID":360,"Name":"icd10 Free Implementation Report Tools","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1437541200000)\/","Searchable":"360|icd10 Free Implementation Report Tools|\u003cbr/\u003eEffective today, we have added an online report to help you better\u003cbr/\u003eimplement Icd10 transition. To run this report, go to MANAGE CLAIMS,\u003cbr/\u003ethen select ICD9 TO ICD10 CROSSOVER REPORT.\u003cbr/\u003e\u003cbr/\u003eThis \u0027live\u0027 report will show you all the ICD9 you have used since\u003cbr/\u003eJuly 1, 2015 until the date you run the report. Next to the Icd9 is\u003cbr/\u003eone or more Icd10 equivalences. Please show this to your providers to\u003cbr/\u003eget their input.\u003cbr/\u003e\u003cbr/\u003eThe deadline where Icd10 is required on claims is October 1, 2015.\u003cbr/\u003eThis date is for Date of service. Claims rendered before Oct 1 sent\u003cbr/\u003eafter Oct 1 can still have Icd9.\u003cbr/\u003e\u003cbr/\u003eIcd9 will a one or more Icd10 equivalence.\u003cbr/\u003e\u003cbr/\u003eDo not send span dates claims with before and after Oct 1 on same claim.\u003cbr/\u003e\u003cbr/\u003eDo not mixed Icd9 and Icd10 on one claim.\u003cbr/\u003e\u003cbr/\u003eIf your office do not have the resources to implement Icd10 by Oct 1,\u003cbr/\u003e2015, please let us know. We may introduce a MONTHLY PAY feature where we\u003cbr/\u003econvert icd9 to icd10 as claims are sent after Oct 1. This is for\u003cbr/\u003eone to one conversion. If one Icd9 have more than one Icd10 equivalences,\u003cbr/\u003ewe will reject the claim and as you correct the rejected claim, you\u003cbr/\u003ewill decide which Icd10 to use.\u003cbr/\u003e\u003cbr/\u003eIf you can\u0027t find the option for ICD9 TO ICD10 CROSSOVER REPORT under\u003cbr/\u003eMANAGE CLAIMS, please us call for support.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":359,"Name":"Highmark Senior Health old payor id 71768 will change to 15459","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1435122000000)\/","Searchable":"359|Highmark Senior Health old payor id 71768 will change to 15459|Highmark Senior Health old payor id 71768 will change to 15459 for DOS\u003cbr/\u003efrom 01/01/2015 onward. Please use payor id 15459. Inhouse ReceiverId\u003cbr/\u003efor 15459 has been set to HMKSN.\u003cbr/\u003e\u003cbr/\u003eAnvicare new submitter id with Highmark for this line of transaction is\u003cbr/\u003e520195 (will appear is GS segment element 02)\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":358,"Name":"Issue with NCBCS 835 ERA wrong date:","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1430974800000)\/","Searchable":"358|Issue with NCBCS 835 ERA wrong date:|FYI, we received this communications from North Carolina BC. Note:\u003cbr/\u003eThis is a payor error, not from Anvicare.\u003cbr/\u003e\u003cbr/\u003eBlue Cross and Blue Shield of North Carolina would like to inform you that 835\u003cbr/\u003eelectronic remittance advices (ERA) that generated from our new adjudication\u003cbr/\u003esystem on Tuesday night reported the check date incorrectly on some of the 835\u003cbr/\u003eelectronic advices (ERA).   Due to a system issue, if the BPR04 field equals\u003cbr/\u003eNON(Non-payment data) or CHK(Check), the check payment date in the BPR16 field\u003cbr/\u003eon the 835 electronic remittance advice (ERA) indicates an incorrect date\u003cbr/\u003eof 20150507.    However, the trace number for these payments in the TRN02\u003cbr/\u003efield that begins with �20150505� indicating the correct date.  The\u003cbr/\u003eExplanation of Payment (EOP) on the Blue e Remittance Inquiry transaction is\u003cbr/\u003edisplaying the correct check date of 05052015.\u003cbr/\u003e\u003cbr/\u003eBlue Cross and Blue Shield of North Carolina apologizes for any inconvenience\u003cbr/\u003ethis may have caused.\u003cbr/\u003e\u003cbr/\u003eIf you have any questions or concerns, please call the eSolutions\u003cbr/\u003eHelpDesk at 1-888-333-8594.\u003cbr/\u003e\u003cbr/\u003eThank you,\u003cbr/\u003e\u003cbr/\u003eeSolutions Production Support\u003cbr/\u003eBlue Cross and Blue Shield of North Carolina\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":357,"Name":"Issue with Accept Assignment Flag for box 27 and box 13.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1425963600000)\/","Searchable":"357|Issue with Accept Assignment Flag for box 27 and box 13.|Medicare reads box 27 for accept assigment flag\u003cbr/\u003eBlue Cross and some commercial read box 13 for accept assigment flag.\u003cbr/\u003e\u003cbr/\u003ePlease make sure you are sending the correct data in box 27 and 13.\u003cbr/\u003eA \u0027No\u0027 interpretation will cause the patient to receive the check.\u003cbr/\u003eA \u0027Yes\u0027 answer will cause you to receive the check.\u003cbr/\u003e\u003cbr/\u003eIn box 13, anything other than SIGNATURE ON FILE will be interpret as a NO.\u003cbr/\u003e\u003cbr/\u003eIf you software cannot send out box 13 correctly, please let us know and\u003cbr/\u003ewe can \u0027turn on\u0027 a flag over here at Anvicare to clone box 27 over\u003cbr/\u003ebox 13 since most software can mark 27 correctly.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":356,"Name":"Florida Blue Cross (payorid 00590) has a new requirement.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1423116000000)\/","Searchable":"356|Florida Blue Cross (payorid 00590) has a new requirement.|\t\tPlease read their bulletin. Summary. if you send icd code in the range of 800-999.9,\u003cbr/\u003eyou need to provide box 14 (accident date) and box 10 (accident type)\u003cbr/\u003e\u003cbr/\u003ehttp://www.bcbsfl.com/wps/wcm/connect/c237bb17-686b-4b09-a0d4-c4761123b59f/900-4709-0914+J+Inman+Claims+Edits+A+Hall+Final+10+29+14.pdf?MOD=AJPERES\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":355,"Name":"Special instructions for sending secondary claims to ARMCD (Arkansas Medicaid)","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1418968800000)\/","Searchable":"355|Special instructions for sending secondary claims to ARMCD (Arkansas Medicaid)|\u003cp\u003eIn addition to all the normal secondary rules for submitting secondary claims please\u003c/p\u003e\u003cp\u003eReport the:\u003cbr /\u003e\u0026nbsp; \u0026nbsp; -Name of the primary insured in box 9\u003cbr /\u003e\u0026nbsp; \u0026nbsp; -Policy number of the primary in box 9a\u003cbr /\u003e\u0026nbsp; \u0026nbsp; -Name of the primary insurance in box 9d\u003c/p\u003e\u003cp\u003eIf the primary is Medicare, the word Medicare must exist in the name\u003cbr /\u003e\u003c/p\u003e\u003cp\u003eIf the primary is NOT Medicare, the word Medicare must NOT exist in the name\u003cbr /\u003e\u003c/p\u003e\u003cp\u003eThe Arkansas Medicaid assigned payor id for the primary must be\u0026nbsp;part of the name in box 9d enclosed in parenthesis.\u003c/p\u003e\u003cp\u003eExample 1:\u003cbr /\u003eIf the primary is CARE IMPROVEMENT, PO BOX 4347 SCANTON PA 18505\u003cbr /\u003elook up the payor id at: \u003c/p\u003e\u003cp\u003e\u003ca href=\"https://humanservices.arkansas.gov/wp-content/uploads/carriers.pdf\"\u003ehttps://humanservices.a\u003c/a\u003e\u003ca href=\"https://humanservices.arkansas.gov/wp-content/uploads/carriers.pdf\"\u003erkansas.gov/wp-content/uploads/carriers.pdf\u003c/a\u003e\u003c/p\u003e\u003cp\u003ewill yield the payorid if HJ4 (note: there are two entries for\u0026nbsp;Care Improvement. You must locate the correct one by compare\u0026nbsp;the address, city state, zip)\u003cbr /\u003e\u003cbr /\u003eYou would then enter in box 9b:\u003cbr /\u003eCARE IMPROVEMENT (HJ4)\u003cbr /\u003e\u003c/p\u003e\u003cp\u003eExample 2:\u003c/p\u003e\u003cp\u003eIf the primary is Medicare Services, P.O. BOX 1418 Little Rock AR 72203-1418, then the payor id from the list is K60.\u0026nbsp; You would then enter in box 9b:\u0026nbsp; Medicare (K60)\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e"},{"ID":354,"Name":"Issue with MDONL rejects:","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1411362000000)\/","Searchable":"354|Issue with MDONL rejects:|21=Missing or invalid information. Note: At least one other status\u003cbr/\u003e    code is required to identify the missing or invalid information.  (A3:21:PR)Finalized/Denial~\u003cbr/\u003e\u003cbr/\u003e\t\tPreleminary finding: This is a reject by Payor with no reasons given.\u003cbr/\u003e\t\tYou should get a rejected EOB on this claim detailing the reasons. We\u003cbr/\u003e\t\tare still waiting on MDONL to get back to us as to why then do we not\u003cbr/\u003e\t\tget the Payor Ref No (ICN-Internal claim number) so that you can call\u003cbr/\u003e\t\tpayor and reference the claim id and find out more info on claim.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":353,"Name":"Secondary claims with primary being Medicare and sequestration amount needed to be reported to secondary payor.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1409893200000)\/","Searchable":"353|Secondary claims with primary being Medicare and sequestration amount needed to be reported to secondary payor.|\u003cbr/\u003eIf you use our in-house method: To report sequestration amount, when\u003cbr/\u003eentering the date of pay, amount allowed, amount paid, amount co insurance\u003cbr/\u003eand amount of deductible, you must also add the sequestration amount\u003cbr/\u003eby manually add CO253=x.xx to the end of the line.\u003cbr/\u003e\u003cbr/\u003eEX: You sent a print image claim with the payorname like this:\u003cbr/\u003eMEDICAID (SECONDARY). When our system sees this, we know this is a\u003cbr/\u003esecondary claim and we reject the claim and add this one line multi fields\u003cbr/\u003ein each procedure line:\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":352,"Name":"New feature! You can configure to write NM1*85 per provider, per payor.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1408424400000)\/","Searchable":"352|New feature! You can configure to write NM1*85 per provider, per payor.|\u003cbr/\u003eBackground: If you only reporting one NPI, per specifications, we cannot\u003cbr/\u003ewrite Box 31 (the provider name). We can only write Box 33 (the clinic\u003cbr/\u003ename). However, some payor requires the provider name in box 33.\u003cbr/\u003eFor Example: Box 31 has John Smith. Box 33 has Wellness Center Clinic\u003cbr/\u003eand you only want to report one NPI of 1234567890\u003cbr/\u003e\u003cbr/\u003eCurrently we will write:\u003cbr/\u003e\u003cbr/\u003eNM1*85*2*WELLNESS CENTER CLINIC*****XX*1234567890~\u003cbr/\u003e\u003cbr/\u003eNow we can configure to write this to satisfied the payor:\u003cbr/\u003e\u003cbr/\u003eNM1*85*1*SMITH*JOHN*****XX*1234567890~\u003cbr/\u003e\u003cbr/\u003eIf you claim is denied or paid incorrectly and upon contacting the\u003cbr/\u003epayor, you found out that you need to send NM1*85 segment like the\u003cbr/\u003eabove example, please contact us and we will set the appropriate flag\u003cbr/\u003ehere at Anvicare.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":351,"Name":"New feature! Now when viewing a data grid, you can now filter.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1404882000000)\/","Searchable":"351|New feature! Now when viewing a data grid, you can now filter.|Available with the following pages:\u003cbr/\u003e\u003cbr/\u003eView Reports\u003cbr/\u003eView Batches\u003cbr/\u003eView Claims in Batch\u003cbr/\u003eView PayorIdMatch\u003cbr/\u003eView NetworkIdMatch\u003cbr/\u003e\u003cbr/\u003eExample Usage: When view claims in batch, you can type in a payorid and\u003cbr/\u003egrid will shrink and show only claims for that payorid\u003cbr/\u003e\u003cbr/\u003eWiew vew reports, you can type in \"confirmation\" to only show\u003cbr/\u003econfirmation reports.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":350,"Name":"Can I still send the old print image way once Apr 1 (NUCC1500) deadline and the Oct 1 (icd-10) deadline come?","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1395810000000)\/","Searchable":"350|Can I still send the old print image way once Apr 1 (NUCC1500) deadline and the Oct 1 (icd-10) deadline come?|Yes, for the Apr 1 deadline\u003cbr/\u003e\u003cbr/\u003eYes with conditions on the Oct 1 deadline: You can still send the old\u003cbr/\u003eprint image if you can:\u003cbr/\u003e1. Send us the icd 10 in box 21\u003cbr/\u003e2. Understand that your office never need more than four diagnosis.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":349,"Name":"New NUCC 1500 paper claim form","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1392098400000)\/","Searchable":"349|New NUCC 1500 paper claim form|\u003cbr/\u003eWhat is it? - Effective April 1, 2014. The new NUCC 1500 Claim Form will\u003cbr/\u003ebe required for paper claims. This major change in this form is box 21\u003cbr/\u003ewith its 12 diagosis code and a diagnosis code indicator. The two possible\u003cbr/\u003evalues for the diagnosis indicator is \"9\" to indicate the codes to\u003cbr/\u003efollow are icd-9 or \"0\" to indicate the codes to follow are icd-10.\u003cbr/\u003e\u003cbr/\u003ePlease note you cannot mix icd-9 and icd-10 on the same form.\u003cbr/\u003e\u003cbr/\u003eFor our print image clients:\u003cbr/\u003eif you upgrade to nucc-1500, please email support@anvicare.com so we\u003cbr/\u003ecan schedule to covert your account to the new \"map\". You do not need\u003cbr/\u003eto switch to the new form unless you need to use the icd-10 codes which\u003cbr/\u003eis not required until October 2014.\u003cbr/\u003e\u003cbr/\u003eIf you don\u0027t know about icd-10, please talk to your office manager or\u003cbr/\u003edoctors.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":348,"Name":"NEIC/Emdeon Reject - False Reject","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1387519200000)\/","Searchable":"348|NEIC/Emdeon Reject - False Reject|\u003cbr/\u003ePlease ignore these messages from you Payor Report from NEIC. NEIC\u003cbr/\u003ehad informed us that these are caused by them internally and that\u003cbr/\u003eNEIC had corrected them. Please still practice good revenue cycle\u003cbr/\u003emanagement and spot check them to ensure that they get paid.\u003cbr/\u003e\u003cbr/\u003eSample False Reject Messages:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: SERVICE DATE: INVALID; MUST BE IN A VALID DATE FORMAT\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: PATIENT FIRST NAME: REQUIRED; MUST BE ENTERED\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: SUBSCRIBER PRIMARY IDENTIFIER: REQUIRED; MUST BE ENTERED FOR\u003cbr/\u003ePAYER\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: BILLING PROVIDER ADDRESS 1: REQUIRED; MUST BE ENTERED\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: BILLING PROVIDER CITY NAME: REQUIRED; MUST BE ENTERED\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eERROR MESSAGE: BILLING PROVIDER FIRST, LAST OR ORGANIZATION NAME: REQUIRED;\u003cbr/\u003eMUST BE ENTERED\u003cbr/\u003eFLD: SEQ:     FIELD NAME:  DATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":347,"Name":"MDONL Claims status report-False reject","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1382936400000)\/","Searchable":"347|MDONL Claims status report-False reject|* REFERRING NM101 QUALIFIER DN ALREADY SENT IN THIS LOOP 2310A *\u003cbr/\u003eLINE: 23720 LOOP: 2310A REFERRING PROVIDER ENTITY IDENTIFIER CODE\u003cbr/\u003e\u003cbr/\u003eMDONL has advised us that this is a false error. MDONL will make\u003cbr/\u003ethe corrections and resubmit. No actions required on your part.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":346,"Name":"North Carolina Medicaid (NCMCD)-GOOD 999 but no status.","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1375074000000)\/","Searchable":"346|North Carolina Medicaid (NCMCD)-GOOD 999 but no status.|As you may aware, NCMCD transitioned to NCTrack. While all the claims\u003cbr/\u003esent has good 999, we do not get back Claims Status Report (277) and\u003cbr/\u003etherefore do not know if these claims will get processed by the adjudication\u003cbr/\u003eback end and get paid. We can\u0027t contact them. Our emails sent to them\u003cbr/\u003ewent unanswered so are our phone calls.\u003cbr/\u003e\u003cbr/\u003eIf you send NCMCD claims and see that you haven\u0027t been paid since\u003cbr/\u003eJul 1, 2013, please see if you can contact them or send paper claims.\u003cbr/\u003e\u003cbr/\u003eGood 999 - A small data file from payor which basically said we received your\u003cbr/\u003eclaim file and everything is ok.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":345,"Name":"American Specialty Network (ASH01) rejects","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1366866000000)\/","Searchable":"345|American Specialty Network (ASH01) rejects|If your ASH claims are rejected by ASH with the following error\u003cbr/\u003emessage:\u003cbr/\u003e\u003cbr/\u003eERROR: Invalid/incorrect Tax ID Used\u003cbr/\u003eERROR: Wrong Tax ID Used\u003cbr/\u003eERROR: Dr Not On File/Not in System\u003cbr/\u003e\u003cbr/\u003ePlease call Ash network provider services 800-972-4226 (or\u003cbr/\u003e619-557-2218) and let them know, ASH has to set you up in their\u003cbr/\u003esystem. There is no paper registration involved. Usually provider out\u003cbr/\u003eof network are not set up in ASH\u0027s system by default.\u003cbr/\u003e\u003cbr/\u003eOnce registered, please resubmit the rejected claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":344,"Name":"New Payor added-American Specialty Network (ASH01)","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1365051600000)\/","Searchable":"344|New Payor added-American Specialty Network (ASH01)|Effective today 04/04/2013. We have added payorid ASH01 to our paper\u003cbr/\u003elist. When you do a one-time matching payorid, please match your\u003cbr/\u003eaddress (TOOLS \u003e Option 1) to ASH01. If you current matched to to\u003cbr/\u003ePAPER, please rematch it to ASH01.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":343,"Name":"Payor Reject 277 has been implemented","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1364792400000)\/","Searchable":"343|Payor Reject 277 has been implemented|Under pulldown menu \"Manage Claims\", first menu item \"Anvicare Reject\u003cbr/\u003eClaims\" has been renamed to \"Anvicare Reject and Payor Reject Claims\".\u003cbr/\u003eAnvicare rejects are claims rejected by us as we received them from\u003cbr/\u003eyou. Payor rejects are good claims sent out by us and come back with\u003cbr/\u003eerrors. Payor rejects are are in BOLD red. Please correct the bold red\u003cbr/\u003eclaims the same way you correct the red claims.\u003cbr/\u003e\u003cbr/\u003eNote:If you see payor reject that we shouldn\u0027t have classify as\u003cbr/\u003ereject, please let us know. Thank you.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":342,"Name":"Test client needed for payor reject implementation","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1363582800000)\/","Searchable":"342|Test client needed for payor reject implementation|\u003cbr/\u003eAs you know, when you do step 5 of our 7 steps which is correct error\u003cbr/\u003eclaims, we only show you the error we catch when you send claims to\u003cbr/\u003eus. After you corrected these claims, they will go out with other good\u003cbr/\u003eclaims at the end of the day.  When we pull back payor reports the\u003cbr/\u003enext day, if there are other rejects by the payor, the only way to\u003cbr/\u003efind out is read the payor reports in your mailbox. Reading payor\u003cbr/\u003ereports is step 6 of the 7 steps.\u003cbr/\u003e\u003cbr/\u003eNow with the new 5010 implementation, most payors migrated to a\u003cbr/\u003estandard payor report format called the 277. With this 277 format,\u003cbr/\u003epayor are now giving us back our traceno which is a unique number\u003cbr/\u003egiven to each by us. This allows us to post a reject to the claim like\u003cbr/\u003estep 5.\u003cbr/\u003e\u003cbr/\u003eIf you would like to be a test candidate for this new feature, please\u003cbr/\u003ecall us at 281-325-0208 or email us at support@anivcare.com.\u003cbr/\u003e\u003cbr/\u003eWith this new Payor Reject feature, you will be able to see both\u003cbr/\u003eup-front rejects by us and payor reject after we sent to payors. We\u003cbr/\u003eadded a new status called PAYOR_REJECT also.\u003cbr/\u003e\u003cbr/\u003eNEW CLAIM \u003e ACCEPT \u003e PAYORBATCED \u003e\u003cbr/\u003e \u003e PAYOR_REJECT\u003cbr/\u003e  \u003e REJECTED \u003e RESUBMITTED \u003e PAYORBATCED \u003e\u003cbr/\u003e \u003e PAYOR_REJECT\u003cbr/\u003e  \u003e PENDING \u003e REJECTED \u003e RESUBMITTED \u003e PAYORBATCED \u003e\u003cbr/\u003e   \u003e PAYOR_REJECT\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":341,"Name":"ERAs Menu Option Now Available","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1363582800000)\/","Searchable":"341|ERAs Menu Option Now Available|\tThere is a new menu option available on the site.\u003cbr/\u003e\tYou can use this feature to view your remittance with ease as well as search for particular patients utilizing the \"Search ERAs\" option.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":340,"Name":"[Cigna 62308]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1359698400000)\/","Searchable":"340|[Cigna 62308]|Effective today, we set payorid 62308 to required an entry\u003cbr/\u003eon TOOLS \u003e\u003e Option 2 as required by Cigna. This is to avoid incorrect\u003cbr/\u003ebilling and cause Cigna to pay out of network.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":339,"Name":"[Novitas Medicare (PA,NJ,MD,DE,DC,AR,CO,LA,MS,NM,OK,TX) rejects anything with GroupInsuredId Box 11]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1358834400000)\/","Searchable":"339|[Novitas Medicare (PA,NJ,MD,DE,DC,AR,CO,LA,MS,NM,OK,TX) rejects anything with GroupInsuredId Box 11]|If you received this error in your Medicare Status Report:\u003cbr/\u003e\u003cbr/\u003eA8=Acknowledgement / Rejected for relational field in error.\u003cbr/\u003e163=Entity\u0027s policy number.\u003cbr/\u003eIL=Insured or Subscriber. Box 5 or 7\u003cbr/\u003e\u003cbr/\u003eIt is most like due to a new edit Novitas-Medicare put in place recently that\u003cbr/\u003erejects claims if you sent anything in the group insured id field.\u003cbr/\u003e\u003cbr/\u003eWe will change our translater program to not write the group id\u003cbr/\u003efield even if the claim has any value in it. This is box 11 on the\u003cbr/\u003eCMS 1500 form.\u003cbr/\u003e\u003cbr/\u003ePlease resubmit all rejected claims. You don\u0027t need to blank out\u003cbr/\u003ebox 11 since we won\u0027t send it.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":338,"Name":"[Colorado Medicare Reject by Novitas]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1356501600000)\/","Searchable":"338|[Colorado Medicare Reject by Novitas]|If you send Colorado Medicare, please do the following.\u003cbr/\u003eCall Medicare EDI and after identify your clinic/provider to them\u003cbr/\u003eby way of name/npi/ptan number, ask them if you are setup to be\u003cbr/\u003eunder submitter CH00012 (Anvicare new submitter id with Novitas). If\u003cbr/\u003eyou are currently under submitter S04001 (Anvicare old submitter id\u003cbr/\u003ewith Novitas), please ask them to be switch over to CH00012 by faxing\u003cbr/\u003ean official letter head of your clinic to them with the same request.\u003cbr/\u003eThe fax number is 877.439.5479\u003cbr/\u003e\u003cbr/\u003eBackground: Apparently and for unkown reasons, we have to IDs with\u003cbr/\u003eTrailblazer. When Novitas took over the Colorado Medicare processing,\u003cbr/\u003eTrailblazer turns over both accounts to Novitas. Some existing\u003cbr/\u003eclients are under one account, some are under the other. Now, Novitas\u003cbr/\u003eis assigning us the CH00012 which is the only account we as a\u003cbr/\u003eclearinghouse can upload claims. Clients who were under S04001 now\u003cbr/\u003eget FILE FAILED on their 277 reports.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":337,"Name":"[Claims paid out of network when you are in network]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1356069600000)\/","Searchable":"337|[Claims paid out of network when you are in network]|If you got paid incorrectly out-of-network instead of in-network,\u003cbr/\u003eplease contact us. This has to do with the name you/we sent versus\u003cbr/\u003ethe name on the payor table when you went through credentialling\u003cbr/\u003ewith them.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":336,"Name":"[Medicare Jurisdiction JH. Novitas. Connection down]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1353477600000)\/","Searchable":"336|[Medicare Jurisdiction JH. Novitas. Connection down]|Message from Novitas website:\u003cbr/\u003e\u003cbr/\u003e[Version 5010 SmartXfr� Telecommunications Server is Not Available\u003cbr/\u003eISSUED: (11/21/2012 @ 8:45 AM)\u003cbr/\u003eThe version 5010 SmartXfr� telecommunications server is not available.\u003cbr/\u003eCustomers cannot connect to submit 837 claims or retrieve any 5010\u003cbr/\u003eelectronic reports at this time. We will notify you when SmartXfr� is\u003cbr/\u003eavailable. We apologize for the inconvenience.]\u003cbr/\u003e\u003cbr/\u003eNovitas SmartXfr is down at the moment. We will check with them\u003cbr/\u003eregularly and upload claims and retrieve reports as soon as they\u003cbr/\u003eare up.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003eNovember 19, 2012 - Thanksgiving holiday\u003cbr/\u003eAnvicare, Inc. will be observing the Thanksgiving holiday on\u003cbr/\u003eThursday, November 22, 2012, and Friday, November 23, 2012.\u003cbr/\u003eOur office will be closed, and the Customer Service Representatives\u003cbr/\u003ewill not be available.  The web site will still be available.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":335,"Name":"ERROR MESSAGE: OTHER PAYER INSURANCE TYPE CODE: INVALID;","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1350277200000)\/","Searchable":"335|ERROR MESSAGE: OTHER PAYER INSURANCE TYPE CODE: INVALID;|\u003cbr/\u003ePAYER ONLY ACCEPTS SECONDARY CLAIMS WHEN MEDICARE IS PRIMARY\u003cbr/\u003eError at Emdeon. They will make the correction and resubmit. You\u003cbr/\u003edon\u0027t have to do anything but as always, make sure you do step 7\u003cbr/\u003eto ensure claims get paid within filing deadline. (Seven step can\u003cbr/\u003ebe view by select HOME \u003e Option 4, Seven Steps).\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":334,"Name":"THIS CODE REQUIRES USE OF AN ENTITY CODE]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1348117200000)\/","Searchable":"334|THIS CODE REQUIRES USE OF AN ENTITY CODE]|Status 19: THIS CODE REQUIRES USE OF AN ENTITY CODE\u003cbr/\u003ePlease note that this is NOT a reject if you have this message\u003cbr/\u003ealong with status 19. We have no idea why some payors are sending\u003cbr/\u003ethis message.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":333,"Name":"New implementation of auto-ndc]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1346130000000)\/","Searchable":"333|New implementation of auto-ndc]|Some payor requires a NDC on a certain CPT codes.\u003cbr/\u003e\u003cbr/\u003eIn the past, we check your CPT against a list of CPT that needs NDC\u003cbr/\u003e(best known to us) and reject if your CPT does not have the NDC.\u003cbr/\u003e\u003cbr/\u003eWe will be changing the way we handle NDC starting 9/1/2012.\u003cbr/\u003eYou will now build your own list of NDC that go with your CPT codes.\u003cbr/\u003eSelect option 6b until TOOLS to enter your NDC that you want us to\u003cbr/\u003epair up with your CPT. When your claims come in, we will use this\u003cbr/\u003elist to AUTO-NDC the service line. If you do not have the setup, we\u003cbr/\u003ewill not reject the claim and send it to the payor.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":332,"Name":"***URGENT***Indiana Medicare INMCR]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1343192400000)\/","Searchable":"332|***URGENT***Indiana Medicare INMCR]|If you send INMCR, we are still having problems with INMCR claims.\u003cbr/\u003eApparently, they have moved their claim submission portal and have\u003cbr/\u003eassigned a new submitter id to us.  They also want all provider\u003cbr/\u003eto re register with them. Please contact INMCR edi (make sure you\u003cbr/\u003ehave your taxid, PTAN, group NPI before you call) and ask them\u003cbr/\u003eabout your status with them.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":331,"Name":"***URGENT***Indiana Medicare INMCR]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1342587600000)\/","Searchable":"331|***URGENT***Indiana Medicare INMCR]|We are experiencing problems with INMCR since June 29, none of the\u003cbr/\u003eclaims sent since went though. They all got rejected by INMCR (NGS).\u003cbr/\u003eThe problem is we cannot get in touch with them. Their phone system\u003cbr/\u003eis broken. Without talking to them, we cannot fix whatever is broken\u003cbr/\u003eto resubmit.\u003cbr/\u003eUntil we can talk to them. Please print your INMCR claims to paper and\u003cbr/\u003email to them. Especially if your claims is running out of timely\u003cbr/\u003efilling.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":330,"Name":"Independent Health SX073 move to FCIH1]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1341982800000)\/","Searchable":"330|Independent Health SX073 move to FCIH1]|If you are currently send claims to Independent Health, payor\u003cbr/\u003eid SX073, please migrate to FCIH1. Before you do so, you must\u003cbr/\u003e\u003cbr/\u003e1. Register with Independent Health at 716-631-3001. They will\u003cbr/\u003eassign a submitter id to you in the form of three alpha characters\u003cbr/\u003e(ex: EUB). Please contact us and give us this submitter id.\u003cbr/\u003e\u003cbr/\u003e2. Change the payor id form SX073 to FCIH1 (that\u0027s a number one, not\u003cbr/\u003eand \"L\" at the end.\u003cbr/\u003e\u003cbr/\u003e3. We will test your claims with IH first and once they approve\u003cbr/\u003eyour claims, we will send them out as production.\u003cbr/\u003e\u003cbr/\u003eQ: SO YOU HAVE 2 PAYORID ON YOUR LIST FOR INDEPENDENT HEALTH?\u003cbr/\u003eA: YES, WE ASK THAT EVERYONE CURRENT USING SX073 TO SWITCH TO FCIH1\u003cbr/\u003e\u003cbr/\u003eQ: WHY\u003cbr/\u003eA: SX073 COSTS 32 CENTS PER CLAIM AND CANNOT BE BUNDLE INTO THE\u003cbr/\u003eMONTHLY FLAT RATE. FCIH1 WILL BE 15 CENTS PER CLAIM AND CAN BE\u003cbr/\u003eBUNDLE INTO THE FLAT RATE SO IT\u0027S CHEAPER TO USE FCIH1.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":329,"Name":"Confirmation Reports from us - TraceNo are now clickable]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1340859600000)\/","Searchable":"329|Confirmation Reports from us - TraceNo are now clickable]|Effective 06/28/2012 Anvicare Confirmation Report are now\u003cbr/\u003eclickable on traceno. You no longer have to go to ViewClaims/Claims\u003cbr/\u003eand enter the traceno to bring up the red claim form. Just click on\u003cbr/\u003ethe underlined trace no and we will open up a new tab showing you the\u003cbr/\u003eclaim. We also draw a REVIEW arrow on rejected claim so that you\u003cbr/\u003ecan quickly scroll down and just look for these markers instead of\u003cbr/\u003ehaving to read the report.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":328,"Name":"NEIC Reports - TraceNo are now clickable]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1340686800000)\/","Searchable":"328|NEIC Reports - TraceNo are now clickable]|Effective 06/27/2012 NEIC Payor Report are now clickable on\u003cbr/\u003etraceno. You no longer have to go to ViewClaims/Claims and enter\u003cbr/\u003ethe traceno to bring up the red claim form. Just click on the\u003cbr/\u003eunderlined trace no and we will open up a new tab showing you the\u003cbr/\u003eclaim.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":327,"Name":"Availity Reports are now clickable]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1340686800000)\/","Searchable":"327|Availity Reports are now clickable]|Effective 06/26/2012 AVLTY Payor Report and AVLTY Delayed report\u003cbr/\u003eare now clickable on traceno. You no longer have to go to\u003cbr/\u003eViewClaims/Claims and enter the traceno to bring up the red claim\u003cbr/\u003eform. Just click on the underlined trace no and we will open up a new\u003cbr/\u003etab showing you the claim.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":326,"Name":"277 Claims status trace no are now clickable]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1340686800000)\/","Searchable":"326|277 Claims status trace no are now clickable]|Effective 06/25/2012 277 claim status report are now clickable on\u003cbr/\u003etraceno. You no longer have to go to ViewClaims/Claims and enter\u003cbr/\u003ethe traceno to bring up the red claim form. Just click on the\u003cbr/\u003eunderlined trace no and we will open up a new tab showing you the\u003cbr/\u003eclaim.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":325,"Name":"Wellcare payorid 14163-Production]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1340686800000)\/","Searchable":"325|Wellcare payorid 14163-Production]|This payor is now in production. Your report will come from RELAY\u003cbr/\u003ein your mailbox.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":324,"Name":"Test claims needed for Wellcare payorid 14163]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1337058000000)\/","Searchable":"324|Test claims needed for Wellcare payorid 14163]|If you would like to send Wellcare claims to Relay Health, payorid\u003cbr/\u003e14163, please upload about 20 claims, match it to 14163 (step 3) and\u003cbr/\u003econtact us. We will use these claims to test with Relay Health.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":323,"Name":"Medicare claim with secondary insurance]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1334725200000)\/","Searchable":"323|Medicare claim with secondary insurance]|If you send Medicare claims with a secondary insurance information\u003cbr/\u003ein box 9,9a,9b,9c,9d, Please donot name the insurance MEDICARE\u003cbr/\u003eSUPPLEMENT. Please name if the true name on the insurance card. Naming\u003cbr/\u003ethe secondary with the word MEDICARE is causing some editing problems\u003cbr/\u003efor us and also for the payor.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":322,"Name":"Aetna (and some others) rejects or paid out of network]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1334725200000)\/","Searchable":"322|Aetna (and some others) rejects or paid out of network]|We have changed the way we send claims if the claim does not\u003cbr/\u003ehave an individual npi and a group npi (different than individual\u003cbr/\u003enpi). When the claim only have one npi, we write the name of the\u003cbr/\u003eprovider in box 33. The original name of box 33 is discarded. This is\u003cbr/\u003ethe only way to get around the rejects and incorrect payment (out of\u003cbr/\u003enetwork) as many payor cannot handle the current situation.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":321,"Name":"Aetna (and some others) rejects or paid out of network]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1333947600000)\/","Searchable":"321|Aetna (and some others) rejects or paid out of network]|***** UPDATE *****\u003cbr/\u003eAetna communicated to us that if you have only one NPI, we should\u003cbr/\u003esend the provider name (last name and first name) in box 33 or the\u003cbr/\u003eNM1*85 loop in the ansi 837 5010 data stream.\u003cbr/\u003e\u003cbr/\u003eIf you are having incorrect payment issues with Aetna claims, please\u003cbr/\u003econtact us and we can do this for you here at Anvicare so that you\u003cbr/\u003edon\u0027t have to make any changes in your billing procedures.\u003cbr/\u003e***** UPDATE *****\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":320,"Name":"NJBCS payorid 22099 claims rejecting","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1333602000000)\/","Searchable":"320|NJBCS payorid 22099 claims rejecting|22099 NJ BCBS claims sent through NEIC (Emdeon) rejecting at Payor:\u003cbr/\u003e\u003cbr/\u003eSERVICE LINE REFERENCE NUMBER: INVALID; SERVICE LINE REFERENCE NUMBER INVALID FOR PAYER\u003cbr/\u003e\u003cbr/\u003eThis is a know issue between Emdeon and NJBCS. They are actively\u003cbr/\u003eworking on this issue. Please keep an eye on this but do nothing. They\u003cbr/\u003ewill resubmit once the issue is resolved.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":319,"Name":"Aetna (and some others) rejects or paid out of network]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1333515600000)\/","Searchable":"319|Aetna (and some others) rejects or paid out of network]|\u003cbr/\u003e\u003cbr/\u003eUPDATE - 04/05/2012  ******************************\u003cbr/\u003e\u003cbr/\u003eIf you see this msg on your Aetna MDONL reports:\u003cbr/\u003e* Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has\u003cbr/\u003e* not been entered into the adjudication system.\u003cbr/\u003e* Entity not found.\u003cbr/\u003e* Entity Description: Provider\u003cbr/\u003eThis is the same issue with us not sending block 31 and you have the\u003cbr/\u003eClinic name in block 33.\u003cbr/\u003e\u003cbr/\u003eIf you system cannot put the provider name in block 33, please contact\u003cbr/\u003eus and we can work out something to resolve this.\u003cbr/\u003e***************************************************\u003cbr/\u003e\u003cbr/\u003eOriginal Bulletin:\u003cbr/\u003e\u003cbr/\u003eIf you are having problems with Aetna (and some others) claims being\u003cbr/\u003erejected by Aetna or being paid incorrect as out-of-network, please\u003cbr/\u003edo the following.\u003cbr/\u003e\u003cbr/\u003e1. Contact Aetna and ask them what taxid, providername, NPI, GrpNPI\u003cbr/\u003ethey have programmed in their system to consider the provider as\u003cbr/\u003ein-network. Make sure this matches your settings at FreeClaims under\u003cbr/\u003eTOOLS \u003e\u003e Option 2 (T2). Note there is not a dedicated entry in T2 for\u003cbr/\u003eAetna. Aetna claims will use the top most hit. If you are not sure how\u003cbr/\u003ethis works, please contact us.\u003cbr/\u003e\u003cbr/\u003e2. If you have only one NPI (no group NPI). You must send the provider\u003cbr/\u003ename in box 33, NOT YOUR CLINIC NAME.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":318,"Name":"Cenpatico rejects-Payor Id 68053]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1332478800000)\/","Searchable":"318|Cenpatico rejects-Payor Id 68053]|if you get this reject msg from your NEIC report for payorid\u003cbr/\u003e68053-Cenpatico:\u003cbr/\u003e\u003cbr/\u003eSTATUS: 86     MISSING/INVALID PROVIDER ID PREVENTS CARRIER FROM PROCESSING CLAIM\u003cbr/\u003e\u003cbr/\u003ePlease add your taxonomy to your taxo and grptaxo under TOOLS \u003e\u003e Option2\u003cbr/\u003eWe have confirmed this with Cenpatico.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":317,"Name":"NYBCS failed claims]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1332133200000)\/","Searchable":"317|NYBCS failed claims]|Due to incorrect ids during the 5010 transition, NYBCS claims have\u003cbr/\u003ebeen failing and are being resubmitted today. Resubmitted claims\u003cbr/\u003ecovered batches sent from 02/12 onward to 03/12.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":316,"Name":"Step 6 and 7]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1330063200000)\/","Searchable":"316|Step 6 and 7]|We started to get reports of failed claims during the 5010\u003cbr/\u003etransition. Please be aware that you must do step 6 and seven\u003cbr/\u003eof our seven steps (under HOME -\u003e SEVEN STEP).\u003cbr/\u003eStep 6 - Read reports from payor and resubmit rejected or unacknowledged claims.\u003cbr/\u003eStep 7 - Catch unpaid claims from your again report from your billing software\u003cbr/\u003eand resubmit them BEFORE the filing deadline.\u003cbr/\u003e\u003cbr/\u003eYou should also never wait until near the end of the filing deadline\u003cbr/\u003eto file your claims. Claims should be filed right after the\u003cbr/\u003eserviced was rendered.\u003cbr/\u003e\u003cbr/\u003eIf claims failed the initial submission and upon the discovery, we\u003cbr/\u003ecan only refile or correct whatever is not working and refile. If by the\u003cbr/\u003etime we refile, the filing dead has passed, we cannot do anything. You\u003cbr/\u003emust stay on top of your ageing report.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":315,"Name":"error from MDONL regarding loop 2310C]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1330063200000)\/","Searchable":"315|error from MDONL regarding loop 2310C]|\u003c\u003c\u003c UPDATE \u003e\u003e\u003e\u003cbr/\u003eMDONL may also validate your address in box 32 with the NPI registration\u003cbr/\u003ewebsite. https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do\u003cbr/\u003eThis means your address should match the address at nppes.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":314,"Name":"error from MDONL regarding loop 2310C]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1329976800000)\/","Searchable":"314|error from MDONL regarding loop 2310C]|If you get this error:\u003cbr/\u003eloop \u00272310C:\u0027 failed loop table situational validation. At segment\u003cbr/\u003enumber xxx with the following situational rule:\u003cbr/\u003e\u003cbr/\u003eThis has to do with box 32 on the CMS1500 form which is the facility\u003cbr/\u003ePlease make sure that if you send the clinic address here that it\u003cbr/\u003eis exactly the same as the one on box 33 or exactly the same as the\u003cbr/\u003eaddress we have on file here if box 33 is a PO box.\u003cbr/\u003e\u003cbr/\u003eWe have some cases where the PO BOX is in box 33 causing us to use\u003cbr/\u003ethe physical address we store on file here. Then the physical\u003cbr/\u003eaddress is different (in spelling) to the address in box 32 so we\u003cbr/\u003esend out both causing MDONL to reject the claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":313,"Name":"5010-Florida Blue Cross-FLBCS Taxonomy Codes Required]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1327384800000)\/","Searchable":"313|5010-Florida Blue Cross-FLBCS Taxonomy Codes Required]|This is an except from a memo from Florida Blue Cross:\u003cbr/\u003e\u003cbr/\u003eA valid taxonomy code that is on file with BCBSF will be required for the situations\u003cbr/\u003eoutlined below (see Helpful Hints for Taxonomy Codes):\u003cbr/\u003e\u003cbr/\u003eFor Professional Claims and as described in our 837P Companion Document, a valid Taxonomy\u003cbr/\u003eCode is \"required\" for the Billing and Rendering provider types.\u003cbr/\u003e\u003cbr/\u003eHelpful Hints for Taxonomy Codes:\u003cbr/\u003eTaxonomy Codes are maintained by the National Uniform Claim Committee and is located at\u003cbr/\u003ehttp://nucc.org/; please refer to this website for additional detailed information and Taxonomy Code lookup capabilities.\u003cbr/\u003e\u003cbr/\u003eIf you are unaware of your Taxonomy Code that is on file with BCBSF, please contact Paul\u003cbr/\u003eDecrosta at paul.decrosta@bcbsfl.com with \"Taxonomy Code Help Requested\" on the reason line.\u003cbr/\u003e\u003cbr/\u003eWhat to do:\u003cbr/\u003eWe store your taxonomy codes here at Freeclaims. You get to do the research to find\u003cbr/\u003ea correct taxonomy code and key this into the correct row under TOOLS \u003e\u003e MATCH NETWORK ID.\u003cbr/\u003eIf you need help in doing this, please contact ust at 281.325.0208. Note: do not\u003cbr/\u003eenter the qualifier, just the taxonomy code.\u003cbr/\u003e\u003cbr/\u003eWhat to expect:\u003cbr/\u003eMay be all blue cross payors will require this in the future?\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":312,"Name":"[5010-Claim Status Report-Submitter not approved]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1327384800000)\/","Searchable":"312|[5010-Claim Status Report-Submitter not approved]|\u003cbr/\u003eUpdate to Bulletin 310\u003cbr/\u003eWe think we have found the reason why some of our clients and getting error below on their\u003cbr/\u003eMedicare claims (various states)\u003cbr/\u003e\u003cbr/\u003eA8=Acknowledgement / Rejected for relational field in error.\u003c \u003c \u003c \u003c \u003c F I L E   F A I L E D  -  R E V I E W\u003cbr/\u003e496=Submitter not approved for electronic claim submissions on behalf of this entity\u003cbr/\u003e[Registration paper work not done with payer]\u003cbr/\u003e85=Billing Provider\u003cbr/\u003e\u003cbr/\u003eIn the past, when paper work was done, two things occurred. First the client is set\u003cbr/\u003eto be able to do electronic claims. Second, client is paired up with the sender. However,\u003cbr/\u003ewhen claims are sent, they only check to see if client is allowed to send electronic claims\u003cbr/\u003eREGARDLESS of who is sending the claims.  This means once paper work is done, you can switch\u003cbr/\u003eclearinghouse/sender and claims will still go through.\u003cbr/\u003e\u003cbr/\u003eWith 5010, Medicare front-end editing now check to see if client is allowed to do elelctronic\u003cbr/\u003eclaims AND ALSO if the sender matched the pairing in their list. This is why some of our clients get\u003cbr/\u003ethis message. This means at one time back, you were paired up with another sender (possible THIN which\u003cbr/\u003eis now Availity which is the partner we used to send some of these claims through)\u003cbr/\u003e\u003cbr/\u003eTo correct this error, you MUST contact Medicare and redo the paper work and put\u003cbr/\u003edown on your application that ANVICARE, INC (submitterid S04001) is the sender of your\u003cbr/\u003eelectronic claims.\u003cbr/\u003e\u003cbr/\u003eThe Trailblazer (TX, CO, OK, NV) form can be found here.:\u003cbr/\u003eMEDICARE- TRAILBLAZER_PART_B_07_2011_(TX_CO_OK_NV)_(PREFILLED).PDF\u003cbr/\u003e\u003cbr/\u003eShort Term Resolutions:\u003cbr/\u003e\u003cbr/\u003eSince this re-enrollment may take some time (5-10 business days). We will revert back to 4010\u003cbr/\u003efor all clients in states that are affected (we cannot do client by client). This will allow\u003cbr/\u003ethe claims to pass the front-end edits of Medicare. We can do this until the hard switch-over\u003cbr/\u003edate which is March 31. We will go back and find all claims affected since we switched to\u003cbr/\u003e5010 and resubmit them. As in any resubmissions, there will be cases where claims are\u003cbr/\u003esent twice causing duplicate claims. You may/will receive some EOB with rejects for\u003cbr/\u003eduplicate claims. Please be aware of this.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":311,"Name":"Attention providers who are currently submitting claims to Louisiana Medicaid]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1326952800000)\/","Searchable":"311|Attention providers who are currently submitting claims to Louisiana Medicaid]|\u003cbr/\u003ePlease make sure your claims/batches are uploaded by the end of the day every Tuesdays to ensure the delivery of your claims.\u003cbr/\u003eDoing this will make sure that you get your payments on time each week.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":310,"Name":"5010-Claim Status Report-Submitter not approved]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1326780000000)\/","Searchable":"310|5010-Claim Status Report-Submitter not approved]|\u003cbr/\u003eUpdate to Bulletin 307\u003cbr/\u003e\u003cbr/\u003eA8=Acknowledgement / Rejected for relational field in error.\u003c \u003c \u003c \u003c \u003c F I L E   F A I L E D  -  R E V I E W\u003cbr/\u003e496=Submitter not approved for electronic claim submissions on behalf of this entity [Registration paper work not done with payer]\u003cbr/\u003e85=Billing Provider\u003cbr/\u003e\u003cbr/\u003eYou must call your payor. They are the only one who can answer this error. Many providers and now reporting to us\u003cbr/\u003ethat you must RE-REGISTER even if you had already registered and have been sending claims to years. Please be aware\u003cbr/\u003ethat is error (any several others) is a payor error, not FreeClaims nor yours.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":309,"Name":"5010-Our error, please resubmit]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1358056800000)\/","Searchable":"309|5010-Our error, please resubmit]|\u003cbr/\u003eError:\u003cbr/\u003eDepend: The Previous HL loop where the HL01 = \"225\" has child(ren) but is marked in\u003cbr/\u003ethe HL04 as having none\u003cbr/\u003e\u003cbr/\u003eif you have the error in step 6 (of the seven steps), please bring up the claim\u003cbr/\u003eat freeclaims and click resubmit claim to payor. The correction has been make at\u003cbr/\u003eour end to fix this problem.\u003cbr/\u003e\u003cbr/\u003eWe regret the error.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":308,"Name":"5010-NDC Master list resources]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1326348000000)\/","Searchable":"308|5010-NDC Master list resources]|\u003cbr/\u003e    https://www.dmepdac.com/crosswalk/index.html\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":307,"Name":"5010-Claim Status Report-Submitter not approved]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1326175200000)\/","Searchable":"307|5010-Claim Status Report-Submitter not approved]|\u003cbr/\u003e\u003c \u003c \u003c \u003c \u003c \u003c UPDATE 01/11/2011\u003e \u003e \u003e \u003e \u003e \u003e\u003cbr/\u003e\u003cbr/\u003e    We have confirmed that the error is at Medicare (all states). We will find all\u003cbr/\u003e    batches sent with is error and resubmit them today or tomorrow (we have to\u003cbr/\u003e    build a tools first). YOU DON\u0027T HAVE TO CALL MEDICARE ANYMORE.\u003cbr/\u003e\u003cbr/\u003e    If we miss resubmitting your claims, you must find them and re-upload to\u003cbr/\u003e    FreeClaims or call us and have us resubmit the claims. You find unpaid claims\u003cbr/\u003e    using step 7 of the Seven-Steps (under HOME pull down menu)\u003cbr/\u003e\u003cbr/\u003e\u003c \u003c \u003c \u003c \u003c \u003c UPDATE 01/11/2011\u003e \u003e \u003e \u003e \u003e \u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003eSome of our clients get this error message on every Medicare Claims\u003cbr/\u003e\u003cbr/\u003eA8=Acknowledgement / Rejected for relational field in error.\u003c \u003c \u003c \u003c \u003c F I L E   F A I L E D  -  R E V I E W\u003cbr/\u003e496=Submitter not approved for electronic claim submissions on behalf of this entity [Registration paper work not done with payer]\u003cbr/\u003e85=Billing Provider\u003cbr/\u003e\u003cbr/\u003ePlease contact Medicare edi and resolve this issue. We were told different stories by Medicare. Some said\u003cbr/\u003epaper work needed to be redone while others acklowledged that\u0027s it\u0027s their error and that for the\u003cbr/\u003eprovider to resubmit your claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":306,"Name":"5010 \"Not Otherwise Specified\" Anesthesia Codes Issue Resolved]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1325052000000)\/","Searchable":"306|5010 \"Not Otherwise Specified\" Anesthesia Codes Issue Resolved]|     Version 5010 of the HIPAA standard for electronic claims transactions introduced a new problem\u003cbr/\u003e     by requiring additional information for CPT codes that include the phrase\u003cbr/\u003e     \"Not Otherwise Specified\" in their descriptors.  Numerous anesthesia codes contain the NOS language.\u003cbr/\u003e\u003cbr/\u003e     The ASA announced, on December 22nd, that it had reached an agreement with the X12 Committee\u003cbr/\u003e     responsible for the HIPAA standards and that the additional information would not be required\u003cbr/\u003e     for \"NOS\" codes 00100-01996.  Code 01999, \"unlisted anesthesia procedure,\" however, will need to\u003cbr/\u003e     have further information in the SV101-7 segment.  The X12 Committee is working on the particulars.\u003cbr/\u003e\u003cbr/\u003e     ASA states in its update that \"CMS representatives advise us that any data submitted in SV101-7\u003cbr/\u003e     will satisfy the edit for Medicare claims until revisions have been made.\" The emphasis in the\u003cbr/\u003e     original serves to remind us that private payers are not bound by the CMS policy and may reject\u003cbr/\u003e     claims not containing the necessary information. There have already been some inconsistencies in\u003cbr/\u003e     the transition to the 5010 standard between carriers and we can reasonably expect more errors,\u003cbr/\u003e     given the complexity of the process.\u003cbr/\u003e\u003cbr/\u003e     All users who experience such errors should contact their carriers.\u003cbr/\u003e\u003cbr/\u003e\n\u003cbr/\u003e"},{"ID":305,"Name":"305  - 5010 issues-277 Report-Entity\u0027s employer phone number]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1325052000000)\/","Searchable":"305|305  - 5010 issues-277 Report-Entity\u0027s employer phone number]|If you received this error message in your CLAIM STATUS (277CA) report,\u003cbr/\u003eplease be aware that this may be a false reject (confirmed by payor).\u003cbr/\u003eTo find the REAL reject reason, please just view the claim and make sure\u003cbr/\u003eall data are there or contact the payor.  The most common reason is box\u003cbr/\u003e14. This is a triple meaning box where you can send\u003cbr/\u003e\u003cbr/\u003e1. Date of first illness (required for certain CPT4s)  (Default Date)\u003cbr/\u003e2. Date of accident (required for diagnosis code in the range of 800-999.9)\u003cbr/\u003e   Please mark data for box 10 accordingly to reflect the correct accident type.\u003cbr/\u003e3. Last menstrual period.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":304,"Name":"304  - 5010 issues-Facility Adress Box 32]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1324965600000)\/","Searchable":"304|304  - 5010 issues-Facility Adress Box 32]|If you faclity address master list here at FreeClaims is not correct, we\u003cbr/\u003ewill post a Bulletin in you mailbox to remind you to correct them.\u003cbr/\u003e5010 requires that Facility Address must meet the following requirements:\u003cbr/\u003e\u003cbr/\u003e1. Cannot be a PO BOX. Must be a physical address\u003cbr/\u003e2. Must have Zip 9\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":303,"Name":"303  - 5010 issues-CMS 1500 box 14-Date of Accident,Illness, LMP]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1324533600000)\/","Searchable":"303|303  - 5010 issues-CMS 1500 box 14-Date of Accident,Illness, LMP]|CMS-1500 box 14 (Date of Accident,First Illness,LMP has been identified as the\u003cbr/\u003efield that caused many reject due to unknown/unpublished business edits. Please\u003cbr/\u003emake sure you enter this field when submitting claims to us. At this time, we\u003cbr/\u003edo not want to reject every claim coming in without this date yet, until we\u003cbr/\u003eknow the exact business edit which the payor at this time can\u0027t even tell us.\u003cbr/\u003e\u003cbr/\u003eThe alarming issue is that the payor reject at the batch level. This means\u003cbr/\u003eif one claim failed this edit in a 1000 claims batch, the other 999 claims\u003cbr/\u003ewill go down also and because it\u0027s a file leve reject as oppose to a 277 (claim\u003cbr/\u003eleve), you won\u0027t get a report in your mailbox at all.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":302,"Name":"302  - 5010 issues-Current Specification (spec) issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1324447200000)\/","Searchable":"302|302  - 5010 issues-Current Specification (spec) issues]|5010 has some very disturbing rules/edits you need to know:\u003cbr/\u003e1. If the insured is the same as the patient then the specs does not want us to\u003cbr/\u003esend the insured address, city state zip and the insured birth date.\u003cbr/\u003eWe will take care this for you whether you send this data or not.\u003cbr/\u003e2. If box 32 is the same as box 33, the specs does not want us to send box 32.\u003cbr/\u003eWe will take care of this for you. If you sent box 32 and it\u0027s the same\u003cbr/\u003eas box 33, we won\u0027t send box 32 out.\u003cbr/\u003e3. The specs does not want us to send box 31 if it\u0027s not a group. We will do this\u003cbr/\u003efor you. No action needed from you.\u003cbr/\u003e4. Some injections now needed NDC, units and unit type. See Bulletin 299. We\u003cbr/\u003eneed input from you.\u003cbr/\u003e5. Some CPT/HCPCS codes need narrative. Stand by on this as we are formulating a\u003cbr/\u003eplan, your input are welcome.\u003cbr/\u003e6. The specs needs a Place Of Service (POS) at the claim level (does not exist\u003cbr/\u003eon paper form) and stated the POS at the service lines are optional.\u003cbr/\u003eIf you have issues with this, please report them to us.\u003cbr/\u003e7. You need box 14 when a certain ICD codes are encountered. This is a very bad\u003cbr/\u003eedit as they will failed the WHOLE file if one claim in the file failed\u003cbr/\u003ethis edit. We are still researching this issue. We welcome your input.\u003cbr/\u003e8. Some of you send 0000 or 9999 as the zip9. Please do not do this. Find a\u003cbr/\u003ecorrect zip 9 or if you must, use 9998.\u003cbr/\u003e9. Box 32 should never be a PO BOX address.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":301,"Name":"301  - 5010 issues-Supporting table here at FreeClaims]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1324274400000)\/","Searchable":"301|301  - 5010 issues-Supporting table here at FreeClaims]|5010 is very strict on NPI requirement on Refer Dr, Rendering Dr, Facilty, Clinic. Please\u003cbr/\u003emake sure you provide all theses NPI under\u003cbr/\u003e\u003cbr/\u003etools \u003e option 2 for Rendering and Clinic\u003cbr/\u003etools \u003e option 5 for Refering Dr.\u003cbr/\u003etools \u003e option 6 for Facility\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":300,"Name":"Blue Cross Blue Shield TX Electronic Claim Response Issue beginning Nov. 25, 2011]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1323756000000)\/","Searchable":"300|Blue Cross Blue Shield TX Electronic Claim Response Issue beginning Nov. 25, 2011]|\u003cbr/\u003e       FROM AVAILITY BULLETIN:\u003cbr/\u003e       Update: 12/12/11  Efforts are still underway for claims affected during this timeframe.\u003cbr/\u003e       Responses continue to be delayed, however, Availity anticipates that the delivery of some outstanding\u003cbr/\u003e       responses by 12/13/11. Availity will continue to provide updates as they become available.\u003cbr/\u003e\u003cbr/\u003e       ~~~~~~~~~\u003cbr/\u003e       FROM AVAILITY BULLETIN:\u003cbr/\u003e       On Nov. 25, 2011, a change was made to the Blue Cross and Blue Shield of Texas (BCBSTX)\u003cbr/\u003e       electronic claim response process. Due to a file size limitation in the change process,\u003cbr/\u003e       some electronic claim response files failed to reach Availity in a timely manner. This issue\u003cbr/\u003e       was corrected on Dec. 5, 2011. The recovery process was completed on Dec. 7, 2011, at 3:30 p.m.\u003cbr/\u003e       The missing claim response files have been forwarded to your mailbox. Upon receipt, please review\u003cbr/\u003e       the response reports for claim rejections. Then correct and submit the affected claim(s).\u003cbr/\u003e       No further action is needed on your part for those claims that were accepted.\u003cbr/\u003e\u003cbr/\u003e\n\u003cbr/\u003e"},{"ID":299,"Name":"5010-NDC drug codes issue]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1323410400000)\/","Searchable":"299|5010-NDC drug codes issue]|We need your help.\u003cbr/\u003e\u003cbr/\u003eWe are having trouble with the edit rules for rejecting claims so that you can enter the NDC number.\u003cbr/\u003eThe trouble is one way or another, some clients will ask us to turn it off for them or\u003cbr/\u003evisa versa. If injections/NDC is big part of your business, please let us know the requirements\u003cbr/\u003efrom your office regarding which payor/which injection you need the NDC on.\u003cbr/\u003e\u003cbr/\u003eA new requirement for 5010 NDC is the CTP segment which you must report in addition to the NDC\u003cbr/\u003enumber, the unit and unit type. Some values for unit-type are\u003cbr/\u003eGR-grams\u003cbr/\u003eML-milliliters\u003cbr/\u003eUN-unit count\u003cbr/\u003eME-milligrams\u003cbr/\u003e\u003cbr/\u003eUntil we implement this option, we will default to UN and we will default the unit to box 24G\u003cbr/\u003ewhich is the unit currently on the HCFA.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":298,"Name":"5010 Issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1323151200000)\/","Searchable":"298|5010 Issues]|There are many challenges for the 5010 transition. To avoid claims from not processed\u003cbr/\u003eand not followed up resulting in claims missing the filing deadline. Please you must do\u003cbr/\u003ethe following.\u003cbr/\u003e\u003cbr/\u003e1. Send claims as soon as you can after DOS.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":297,"Name":"MDONL claims rejected today 11/18/2011]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1321596000000)\/","Searchable":"297|MDONL claims rejected today 11/18/2011]|If you see all your MDONL claims rejected. Please disregard the report. These claims\u003cbr/\u003ewill be resubmit by us. Please look for another report on Monday for these claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":296,"Name":"5010 testing for Noridian clients]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1321596000000)\/","Searchable":"296|5010 testing for Noridian clients]|Following up to Bulletin 294. Only one client set us as a managing party on their account. We\u003cbr/\u003ecannot test until you set your account to test 5010.  Please do this today. Otherwise, come\u003cbr/\u003eJan 1, 2012. You claims will get stuck here. We can\u0027t test your claims until you do Bulletin 294.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":295,"Name":"Customer Support Issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1320645600000)\/","Searchable":"295|Customer Support Issues]|Please direct all you support issues to Cathy, Joe and Lorento by phone or by email. They are our first\u003cbr/\u003elevel support. Many issues can be resolved here. If they cannot resolve the issues, they will\u003cbr/\u003eescalate them to the level two support.\u003cbr/\u003e\u003cbr/\u003eLevel two support works closely with level one to help resolve to issue without talking directly to you.\u003cbr/\u003e(when you are on hold after speaking to level one, rest assure that they are working with level two people\u003cbr/\u003eat that time).  Many times, level two support will talk directly to you.\u003cbr/\u003e\u003cbr/\u003eIt is important that when you need help in the future that you do not by-pass level one and ask to speak\u003cbr/\u003edirectly to level two as this will break the designed work flow of our support system and clog up our\u003cbr/\u003eescalating system where level two support are ending up doing tasks that level one can.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":294,"Name":"5010 testing for Noridian clients]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1320037200000)\/","Searchable":"294|5010 testing for Noridian clients]|If you are sending claims to Noridian Medicare (AZ, AK, OR, WA, ND, SD, UT, WY, MT). We\u003cbr/\u003eneed you to do the following:\u003cbr/\u003e\u003cbr/\u003eLogin to total onboarding at Noridian Medicare and set you profile so that we, your\u003cbr/\u003eclearinghouse, acc CH00012, is the managing account. This will allow us to set your\u003cbr/\u003e5010 testing flag correctly. If this is not done, we cannot test 5010.\u003cbr/\u003eIf you have any questions, please call Noridian Medicare at 800.967.7902 and ask\u003cbr/\u003ethem to help you setup your account so that CH00012 is the managing account.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":293,"Name":"We no longer can send to payorid 14163 Wellcare]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1319605200000)\/","Searchable":"293|We no longer can send to payorid 14163 Wellcare]|Payor id 14163 has been deleted from out payor list.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\n\u003cbr/\u003e"},{"ID":292,"Name":"5010 Migration issues - PO BOX address in box 33]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1318914000000)\/","Searchable":"292|5010 Migration issues - PO BOX address in box 33]|Regarding Bulletin 291. You may send an email with your physical address next to\u003cbr/\u003eyour current PO BOX address to support@anvicare.com\u003cbr/\u003e\u003cbr/\u003eExample: if you are a billing service and you have three clients. Two in one account\u003cbr/\u003eand the third client in the second account, please format your email this way:\u003cbr/\u003e\u003cbr/\u003eSubmitterId   Current PO BOX addresss   Physical Address to use\u003cbr/\u003e1155  PO BOX 122, HOUSTON,TX 77074      123 MAIN ST STE 100, HOUSTON,TX 77124-2122\u003cbr/\u003e1155  PO BOX 23432, DALLAS,TX 76012     345 MAPLE AVE STE A, DALLAS,TX 75012-8763\u003cbr/\u003e9998  PO BOX 3554, MIAMI, FL 33127      550 NW 29 ST, MIAMI, FL 33127-8754\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":291,"Name":"291  - 5010 Migration issues - PO BOX address in box 33]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1318827600000)\/","Searchable":"291|291  - 5010 Migration issues - PO BOX address in box 33]|If you can currently sending a PO Box address in box 33 of the CMS 1500 form, please\u003cbr/\u003ecall us here at Anvicare at 281-325-0208 and tell us the physical address that you want\u003cbr/\u003eto go out with your PO box address. 5010 format required a physical address also. Your claims\u003cbr/\u003ewill NOT go THROUGH with the PO box address ONLY.\u003cbr/\u003e\u003cbr/\u003eIf you are currently sending only the physical address then you are OK.\u003cbr/\u003e\u003cbr/\u003eWhile the deadline for 5010 is 01/01/2012, we are already in production with 5010 with\u003cbr/\u003eseveral connections (payors) already. You must address this issue TODAY!!!\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":290,"Name":"ERA Crossover Error Alerts from Medicare]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1318482000000)\/","Searchable":"290|ERA Crossover Error Alerts from Medicare]|\u003cbr/\u003ePlease view the following link and look for the Oct 11, 2011 date:\u003cbr/\u003e\u003ca href=\"https://www.highmarkmedicareservices.com/partb/alerts.html\"  target=\"_blank\"\u003eHighmark Medicare Active System Alerts\u003c/a\u003e\u003cbr/\u003e\u003cbr/\u003e\tElectronic Remittance Advice (ERA)\u003cbr/\u003e\tFile Error for Part B MD DC DE PA and NJ Electronic Data Interchange (EDI) Customers 4010A1 \u0026 5010\u003cbr/\u003e\tUPDATED:  (10/11/2011 @ 10:10 AM)\u003cbr/\u003e\tAttention Part B Maryland (MD), District of Columbia Metropolitan Area (DCMA),\u003cbr/\u003e\t\t\t Delaware (DE), Pennsylvania (PA), and New Jersey (NJ)\u003cbr/\u003e\t\t\t 4010A1 Electronic Remittance Advice (ERA) customers:\u003cbr/\u003e\tThe Centers for Medicare and Medicaid Services (CMS) has determined that Medicare Part B\u003cbr/\u003e\tElectronic Remittance Advices (ERAs) in the 4010A1 format issued 10/03/2011, through 10/07/2011,\u003cbr/\u003e\tare not displaying the crossover company name and accompanying 5-byte Coordination of Benefits\u003cbr/\u003e\tAgreement Identification (COBA ID).\u003cbr/\u003e\u003cbr/\u003e\n\u003cbr/\u003e\u003cbr/\u003e"},{"ID":289,"Name":"5010 Testing Issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1317186000000)\/","Searchable":"289|5010 Testing Issues]|As we continue testing for 5010. We discovered that many accounts did not tell us the\u003cbr/\u003eNPI/Grp NPI under TOOLS \u003e\u003e Option 2 (edit networkid). Please review your master list of\u003cbr/\u003eNPI/Grp NPI and make sure that you do not have any pending entries. 5010 requires NPI on\u003cbr/\u003eevery claim and we cannot send out your claims if there isn\u0027t a NPI in TOOLS \u003e\u003e Option2 (T2).\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":288,"Name":"Payor change-41159 Managed Physical Network]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1316581200000)\/","Searchable":"288|Payor change-41159 Managed Physical Network]|If your 41159 claims are rejected due to:\u003cbr/\u003eDESTINATION PAYER PRIMARY IDENTIFIER: INVALID; MUST BE A VALID PAYER ID FROM THE EMDEON PAYER LIST\u003cbr/\u003e\u003cbr/\u003ePlease be aware of the following changes:\u003cbr/\u003eEffective 09/01/2011 Managed Physical Network cancelled the contract with NEIC (Emdeon). Please\u003cbr/\u003edo not submit claims to this payor. MPN has indicated claims should instead be sent to the following\u003cbr/\u003edepending on the plan type:\u003cbr/\u003e\u003cbr/\u003e1. Payor Id 87726 UHC for MPN with New York State Empire (Policy Number 30500)\u003cbr/\u003e2. Payor Id 41161 ACN (American Chiropractic Network) for all other Managed Physical Netowrk (MPN) plans.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":287,"Name":"Medisoft-Patient Sex Male Check Mark stamping over last digit of patient DOB]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1314853200000)\/","Searchable":"287|Medisoft-Patient Sex Male Check Mark stamping over last digit of patient DOB]|From the main Medisoft screen, select Reports \u003e\u003e Design Custom Report and Billing\u003cbr/\u003eFile \u003e\u003e Open\u003cbr/\u003eSelect the CMS-1500 that you use for Freeclaims\u003cbr/\u003eYou will now see a CMS Template. At this point it would helpful to recognize the location\u003cbr/\u003eof the check mark. Right click on the box where the Male check mark is and right click on it.\u003cbr/\u003eSelect Property\u003cbr/\u003eAt the bottom left of the property screen, you will see the coordinate. To move the check\u003cbr/\u003emark over one character, change from 504 to 534 (30pixel) is the width of a character. You\u003cbr/\u003emay experiment and try 30 or 50 etc.\u003cbr/\u003eClick OK to get out of the property screen\u003cbr/\u003eSelect FILE \u003e\u003e SAVE AS and same this template under a NEW name (so we basically leave the\u003cbr/\u003eoriginal template intact). We suggest you name it CMS-1500 FREECLAIMS.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":286,"Name":"Facility-9 digit zip]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1313989200000)\/","Searchable":"286|Facility-9 digit zip]|Please review your facility zip under TOOLS \u003e\u003e Option 6-Edit Facility Id\u003cbr/\u003eLocate the entries with data under the zip 9. Edit the rows that do\u003cbr/\u003enot have a nine digit zip.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":285,"Name":"Ansi 5010 Migration-9 digit zip]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1310706000000)\/","Searchable":"285|Ansi 5010 Migration-9 digit zip]|As we migrate to the new Ansi 5010 transaction set, please start sending 9 digit zip in\u003cbr/\u003ebox 32 (facility address) and box 33 (clinic address).\u003cbr/\u003eNote for Print Image: Zip 5+4 can be string all togehter as 9 digits or you can also send 5-4\u003cbr/\u003eif adding the zip 9 causes the data to shift too far to the right pushing the data\u003cbr/\u003ein box 33 more to the right, then please don\u0027t do it as this will cause more harm then\u003cbr/\u003egood. Instead, please call us and let us know so we can add your account to this\u003cbr/\u003eunique problem list as we try to solve this over here at Anvicare.\u003cbr/\u003e\u003cbr/\u003eNote for Ansi 837: Zip should be string together as 9 digits.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":284,"Name":"Wellcare payor changes]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1309410000000)\/","Searchable":"284|Wellcare payor changes]|Effective 07/24/2011 NEIC (WebMD) no longer accept these payor ids. Please use the new equivalent list\u003cbr/\u003ewe put together when we transision over to Availity. There isn\u0027t a 100 percent corelation so please\u003cbr/\u003econtact the payor to ensure you are using the correct payorid.\u003cbr/\u003e\u003cbr/\u003eNEIC-We no longer send to\u003cbr/\u003e-------------------------\u003cbr/\u003e59354 Wellcare Health Plan, Inc\u003cbr/\u003e14162 First Choice (CT)\u003cbr/\u003e14163 Wellcare of Georgia\u003cbr/\u003e14164 Wellcare of CT\u003cbr/\u003e36405 Harmony Health Plan of IN\u003cbr/\u003e36406 Harmony Health Plan of IL\u003cbr/\u003e59608 Healthease\u003cbr/\u003e14163 Ohana Health Plan\u003cbr/\u003e14163 Staywell Health Plan\u003cbr/\u003e14163 Wellcare of Ohio Inc\u003cbr/\u003e14163 Wellcare HMO Inc\u003cbr/\u003e14163 Wellcare of Louisiana\u003cbr/\u003e14163 Wellcare of New York\u003cbr/\u003e14162 First Choice Health Plans of CT\u003cbr/\u003e59608 Wellcare of FL\u003cbr/\u003e\u003cbr/\u003eAVLTY-please try to find your old id in the NEIC list and match one on this list\u003cbr/\u003e--------------------------------------------------------------------------------\u003cbr/\u003e14163 First Choice (CT)\u003cbr/\u003e14163 Harmony Health Plan of Illinois\u003cbr/\u003e14163 Harmony Health Plan of Indiana\u003cbr/\u003e14163 Healthease\u003cbr/\u003e14163 Ohana Health Plan\u003cbr/\u003e14163 Staywell\u003cbr/\u003e14163 Wellcare CT\u003cbr/\u003e14163 Welcare HMO\u003cbr/\u003e14163 Wellcare of Geogia\u003cbr/\u003e14163 Wellcare Health Plans (CLAIMS)\u003cbr/\u003e59354 Wellcare Health Plan (ENCOUNTERS)\u003cbr/\u003e\u003cbr/\u003eThis bulletin has been updated.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":283,"Name":"Ohio Medicare/West Virginia Medicare/South Carolina Medicare Transition]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1307941200000)\/","Searchable":"283|Ohio Medicare/West Virginia Medicare/South Carolina Medicare Transition]|\u003cbr/\u003eThis message applies only to current Medicare Part B providers who are currently sending to Ohio, West Virginia, or South Carolina Medicare.\u003cbr/\u003eMedicare has transitioned from Palmetto GBA to Cigna Government Services for the above mentioned states.\u003cbr/\u003e\u003cbr/\u003eWhat should I do?\u003cbr/\u003e\u003cbr/\u003eThere is nothing that the provider needs to do. Anvicare will handle the transition and the change to each appropriate Payer ID\u0027s. Please continue to send as you were.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":282,"Name":"North Carolina Medicare Part B Transition to Palmetto J11B]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1304917200000)\/","Searchable":"282|North Carolina Medicare Part B Transition to Palmetto J11B]|\u003cbr/\u003eImplementation Guide: North Carolina Part B to Palmetto J11B Transition\u003cbr/\u003eWhat SHOULD I do to Get Ready?\u003cbr/\u003e\u003cbr/\u003eAs for the forms that are required, they are asking for three forms.\u003cbr/\u003ePlease Fill these out and fax it to them at:\u003cbr/\u003e1. \u003ca\u003cbr/\u003ehref=\"http://www.palmettogba.com/Palmetto/Providers.Nsf/files/EDI_Enroll_J11B_Agree.pdf/$File/EDI_Enroll_J11B_Agree.pdf\"\u003eProvider Enrollment Agreement\u003c/a\u003e\u003cbr/\u003e2. (This is required by May 13th, 2011) \u003ca\u003cbr/\u003ehref=\"http://www.cms.gov/cmsforms/downloads/cms588.pdf\"\u003eElectronic Funds Transfer (EFT) agreement\u003c/a\u003e\u003cbr/\u003e3. *Very important* Please go here \u003ca\u003cbr/\u003ehref=\"http://www4.palmettogba.com/pgx_palmettogbacom/initEdiTransitionRequest.do\"\u003eJ11 NC Part B Transition EDI Application Online Request Form\u003c/a\u003e and fill in the required fields.\u003cbr/\u003eYou will get a tracking number for this application.\u003cbr/\u003eWe prefilled this form in our part so that you can copy it over. Found here: \u003ca\u003cbr/\u003ehref=\"http://i56.tinypic.com/bi7b0o.jpg \"\u003eOnline Request form to copy over\u003c/a\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003eThe check list and contact informations can be found here for the implementation:\u003cbr/\u003e\u003ca\u003cbr/\u003ehref=\"http://www.palmettogba.com/Palmetto/Providers.Nsf/files/J11_NC_Part_B_Implementation_Guide.pdf/$File/J11_NC_Part_B_Implementation_Guide.pdf\"\u003eJ11 North Carolina Part B Implementation Guide\u003c/a\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003eAs for our part, we will be sending them our information as well and when May 28th comes,\u003cbr/\u003ewe will be ready to send your claims for you to the new J11B.\u003cbr/\u003e\u003cbr/\u003eIf there are any questions on the form that you don\u0027t understand, please call us at 281-325-0208 and ask for Joe.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":281,"Name":"United Healthcare Rejects]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1304658000000)\/","Searchable":"281|United Healthcare Rejects]|\u003cbr/\u003eIf you see this error from your NEIC/EMDEON reports...\u003cbr/\u003e\u003cbr/\u003eCLAIM STATUS\u003cbr/\u003e\u003cbr/\u003eSTATUS: 122    ACK/RETURNED - MISSING/INVALID DATA PREVENTS PAYER FROM\u003cbr/\u003ePROCESSING CLAIM. - RECEIVER\u003cbr/\u003e________________________________________________________________________________\u003cbr/\u003ePROVIDER ID:  999999999      PAYER NAME: UNITED HEALTH CARE\u003cbr/\u003ePAYER GRP #:     PARTIAL CLAIM?: 1\u003cbr/\u003eINSURED ID:   999999999PAYER ID: 87726\u003cbr/\u003ePATIENT:      DOE J PAYER PHONE:\u003cbr/\u003ePAT CTRL #:   9999999999      PAYER REF:\u003cbr/\u003ePATIENT DOB:  PAYER REPORT TYPE: 277\u003cbr/\u003eTOTAL CHARGE:     32.00  PAYER STATUS DATE/TIME: 012711/00:00:00\u003cbr/\u003eAMOUNT PAID:       0.00     EMDEON PROCESS DATE: 012711\u003cbr/\u003eEMDEON REF:   EP545FA99999999   EMDEON CLAIM ID: EP012619999999995\u003cbr/\u003eSUBM CLMID: 29999952DOS: 012511-\u003cbr/\u003eDATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eEMDEON is having some issues with processing United Healthcare claims correctly.\u003cbr/\u003eThey are aware of the problems and is working on a fix at this time.  Please ignore\u003cbr/\u003emessages such as one above and look for future correct reports on same claims.\u003cbr/\u003e\u003cbr/\u003eEMDEON is coordinating efforts with the Payer(s) to resolve this\u003cbr/\u003eissue and expects all rejected claims will be reprocessed.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":280,"Name":"Blue shield of California]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1303275600000)\/","Searchable":"280|Blue shield of California]|Effective 04/22/2011 we will send all California Blue Shield claim to MDOn-Line.\u003cbr/\u003eYour payor reports (step 6 of the 7 steps) will now come from MDOnLine payor report.\u003cbr/\u003e       .\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":279,"Name":"Passport Advantage Payor Id change from SX154 to 76569 for DOS after 01/01/2010]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1297836000000)\/","Searchable":"279|Passport Advantage Payor Id change from SX154 to 76569 for DOS after 01/01/2010]|Passport Advantage has changed payorid to 76569.\u003cbr/\u003eOnly  claims with a DOS and/or Admit Date on or after 1/1/2010 shall be submitted to this new Payer ID.\u003cbr/\u003e\u003cbr/\u003ehttp://www.passportadvantage.org/pdf/provider/communication/alerts/2009/12-23-member-id-cards.pdf\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":278,"Name":"Limited Customer Service Today]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1296280800000)\/","Searchable":"278|Limited Customer Service Today]|Due to inclimate weather here in the Houston, TX area, we will be on a skeleton crew today.\u003cbr/\u003eIf your calls can wait until Monday, please call us back then. We appreciate your business.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":277,"Name":"United Healthcare Rejects]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1296194400000)\/","Searchable":"277|United Healthcare Rejects]|\u003cbr/\u003eIf you see this error from your NEIC reports...\u003cbr/\u003e\u003cbr/\u003eCLAIM STATUS\u003cbr/\u003e\u003cbr/\u003eSTATUS: 122    ACK/RETURNED - MISSING/INVALID DATA PREVENTS PAYER FROM\u003cbr/\u003ePROCESSING CLAIM. - RECEIVER\u003cbr/\u003e________________________________________________________________________________\u003cbr/\u003ePROVIDER ID:  999999999      PAYER NAME: UNITED HEALTH CARE\u003cbr/\u003ePAYER GRP #:     PARTIAL CLAIM?: 1\u003cbr/\u003eINSURED ID:   999999999PAYER ID: 87726\u003cbr/\u003ePATIENT:      DOE J PAYER PHONE:\u003cbr/\u003ePAT CTRL #:   9999999999      PAYER REF:\u003cbr/\u003ePATIENT DOB:  PAYER REPORT TYPE: 277\u003cbr/\u003eTOTAL CHARGE:     32.00  PAYER STATUS DATE/TIME: 012711/00:00:00\u003cbr/\u003eAMOUNT PAID:       0.00     EMDEON PROCESS DATE: 012711\u003cbr/\u003eEMDEON REF:   EP545FA99999999   EMDEON CLAIM ID: EP012619999999995\u003cbr/\u003eSUBM CLMID: 29999952DOS: 012511-\u003cbr/\u003eDATA IN ERROR:\u003cbr/\u003e\u003cbr/\u003eWed MD is still having some issues with processing United Healthcare claims correctly.\u003cbr/\u003eThey are aware of the problems and is working on a fix at this time.  Please ignore\u003cbr/\u003emessages such as one above and look for future correct reports on same claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":276,"Name":"Referring Dr Taxonomy Code]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1295848800000)\/","Searchable":"276|Referring Dr Taxonomy Code]|Some payors are requiring the Referring Dr. Taxonomy Codes. If you wish to send the\u003cbr/\u003erefer dr taxonomy codes, please follow this instructions:\u003cbr/\u003e1. Send provdier lastname, first name in box 17 (examples SMITH, JOHN)\u003cbr/\u003e2. Goto TOOLS \u003e Option 5 (edit refer dr)\u003cbr/\u003e3. Enter a few letters of the lastname, a comma and a few letters of the first name (examples: SM, JO)\u003cbr/\u003e4. Enter the NPI and the Taxonomy code.\u003cbr/\u003e\u003cbr/\u003eNote: We do error check for taxonomy code. If you entered an invalid code that is not on the master list,\u003cbr/\u003eWe will not save it to the database.\u003cbr/\u003e\u003cbr/\u003eThe master list of taxonomy codes can be found under TOOLS \u003e Option 8 forms (do a CTRL-F) (Hold down the\u003cbr/\u003econtrol key and hit the F key) and search for \"taxonomy\"\u003cbr/\u003e\u003cbr/\u003eTaxonomy is the old specialty codes. This is NOT the federal taxid!!!!!\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":275,"Name":"Corrected Claim, Replace or Void]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1262844000000)\/","Searchable":"275|Corrected Claim, Replace or Void]|If the payor support it, you may use this feature by type box 19 the following\u003cbr/\u003e\u003cbr/\u003eCLM05=x ICN=yyyyyyyyyyyyy\u003cbr/\u003e\u003cbr/\u003ewhere x=6 for correct\u003cbr/\u003e7 for replace\u003cbr/\u003e8 for void\u003cbr/\u003e\u003cbr/\u003e      yyyyyyyyyyyyyyy=ICN=Internal claim number found on the EOB.\u003cbr/\u003e\u003cbr/\u003eNote: CLM05, that\u0027s a zero, not an \"O\" as in oscar\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":274,"Name":"How to quickly read a BDCL report]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1292306400000)\/","Searchable":"274|How to quickly read a BDCL report]|Many Medicare reports come back as a BDCL payor report. Example:\u003cbr/\u003eFLMCR BDCL Payor report 14-Dec-2010.txt\u003cbr/\u003e\u003cbr/\u003eTo quickly read these reports, do the following:\u003cbr/\u003e1. Click on report name to open the report.\u003cbr/\u003e2. Do a CONTROL-F (or from the pull down menu of Internet Explorer, do EDIT, then FIND ON THIS PAGE\u003cbr/\u003e3. Type in \"TOTALS FOR THIS\"\u003cbr/\u003eInternet explorer will go directly to the ending section showing the totals such as\u003cbr/\u003e-TOTALS FOR THIS FILE    000050891\u003cbr/\u003e-       TOTAL CLAIMS RECEIVED    :     254\u003cbr/\u003eTOTAL CLAIMS ACCEPTED    :     252\u003cbr/\u003eTOTAL CLAIMS DELETED     :       2\u003cbr/\u003eTOTAL CLAIMS WITH ERRORS :       2\u003cbr/\u003e-      TOTAL BATCHES RECEIVED   :     254\u003cbr/\u003eTOTAL BATCHES ACCEPTED   :     252\u003cbr/\u003eTOTAL BATCHES DELETED    :       2\u003cbr/\u003eFILE TOTAL CHARGED       : $     45,555.00\u003cbr/\u003e\u003cbr/\u003e4. To find the 2 reject claims in the case, scoll back up to the top of the report, click anywhere\u003cbr/\u003eat the top such as the headings (so that Internet Explorer knows you are at the top)\u003cbr/\u003e5. Do a CONTROL-F and search for \"HIC\". Internet explorer will go directly to the rejected claim area\u003cbr/\u003eexample:\u003cbr/\u003e\u003cbr/\u003e-    PROV       PROV     REFERENCE    REC TYPE  DTL   FIELD IN     FIELD      ERR   MESSAGE      ERROR\u003cbr/\u003eNPI#       PIN#      NUMBERNUM    ERROR      CONTENTS    NUM       SEVERITY\u003cbr/\u003e---------- ---------- -------------------- ---------- -- ------------ ------------- ---- ------------------------- --------------\u003cbr/\u003e0  EMC PROVIDER : NPI: 1143333333    PIN:       BATCH STATUS : DELETED     ENTIRE BATCH MUST BE RESUBMITTED\u003cbr/\u003e0 1144337452    2173 2300  HI      DX CD4360  M135 INVALID DIAG FORMAT       CLAIM DELETED\u003cbr/\u003e0  HIC FOR ABOVE CLAIM IN ERROR: 13333333A       ICN: 0000000000000\u003cbr/\u003e-      TOTAL CLAIMS RECEIVED    :       1\u003cbr/\u003eTOTAL CLAIMS ACCEPTED    :       0\u003cbr/\u003eTOTAL CLAIMS DELETED     :       1\u003cbr/\u003eTOTAL CLAIMS WITH ERRORS :       1\u003cbr/\u003eTOTAL CHARGES ACCEPTED   : $  0.00\u003cbr/\u003e\u003cbr/\u003eTo find the next rejected claim, click on NEXT (near the area where you type in \"HIC\")\u003cbr/\u003eTo find the next ending totals of the next report (You may have more than one report in one BDCL), click on NEXT (near the area where\u003cbr/\u003eyou type in \"TOTALS FOR THIS\")\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":273,"Name":"GAMCD change to HP]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1291356000000)\/","Searchable":"273|GAMCD change to HP]|If you are current sending GAMCD claims (Georgia Medicaid) or wish to send GAMCD claims\u003cbr/\u003ein the future, please do the following:\u003cbr/\u003e\u003cbr/\u003e1. Contact the new GAMCD contractor, HP at 877.261.8785 to inform them that they\u003cbr/\u003ewish to send claims electronically to GAMCD.\u003cbr/\u003e\u003cbr/\u003e2. Ask for the website from HP and go to this website to create yourself an account.\u003cbr/\u003e\u003cbr/\u003e3. Login to this account that you created and LINK your account to us, the clearinghouse.\u003cbr/\u003eOur account is Anvicare with trading partner id (TPI) of 129037.\u003cbr/\u003e\u003cbr/\u003e4. Start send claims as normal and follow step 6 (of the seven steps) closely.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":272,"Name":"MDONL rejects]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1289282400000)\/","Searchable":"272|MDONL rejects]|Please ignore rejects without reasons from MDONL reports. We will resubmit these\u003cbr/\u003eclaims. No actions needed on your part. Please look for a replacement reports by\u003cbr/\u003etomorrow.  The reject were caused by Anvicare.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":271,"Name":"Payor Destination change - 94036 Blue Shield Of California]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1287118800000)\/","Searchable":"271|Payor Destination change - 94036 Blue Shield Of California]|Effective 10/09/2010 we have transition payor 94036 (Blue Shield of CA) from NEIC to\u003cbr/\u003eAvaility.  Your payor reports (step 6 of the 7 steps) will now come from AVLTY, not NEIC.\u003cbr/\u003eThis was done ahead of the deadline when NEIC will no longer take 94036 claims.\u003cbr/\u003ePlease make sure you do step 6 and follow closely on these claims for the next couple of\u003cbr/\u003eweeks. It would not be a bad idea to spot check one or two claims and call the payor to\u003cbr/\u003emake sure they receive them from Availity correctly.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":270,"Name":"New Payor  - Independent Health SX073 is now FCIH1 (that\u0027s a one at the end, not L as in Larry]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1286946000000)\/","Searchable":"270|New Payor  - Independent Health SX073 is now FCIH1 (that\u0027s a one at the end, not L as in Larry]|This bulletin only apply to customers sending Independent Health claims, payor id SX073.\u003cbr/\u003e\u003cbr/\u003eEffective today. We are now going direct from Anvicare, Inc to Independent Health.\u003cbr/\u003e\u003cbr/\u003eThis payor historically has been live and we send them to NEIC. This payor was\u003cbr/\u003eclassified as a \"non par plus\" which means they cost 32 cents per claim and\u003cbr/\u003ethey are billed PER claim even if you have the flat rate fees.\u003cbr/\u003e\u003cbr/\u003eBy going direct, this fee comes down to 15 cents per claim and you CAN be mixed\u003cbr/\u003ewith the flat rate payors. This should reduce your invoice significantly if you do\u003cbr/\u003ea lot of claims per month.\u003cbr/\u003e\u003cbr/\u003eTo send, you must:\u003cbr/\u003e\u003cbr/\u003e1. Contact Independent Health (IH) and fill out some paper work to switch the sender\u003cbr/\u003efrom NEIC to us, Anvicare, Inc. Our id with them is eub10273.\u003cbr/\u003e\u003cbr/\u003e2. Once approved by IH, they will assign a submitter id to you.\u003cbr/\u003e\u003cbr/\u003e3. Contact Anvicare and give us this submitter id. We need to store this id here and send\u003cbr/\u003eit out on every batch to IH.\u003cbr/\u003e\u003cbr/\u003eYour reports will change also.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":269,"Name":"Payor Reject - United Healthcare Rejects from NEIC reports]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1282107600000)\/","Searchable":"269|Payor Reject - United Healthcare Rejects from NEIC reports]|STATUS: 122    ACK/RETURNED - MISSING/INVALID DATA PREVENTS PAYER FROM PROCESSING CLAIM. - RECEIVER\u003cbr/\u003e\u003cbr/\u003eWe have contacted UHC and they said this is a false reject on their side and\u003cbr/\u003ethey are actively working on this issue. Once corrected, UHC will reprocess these\u003cbr/\u003erejected claims. Please do nothing at this time but continue to do Step 7 of the\u003cbr/\u003e7 steps.\u003cbr/\u003e\u003cbr/\u003eSome of you may see a subsequent report showing the reprocessed claims. This replacement\u003cbr/\u003ereport will be the true report. Please note that the true report may still reject\u003cbr/\u003eclaims for \"real\" reason.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":268,"Name":"Tools, Option 2]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1278651600000)\/","Searchable":"268|Tools, Option 2]|We wish to remind you that it\u0027s a very good practice to once a day before you log out\u003cbr/\u003eafter sending claims and after you have done step 1 to 5 that you should look at your\u003cbr/\u003eNPI master list located under TOOLS \u003e\u003e Option 2 and make sure that all entries are\u003cbr/\u003efilled in with the correct NPI and optionally Grp NPI.\u003cbr/\u003e\u003cbr/\u003eIn the same context, make sure:\u003cbr/\u003eTOOLS \u003e\u003e Option 1 (payor id master list) is filled out completely\u003cbr/\u003eTOOLS \u003e\u003e Option 5 (Refer Dr NPI master list) is filled out completely\u003cbr/\u003eTOOLS \u003e\u003e Option 6 (Facility NPI master list) is filled out completely\u003cbr/\u003eTOOLS \u003e\u003e Option 4 (Provider Name Alias master list) is filled out if your\u003cbr/\u003eaccount is setup for this feature.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":267,"Name":"NEIC duplicate claims]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1278651600000)\/","Searchable":"267|NEIC duplicate claims]|Anvicare accidentally submitter your neic claims twice on Wednesday 07/07/2010. If you\u003cbr/\u003esee a report in your mailbox from NEIC (Step 6 of the seven steps) stating that your\u003cbr/\u003eclaims are rejected for duplicate claims, look for an identical set where there claims\u003cbr/\u003ewere being accepted. If there are valid rejects in this accepted section, work them\u003cbr/\u003eas normal and ignore the duplicate reject section.  We regret the error and the confusion\u003cbr/\u003ethereafter.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":266,"Name":"Independent Health payorid=SX073, InsuredId issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1267164000000)\/","Searchable":"266|Independent Health payorid=SX073, InsuredId issues]|\u003cbr/\u003eIf you get this error message from NEIC for your SX073 claims\u003cbr/\u003eERROR MESSAGE: SUBSCRIBER PRIMARY IDENTIFIER: INVALID; MUST BE IN A VALID FORMAT FOR PAYER\u003cbr/\u003e\u003cbr/\u003ePlease make sure when you enter the policy id in box 1a of the\u003cbr/\u003eCMS1500, you need to include the 00,01 etc at the end of the insuredid\u003cbr/\u003eFor SX073, the id format is\u003cbr/\u003e\u003cbr/\u003eOne alpha\u003cbr/\u003eEight numeric\u003cbr/\u003eTwo numeric (00, 01, 02 etd)\u003cbr/\u003e\u003cbr/\u003eExample A1234567800\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":265,"Name":"Your billing software-understanding box 26 on the cms1500 form]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1267077600000)\/","Searchable":"265|Your billing software-understanding box 26 on the cms1500 form]|Many of you are familiar with block 26 of the CMS1500 paper claim form (the red form).\u003cbr/\u003eThis field is where your billing system fills in the internal patient account number.\u003cbr/\u003eBox 26 can actually be one of three things:\u003cbr/\u003e\u003cbr/\u003e1.This patient account number is mostly auto generated by the billing software.\u003cbr/\u003eThe account no can be just a numeric number assign to each patient as the patient\u003cbr/\u003erecords is created in the patient entry screen.\u003cbr/\u003e\u003cbr/\u003e2.Unique claim no. Instead of putting the patient account no, some billing software\u003cbr/\u003eput a unique claim number for that claim. That claim being a claim for a patient\u003cbr/\u003eon a certain date of service (dos). Some system will go even further and put\u003cbr/\u003ea unique claim no impression or print no. This means if you print a claim for a\u003cbr/\u003epatient on the certain DOS, it puts a claim no (let\u0027s say 12322). If you print\u003cbr/\u003ethe same claim again, it puts a next claim no (now it\u0027s 12323).\u003cbr/\u003e\u003cbr/\u003e3.Some system put a combination of 1 and 2. If the patient acc is 00234\u003cbr/\u003eand the claim no is 9845, then it puts 00234-9845 in box 26.\u003cbr/\u003e\u003cbr/\u003eWhy is all of this important to you? Some Medicare(state) has a report called\u003cbr/\u003ethe ICN Cross Reference report. ICN stands for their internal claim no which\u003cbr/\u003eappear on the EOB. This report only show\u003cbr/\u003e\u003cbr/\u003eICN, PatientAccountNo, ProviderNPI, InsuredId\u003cbr/\u003e\u003cbr/\u003eUnfortunately, it does not have patient name and DOS. If you have a billing\u003cbr/\u003esoftware can does option 2 or 3 above, you can cross reference it to the\u003cbr/\u003eexact dos of the patient. If you have a billing software that only does\u003cbr/\u003eoption 1 above, then you are never sure that the ICN is for that DOS.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":264,"Name":"Free ICD9 dcode lookup website]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1265004000000)\/","Searchable":"264|Free ICD9 dcode lookup website]|http://www.icd9coding1.com/flashcode/home.jsp\u003cbr/\u003e\u003cbr/\u003eUsage:\u003cbr/\u003e\u003cbr/\u003eWhen you first go to this site. Select your practice and specialty. You may pick\u003cbr/\u003eanything. The answer you give have no relevency to your search later.\u003cbr/\u003e\u003cbr/\u003eWhen type in the dcode, remember the period then click GO\u003cbr/\u003e\u003cbr/\u003eWhen you see the search results, you will see either a green button or a red\u003cbr/\u003ebutton. Green does NOT mean good and read does NOT mean bad. It\u0027s the reverse.\u003cbr/\u003eGreen means there are more detail code so keep going. Red means you are at\u003cbr/\u003ethe most detail code so stop. This is a good code.\u003cbr/\u003e\u003cbr/\u003eExample: search for 346.1\u003cbr/\u003eYou will see\u003cbr/\u003e\u003cbr/\u003e346.1  Green Migraine without aura common migraine\u003cbr/\u003e346.10 Red   Migraine without aura without mention of intractable Migraine without mention of status Migrainosus\u003cbr/\u003e346.11 Red   Migraine without aura with intractable Migraine, so stated, without mention of status migrainosus\u003cbr/\u003e346.12 Red   Migraine without aura without mention of intractable migraine with status migrainosus\u003cbr/\u003e346.13 Red   Migraine without aura with intractable migraine, so stated, with status migrainosus\u003cbr/\u003e\u003cbr/\u003eAll five codes are in your idc9 book only 4 of them and billable. If you send 346.1, your claim will be rejected.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":263,"Name":"NPI /GRP NPI LOOKUP LINK]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1262757600000)\/","Searchable":"263|NPI /GRP NPI LOOKUP LINK]|https://nppes.cms.hhs.gov/NPPES/NPIRegistryPaginateSearch.do\u003cbr/\u003eYou may use the above link to search/verify NPI of your provider/group\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":262,"Name":"VABCS Error Code for Level 3 Payor Report]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1262757600000)\/","Searchable":"262|VABCS Error Code for Level 3 Payor Report]|Please note we have put under Tools \u003e\u003e Opt 8 (forms) a listing\u003cbr/\u003eof error codes and messages from VABCS. We will include the code in\u003cbr/\u003eyour leve 3 report. Please cross reference this code with this list\u003cbr/\u003eto get your error descriptions.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":261,"Name":"Transitioning over to 100 percent NPI]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1257228000000)\/","Searchable":"261|Transitioning over to 100 percent NPI]|May payors are starting to implement 100 percent NPI only. Please make sure you\u003cbr/\u003ehave the:\u003cbr/\u003e\u003cbr/\u003eNPI for the clinic (group npi) (box 33a) in Tools \u003e\u003e Option 2\u003cbr/\u003eNPI for the provider (individual npi) (box 24j-white area ) in Tools \u003e\u003e Option 2\u003cbr/\u003eNPI for the referring provider (box 17b) in Tools \u003e\u003e Option 5\u003cbr/\u003eNPI for the facility (box 32a) in Tools \u003e\u003e Option 6\u003cbr/\u003e\u003cbr/\u003eNote:We not do read the NPI from your file. We get the NPI from these 3 lists here\u003cbr/\u003eat Anvicare.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":260,"Name":"Rejects from TRLBZ]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1256274000000)\/","Searchable":"260|Rejects from TRLBZ]|If you have rejected claims in your payor reports, please look further down and you\u003cbr/\u003eshould see the same claims being accepted. The reject reason is:\u003cbr/\u003e\u003cbr/\u003eR MSG-J83 \u003e 1 occurrence of Serv Line Date per LX-HL=2DTP\u003cbr/\u003e\u003cbr/\u003eWhat happened. We sent out bad files but we caught the mistakes and corrected the\u003cbr/\u003efiles and resend them again. This only happen to Medicare claims for the following\u003cbr/\u003econnections:\u003cbr/\u003eTRLBZ, ALMCR, GAMCR, TNMCR, CAMCR, CAMCN.\u003cbr/\u003e\u003cbr/\u003eWe apologize for the inconveniences.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":259,"Name":"Old MIBCS reports posted to your mailbox]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1256274000000)\/","Searchable":"259|Old MIBCS reports posted to your mailbox]|Provider sending MIBCS (Michigan Blue Cross) claims may see old reports in your mailbox.\u003cbr/\u003eThese are reports stuck in our system due to us unable to find the correct mailbox to\u003cbr/\u003emove to. These claims should have been paid already. Please look them over and move them\u003cbr/\u003eto your archive mailbox.  As a reminder, please make sure you do step 7 of the 7-steps.\u003cbr/\u003eStep 7 is the look at the ageing (aging, outstand claim balance, aged trial balance)\u003cbr/\u003ereport from your billing system to see which claim has not been paid by insurance along\u003cbr/\u003ewith the age of the claims which is calculated by subtract the dos from today\u0027s date.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":258,"Name":"Data purge]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1254373200000)\/","Searchable":"258|Data purge]|Please be aware of the following house rules to manage data housed here are Anvicare.\u003cbr/\u003eDATA PURGED: Claims may(will) be purged if it\u0027s older than 6 months (180 days).\u003cbr/\u003eREPORT PURGED: Reports in your mailbox may(will) be purged if they are older than 6 months (180 days)\u003cbr/\u003ePlease make sure all claims are followed up and get them paid before they pass the claim\u003cbr/\u003efiling deadline.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":257,"Name":"Reminder that you should do the 7 steps]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1251867600000)\/","Searchable":"257|Reminder that you should do the 7 steps]|TNMCR, ALMCR etc are transitioning from one processor to another and this may\u003cbr/\u003ecause problems in delaying the submission of the claims from FreeClaims to\u003cbr/\u003ethe payor. Please make sure you do the seven steps carefully. Especially step\u003cbr/\u003e6 and 7.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":256,"Name":"Faxed paper work notify payor on block 19 PWK Segment]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1251867600000)\/","Searchable":"256|Faxed paper work notify payor on block 19 PWK Segment]|If you need to fax paper works to the paper but then send the claim electronically to\u003cbr/\u003ethe payor via FreeClaims, please do the following:\u003cbr/\u003e\u003cbr/\u003e1.Create an internal unique serial no to each fax. This could be your taxid+dates+patientacc\u003cbr/\u003eor just a sequential number. You have to make sure the number is unique.\u003cbr/\u003e\u003cbr/\u003e2. Fax document to payor with this serial no clearly shown on the cover page\u003cbr/\u003e\u003cbr/\u003e3. For the claim that goes with the fax, put this data on block 19.\u003cbr/\u003ePWK=serialno\u003cbr/\u003e\u003cbr/\u003e4. If you cannot put this in prior to sending us the claim, you can still put it in\u003cbr/\u003eimmediately after you uploaded the file to us.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":255,"Name":"Payor Id change from 05392 and 05302 to MOMCR]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1250744400000)\/","Searchable":"255|Payor Id change from 05392 and 05302 to MOMCR]|Effective 08/19/09, we changed our payorid from 05392 and 05302 to MOMCR. If you send\u003cbr/\u003eclaims to us and you are using the payoridmatch (TOOLS \u003e\u003e Opt 1 or Step 3 of the\u003cbr/\u003eseven steps), we already change the payorid on your list also. You don\u0027t need\u003cbr/\u003eto do anything.\u003cbr/\u003e\u003cbr/\u003eIf you send your own payorid or if you are a edi sender such as NSF or Ansi 837, you\u003cbr/\u003eneed to change the payorid from 05392/05302 to MOMCR.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":254,"Name":"Login security issues]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1250571600000)\/","Searchable":"254|Login security issues]|Due to the changing of our ip address, you may experience some security notification\u003cbr/\u003emessage when you try to go to freeclaims.com.  Please delete your current short-cut or\u003cbr/\u003efavorite and make a new short-cut or favorite. Until you can make a new short-cut or\u003cbr/\u003e\u003cbr/\u003efavorite, you may directly login by click on the browser address bar and manually\u003cbr/\u003etype in www.freeclaims.com, then click member login.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":253,"Name":"VOID CLAIMS-addendum to Bulletin 252]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1248238800000)\/","Searchable":"253|VOID CLAIMS-addendum to Bulletin 252]|The 837 specs allows you to send a void claim to the payor. What is a VOID claims?\u003cbr/\u003eA void claims is one that you send after you had send the same claim to the payor\u003cbr/\u003ebefore and now you want to void that claim.  To send a void claim. Send the claim\u003cbr/\u003eas normal but put this in box 19 of the CMS 1500 form: CLM05=8 (note: 8 is the\u003cbr/\u003estandard code for void claim).\u003cbr/\u003e\u003cbr/\u003eNEW:\u003cbr/\u003eNew requirement: you need to also put the ICN (Internal claim no) as listed in the\u003cbr/\u003epaper EOB.\u003cbr/\u003e\u003cbr/\u003eUsage/example: CLM05=8 ICN=23423523534\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":252,"Name":"PLEASE DO NOT SEND CREDIT CARD OR ANY OTHER SENSITIVE INFORMATION IN UNENCRYPTED EMAIL]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1247461200000)\/","Searchable":"252|PLEASE DO NOT SEND CREDIT CARD OR ANY OTHER SENSITIVE INFORMATION IN UNENCRYPTED EMAIL]|HIPAA issues. Please do not send any personal and identifiable medical information\u003cbr/\u003ein unsecured email. This would violate the HIPAA act of 1996.\u003cbr/\u003e\u003cbr/\u003eFraud issues. Please do not send any financial information in unsecured or secured email.\u003cbr/\u003eFinancial information such as check routing no, Credit card no. etc should not sent by email\u003cbr/\u003eat all.  If you had accidentally send us Credit Card information by email, please\u003cbr/\u003econsider notifying your CC company for any needed actions.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":251,"Name":"VOID CLAIMS]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1245301200000)\/","Searchable":"251|VOID CLAIMS]|The 837 specs allows you to send a void claim to the payor. What is a VOID claims?\u003cbr/\u003eA void claims is one that you send after you had send the same claim to the payor\u003cbr/\u003ebefore and now you want to void that claim.  To send a void claim. Send the claim\u003cbr/\u003eas normal but put this in box 19 of the CMS 1500 form: CLM05=8 (note: 8 is the\u003cbr/\u003estandard code for void claim).\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":250,"Name":"ALMCR resubmit claims from 5/1 to today]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1243918800000)\/","Searchable":"250|ALMCR resubmit claims from 5/1 to today]|We resubmitted all ALMCR claims from May 1 until today. Due to some changes we were\u003cbr/\u003eunaware of, claims were rejecting without us knowing about it. Adjustments have\u003cbr/\u003ebeen made to the setup for ALMCR and this should not happen anymore. No actions needed\u003cbr/\u003eon your part. Please continue to do step 6 and 7 and let us know if you are still\u003cbr/\u003ehaving problems with your ALMCR claims.\u003cbr/\u003eNote:Thank you to Meharry PT for giving us the heads up.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":249,"Name":"MDONLINE rejects-Please ignore, we will correct and resubmit]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1242968400000)\/","Searchable":"249|MDONLINE rejects-Please ignore, we will correct and resubmit]|Please ignore all MDOnline rejects if you have premium service. We will resubmit these\u003cbr/\u003eclaims again today on your behalf.\u003cbr/\u003e\u003cbr/\u003eExample: Claim rejected at MD_Online on 5/21/2009. Payor ICN: 1417136888\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":248,"Name":"Phone not working]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1239339600000)\/","Searchable":"248|Phone not working]|Our phone system is currently down. Please use IM instead until our phone systems is\u003cbr/\u003eoperating again. We appologize for the inconvenience.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":247,"Name":"Can\u0027t login]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1238389200000)\/","Searchable":"247|Can\u0027t login]|Many of you cannot login when you click on your short-cut icon on your desktop or when you\u003cbr/\u003eclick on the short-cut on your browser.  This was caused by the fact that we had upgraded\u003cbr/\u003eour server over here at Anvicare.  Your old short-cut is still pointing to the old URL and\u003cbr/\u003ethey need to be updated.  If you do not know how to update your short-cut or if you do not\u003cbr/\u003eknow how to delete the old short-cuts and remake the new short-cut, please contact your\u003cbr/\u003enetwork administrators.\u003cbr/\u003e\u003cbr/\u003e1. How to use the long way for now: Don\u0027t use the short cut. Instead just go to\u003cbr/\u003ewww.freeclaims.com and click on Member Login tab on the right hand side.\u003cbr/\u003e\u003cbr/\u003e2. How to make a new short cut on your desktop: First delete the old short cut by right click\u003cbr/\u003eon it and select delete. The do step 1 above. Don\u0027t put in your user name and password. Instead\u003cbr/\u003eclick on the little icon in front of the https://sfreeclaims.anvicare.com/docs/membermain.asp\u003cbr/\u003eand drag it to an empty area of your desktop.\u003cbr/\u003e\u003cbr/\u003e3. How to make a new short cut on your browser: Assuming your LINK is turn on your browser.\u003cbr/\u003e(View \u003e\u003e Toolbars \u003e\u003e Link is checked). Do step 1 above and don\u0027t put in your username and password.\u003cbr/\u003eInstead click on the little icon in front of the https://sfreeclaims.anvicare.com/docs/membermain.asp\u003cbr/\u003eand drag it to an empty area of your Link bar on your browser.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":246,"Name":"New Payor CTMCD Connecticut Medicaid]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1238130000000)\/","Searchable":"246|New Payor CTMCD Connecticut Medicaid]|Effective today, CTMCD is live at Anvicare.\u003cbr/\u003eAnvicare SubmitterId (Trading Partner Id) is 209000855.\u003cbr/\u003ePayor WebSite:www.ctdssmap.com\u003cbr/\u003ePayor Phone: 800.688.0503 Option 3\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":245,"Name":"Using more than 4 dcode in box 21]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1237957200000)\/","Searchable":"245|Using more than 4 dcode in box 21]|\u003cbr/\u003eIf you wish to use more than 4 diagonsis, please enter the additional codes in box 19\u003cbr/\u003ein the format of\u003cbr/\u003e\u003cbr/\u003edcode5=xxx.xx; dcode6=xxx.xx; dcode7=xxx.xx; dcode8=xxx.xx\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":244,"Name":"Reminder-Do your step 7]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1237266000000)\/","Searchable":"244|Reminder-Do your step 7]|We would like to remind everyone to do step 7 of the 7 steps. Each insurance carrier has\u003cbr/\u003ea filing deadline they impose on you, the provider. This means you only have a certain\u003cbr/\u003eamount of time to file the claim to them.  You must know this filing deadline for each\u003cbr/\u003ecarrier.  Your billing software must also have the capability of give you an aging report.\u003cbr/\u003eThis report will list all claims that have not been paid along with the \"age\" of the claim.\u003cbr/\u003eThe age is calculated by substracting the dos from today\u0027s date.  So if a certain Blue\u003cbr/\u003eCross only give you 90 days to file and your report show a claim from BC that has never\u003cbr/\u003ebeen paid by insurance and is 85 days old, you must take action right away as you only\u003cbr/\u003ehave 5 more days to get the claim in.  Why should you do this step? because after you do\u003cbr/\u003estep 1 to 5, all your claims are \"blue\" and are good enough for us to send out. After\u003cbr/\u003ethe claims are sent, you do step 6 which is to read the report to see if there are any\u003cbr/\u003erejected claims. If you have rejected claims from step 6, we ask that you fix the claims\u003cbr/\u003ehere and send them out again. However, if you don\u0027t see the report, you may forget about\u003cbr/\u003ethe claim.  The only next methold to catch them is step 7.  As a clearinghouse, we are\u003cbr/\u003enot responsible for making sure the claims are paid. Once we send them out, there can\u003cbr/\u003ebe many factors which cause the claim to go missing. This is why step 7 is your last\u003cbr/\u003eline of defense.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":243,"Name":"Payor Reject][Amerigroup]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1235109600000)\/","Searchable":"243|Payor Reject][Amerigroup]|If you have this error from your Amerigroup/Unicare/Parkland randomly where most claims\u003cbr/\u003egot paid and a few get this error:\u003cbr/\u003e\u003cbr/\u003eError Initiator: Amerigroup - Ft. Worth    Message Type: I  Error Code:      NA\u003cbr/\u003eError Message:   QA:  Missing or invalid provider NPI\u003cbr/\u003eLoop:    NASegment ID:    NA Element #:       NA\u003cbr/\u003e\u003cbr/\u003eThe reason for this is because you may have the wrong referring dr in box 17 or his NPI\u003cbr/\u003ein box 17b (or TOOLS \u003e\u003e Option 5). This message could have said this instead:\u003cbr/\u003e\u003cbr/\u003eReferring Dr not allow to refer. Must be in network\u003cbr/\u003e\u003cbr/\u003eTechnicals: The payor edits scans the NPI list at their website (this is the same website\u003cbr/\u003eyou may have already been there to atest your NPI) and can\u0027t find this referring provider.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":242,"Name":"Payor LBA Healthplans]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1234245600000)\/","Searchable":"242|Payor LBA Healthplans]|LBA Healthplans paper claim address has changed from\u003cbr/\u003ePO Box 17098, Owings Mills, MD 21117 to\u003cbr/\u003ePO Box 981801, El Paso, TX 79998-1801\u003cbr/\u003e\u003cbr/\u003ePlease make the necessary changes in your billing software.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":241,"Name":"FLMCR Delays]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1234245600000)\/","Searchable":"241|FLMCR Delays]|Due to the change in payor id in FLMCR. We had to resubmit claims from the 1st twice.\u003cbr/\u003ePlease check your mailbox for the latest report later on today.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":240,"Name":"Most BC are doing away with legacy numbers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1232949600000)\/","Searchable":"240|Most BC are doing away with legacy numbers]|Most Blue Cross Blue Shield payors and doing away with the old legacy numbers. We will\u003cbr/\u003eturn off the sending of the legacy numbers shortly.  We will only send the NPI/Grp NPI.\u003cbr/\u003ePlease make sure your master list of NPI are complete using TOOLS \u003e\u003e Option 2.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":239,"Name":"Invalid NDC codes]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1232690400000)\/","Searchable":"239|Invalid NDC codes]|Please make sure your NDC is eleven digits. NDC is always in a 5, 4, 2 digits format\u003cbr/\u003e\u003cbr/\u003eThe 11-digit NDC is ordered in a 5-4-2 grouping.\u003cbr/\u003eThe first 5 digits comprise the labeler code assigned to the manufacturer by\u003cbr/\u003ethe Federal Drug Administration (FDA).\u003cbr/\u003e\u003cbr/\u003eThe second set of 4 digits is assigned by the manufacturer to describe the\u003cbr/\u003eingredients, dose form, and strength.\u003cbr/\u003e\u003cbr/\u003eThe last set of 2 digits describes the package size.\u003cbr/\u003e\u003cbr/\u003eFor example: The label may list the NDC as 1234-567-89, when, in fact, the correct\u003cbr/\u003eNDC is 01234-0567-89. Make sure that the NDC is listed as an 11-digit number,\u003cbr/\u003einserting any leading zeros missing from the 5-4-2 groupings, as necessary.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":238,"Name":"Texas BCBS 84980, IL BCS 00621 and Oklahoma BC][Payor Errors]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1232690400000)\/","Searchable":"238|Texas BCBS 84980, IL BCS 00621 and Oklahoma BC][Payor Errors]|If your Texas BCBS (payor id 84980), IL and OK BC  claims have been rejecting in\u003cbr/\u003ethe last two days, please do not call us yet. We have identified this to be an\u003cbr/\u003eerror from AVAILITY (the destination where we send all 84980 claims).  You may\u003cbr/\u003econtact them at 800.282.4548 to see if they have resolved this problem.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":237,"Name":"payor change]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1232431200000)\/","Searchable":"237|payor change]|Payor Id 77077 Fed Department Of Labor has been removed from our payor list.  This payor used\u003cbr/\u003eto have a destination code of AVLTY (Availity). Availity no longer carry this payor.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":236,"Name":"Happy New Year","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1230876000000)\/","Searchable":"236|Happy New Year|Anvicare would like to thank all our customers for a great 2008.  We look forward to working\u003cbr/\u003ewith everyone in 2009.  Take advantage our value added services:\u003cbr/\u003e\tEligibility and Benefits\u003cbr/\u003e\tStatement Printing\u003cbr/\u003e\tPractice Management Software\u003cbr/\u003e\tPaper Claims Printing\u003cbr/\u003e\tERA Electronic Remittance Advice\u003cbr/\u003eBundle services and save... Contact sales@anvicare for more information\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":235,"Name":"Christmas Schedule-12/24 and 12/26]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1230098400000)\/","Searchable":"235|Christmas Schedule-12/24 and 12/26]|Wednesday 12/24\u003cbr/\u003eClose at 2pm CTS. Please have you claims in by noon for them to go out the same day.\u003cbr/\u003eThursday 12/25\u003cbr/\u003eClose all day.\u003cbr/\u003eFriday 12/26\u003cbr/\u003eClose at 2pm CTS. Please have you claims in by noon for them to go out the same day.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":234,"Name":"NORTH CAROLINA MEDICAID NCMCD REJECTS DUE TO PRV SEGEMENT]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1229666400000)\/","Searchable":"234|NORTH CAROLINA MEDICAID NCMCD REJECTS DUE TO PRV SEGEMENT]|North Carolina Medicaid (and possibly other Medicaids) has a rule where you can only send either the\u003cbr/\u003egroup taxonomy or the individual taxonomy but not both.  If you claims are not reaching NCMCD, please\u003cbr/\u003eexperiment but remove the group taxonomy (tools \u003e\u003e option 2) and resubmit the claims (you can call\u003cbr/\u003eus with help in resubmitting) or you can call North Carolina Medicaid and ask them with category\u003cbr/\u003eyou are in so that you can remove the correct one.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":233,"Name":"REJECT DUE TO PRV SEGEMENT]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1229061600000)\/","Searchable":"233|REJECT DUE TO PRV SEGEMENT]|If you have rejected Medicare claims due to PRV segment, these claims should have been resubmitted by us\u003cbr/\u003ealready.  However, If you have a claim rejected due to PRV AND another reason, please correct the claims\u003cbr/\u003eand resubmit yourself as normal step 6.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":232,"Name":"DO NOT ENTER TAXONOMY NO FOR MEDICARE]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1228975200000)\/","Searchable":"232|DO NOT ENTER TAXONOMY NO FOR MEDICARE]|Please DO NOT enter your individual taxonomy, group taxonomy under TOOLS \u003e\u003e Option 2. Medicare\u003cbr/\u003edoes not want it.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":231,"Name":"NEW PHONE SYSTEM]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1228975200000)\/","Searchable":"231|NEW PHONE SYSTEM]|We have a new phone system and we have been losing some messages because after you leave your\u003cbr/\u003emessage, you cannot just hang up. You must listen for the instruction afterward. Until we get\u003cbr/\u003ethis resolved, please follow the instructions from the phone system.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":230,"Name":"MSP, SECONDARY CLAIMS][implementing MSPTYPE]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1228975200000)\/","Searchable":"230|MSP, SECONDARY CLAIMS][implementing MSPTYPE]|FOR PRINT IMAGE, NSF, MCDS,CSV SUBMITTERS\u003cbr/\u003e\u003cbr/\u003eIf you are sending secondary claims for medicare, please review this link (or go to TOOLS\u003e\u003eFORMS)\u003cbr/\u003eand click on the form \"Medicare Insurance Type Code for MSP.jpg\"\u003cbr/\u003ehttps://secure.freeclaims.com/docs/forms/Medicare%20Insurance%20Type%20Code%20for%20MSP.jpg\u003cbr/\u003eIn addition to the \"PDT= ALW= PMT= COI= DED=\" data that we add to each service line,\u003cbr/\u003ewe will add MSPTYPE=47 to service line one.  Basically we are defaulting the MSPTYPE\u003cbr/\u003eto 47. If your claim needs a different MSP TYPE value, please override this data and key\u003cbr/\u003ein the appropriate type.\u003cbr/\u003e\u003cbr/\u003eFOR ANSI 837 SUBMITTERS\u003cbr/\u003eWe will store the type also in the service line one comment and you may also do the same\u003cbr/\u003eediting as the print image submitters. This value is retrieved from you ansi file in the segment\u003cbr/\u003eSBR.05 (SBR segment, field no 6)\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":229,"Name":"NEW TOLL FREE NO]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1228888800000)\/","Searchable":"229|NEW TOLL FREE NO]|Please note we have a new toll free no: 877-855-2684 (877-855-anvi)\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":228,"Name":"TNMCR 04402 MAMCR NJMCR WAMCR rejects][REF01 G5 M402 INVALID VALUE]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1226642400000)\/","Searchable":"228|TNMCR 04402 MAMCR NJMCR WAMCR rejects][REF01 G5 M402 INVALID VALUE]|All claims sent on 10/10 for above payors have been rejected by payors. We have identified the\u003cbr/\u003eerror and we have resubmitted all claims. No action needed by you.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":227,"Name":"NEIC/EMDEON,WEBMD/ENVOY][NEW REPORTS]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1226383200000)\/","Searchable":"227|NEIC/EMDEON,WEBMD/ENVOY][NEW REPORTS]|Due to Neic is giving us new report format, there will be a delay in \"remapping\" and\u003cbr/\u003eparsing of the reports before we can put them in your mailbox. Please give us another day to\u003cbr/\u003eaccomplish this.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":226,"Name":"NJMCR WAMCR rejects][REF01 G5 M402 INVALID VALUE]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1226383200000)\/","Searchable":"226|NJMCR WAMCR rejects][REF01 G5 M402 INVALID VALUE]|All claims sent on 10/10 for above payors have been rejected by payors. We have identified the\u003cbr/\u003eerror and we have resubmitted all claims. No action needed by you.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":225,"Name":"Aetna receiver id change from NEIC to MDONL][Receiver Payor Id Change]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1225951200000)\/","Searchable":"225|Aetna receiver id change from NEIC to MDONL][Receiver Payor Id Change]|Effective today, we have changed the receiver payorid for payor id 60054 from NEIC\u003cbr/\u003eto MDONL.  Your Aetna claims will now be sent to MD On Line and your payor reports\u003cbr/\u003efor 60054 claims will be from MDONL.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":224,"Name":"DMERC C AND D] [BILLING PROVIDER NOT AUTHORIZED FOR SUBMITTER]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1224738000000)\/","Searchable":"224|DMERC C AND D] [BILLING PROVIDER NOT AUTHORIZED FOR SUBMITTER]|\u003cbr/\u003eDME Regions C and D � Trading Partner ID Not Linked to NPI\u003cbr/\u003eCommon Electronic Data Interchange (CEDI) has posted notification of a change going into effect\u003cbr/\u003eOctober 1. Please be sure to complete the steps as documented to ensure your organization will\u003cbr/\u003enot be affected.  Each provider office should contact CEDI to confirm their NPI is linked to Availity�s ID.\u003cbr/\u003e\u003cbr/\u003eThe clearinghouse information necessary for completion of form(s) is as follows:\u003cbr/\u003e\u003cbr/\u003eDMERC C EDI PHONE:      866.311.9184\u003cbr/\u003eEDI Transactions:       ASC X12 837 Claim V4010A1\u003cbr/\u003eEntity Name:    Availity LLC\u003cbr/\u003eOperating as a: Clearinghouse\u003cbr/\u003eSubmitter ID:   Region C Submitter ID is C08495979\u003cbr/\u003eRegion D Submitter ID is D08607230\u003cbr/\u003eContact Name:   Availity Client Services\u003cbr/\u003eContact Phone Number:   800/282-4548\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":223,"Name":"BAD PLEASE CALL Files]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1224478800000)\/","Searchable":"223|BAD PLEASE CALL Files]|There are certain payors who assign individual submitter id to each provider or taxid\u003cbr/\u003eand they want this submitter id included in the claim file when we send your claims to them.\u003cbr/\u003eThis submitterid does not exist in the normal claim form and is not needed as part of the\u003cbr/\u003epayment process.  However, this submitter id is needed to make their system work correctly.\u003cbr/\u003eAmong these payors are all connections by:\u003cbr/\u003e\u003cbr/\u003eNoridian Medicare (AZMCR,COMCR,HIMCR,NVMCR,ORMCR,WAMCR\u003cbr/\u003eARBCS, ARMCR, AKBCS, MOMCR, LAMCR\u003cbr/\u003eNCMCR\u003cbr/\u003eMSBCS\u003cbr/\u003eNCMCR,\u003cbr/\u003eTNBCS,\u003cbr/\u003eTNMCR\u003cbr/\u003eAll Value Options (FCVO1,FCVO2)\u003cbr/\u003e\u003cbr/\u003eWhen you do paper work with these payors, make sure you get this submitterid and turn it over\u003cbr/\u003eto us so that we can store this submitterid into your profile.  If we have claims to send without\u003cbr/\u003ethis submitterid, you will get a BAD, PLEASE CALL US file in your mailbox.  When this occured,\u003cbr/\u003eplease call us or call the payor and get this number for us.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":222,"Name":"All Medicare] [rejects for 17a]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1223442000000)\/","Searchable":"222|All Medicare] [rejects for 17a]|If you receive this error msg, it was due to the fact that we don\u0027t have the\u003cbr/\u003ereferring dr npi either in box 17a or 17b which we get from TOOLS \u003e\u003e OPTION 5\u003cbr/\u003e\u003cbr/\u003ePROVIDER     ID: 1999999952       BATCH ID: 013550 0002  Status: REJECTED/PROD\u003cbr/\u003eTotal  Claims:       1   Charges:       $224.00\u003cbr/\u003eClaim Rejects:       1   Charges:       $224.00\u003cbr/\u003e\u003cbr/\u003ePATIENT: SMITHHILDA    PCN: SMITHE0004   Sta: REJECTED\u003cbr/\u003eINSURED:ID: 299999560A\u003cbr/\u003e\u003cbr/\u003eFirst DOS: 2008/08/16    Charges:       $224.00 Payor: C00884\u003cbr/\u003eR MSG-C3G REFFERING PROVIDER NOT = 0B, LU, EI, SY     REF-01\u003cbr/\u003eR MSG-X32 INVALID REFERRING PROVIDER VALUE    REF-01\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":221,"Name":"All Medicare] [rejects for Legacy no allowed]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1223442000000)\/","Searchable":"221|All Medicare] [rejects for Legacy no allowed]|if you see this error message on EVERY claim of your medicare, please ignore it and instead, look\u003cbr/\u003efor a replacement report for the same number of claims (or more).\u003cbr/\u003e\u003cbr/\u003eWhat happened?\u003cbr/\u003eWe have been sending a REF segment (Reference Segment) in the edi file with the your acc no with us\u003cbr/\u003eand Medicare was Ok with it. On 10/6, Medicare changed their translator and they no longer want to\u003cbr/\u003esee the REF segment.  Once we found out about this, we resubmitted ALL MEDICARE (FOR ALL STATES)\u003cbr/\u003ethe next day.\u003cbr/\u003e\u003cbr/\u003e\u0027========VARIATION ONE===========\u003cbr/\u003e0 1999999931    1    2010AAREF     2010AA REF01 G5    M402 LEGACY NOT ALLOWEDBATCH DELETED\u003cbr/\u003e0  EMC PROVIDER : NPI: 1999999931    PIN:       BATCH STATUS : DELETED     ENTIRE BATCH MUST BE RESUBMITTED\u003cbr/\u003e-      TOTAL CLAIMS RECEIVED    :       1\u003cbr/\u003eTOTAL CLAIMS ACCEPTED    :       0\u003cbr/\u003eTOTAL CLAIMS DELETED     :       1\u003cbr/\u003eTOTAL CLAIMS WITH ERRORS :       0\u003cbr/\u003eTOTAL CHARGES ACCEPTED   : $  0.00\u003cbr/\u003e0\u003cbr/\u003e\u003cbr/\u003e\u0027========VARIATION TWO===========\u003cbr/\u003ePROVIDER     ID: 1999999905       BATCH ID: 013480 0001  Status: REJECTED/PROD\u003cbr/\u003eTotal  Claims:       1   Charges:       $350.00\u003cbr/\u003eClaim Rejects:       1   Charges:       $350.00\u003cbr/\u003eR MSG-Y1C BILLING PROVIDER QUAL NOT = 0B, LU, EI, SY  REF-01\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":220,"Name":"Website new feature - View outbound claims]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1223442000000)\/","Searchable":"220|Website new feature - View outbound claims]|Effective today, we have added a new feature where you can view the claim in the outbound\u003cbr/\u003ebatch.  To access this feature, select PROCESS CLAIMS \u003e\u003e VIEW SENT BATCHES \u003e\u003e CLICK\u003cbr/\u003eON A BATCHNO to see the claims in that outbound batch.\u003cbr/\u003e\u003cbr/\u003eWhat\u0027s an outbount sent batch?\u003cbr/\u003eThis is best explained via an example:\u003cbr/\u003e\u003cbr/\u003eIf you send in a batch of 20 claims comprise of 5 Aetna, 5 Cigna, 5 Medicare of TX and\u003cbr/\u003e5 Medicaid of Texas, to us, we would create three outbound batches. The 5 Aetna\u003cbr/\u003e(payorid 60054) and the 5 Cigna (payorid 62308) would get batched together and get sent\u003cbr/\u003eto NEIC.  The 5 Medicare (payorid 44202) would get sent to Trailblazer (TRLBZ) and the\u003cbr/\u003e5 Medicaid (payorid 86916) would get sent to Availity (AVLTY).\u003cbr/\u003eNow because the nature of what we do here, the NEIC claims also get mixed with all\u003cbr/\u003eother claims from other provider (our other clients) where as the TRLBZ and the AVLTY\u003cbr/\u003efiles will have just your claims.  Now with the above example, if you goto Process\u003cbr/\u003eClaims \u003e\u003e View Sent batches the next day. You will see 2 lines showing the 5 claims to\u003cbr/\u003eTRLBZ and the 5 claims to AVLTY.  You will not see the 10 that went to NEIC because on\u003cbr/\u003ethis list, we do not list the multi-provider claims destination.\u003cbr/\u003e\u003cbr/\u003eKeeping with the above example, let\u0027s say in addition to the 20 claims, you also correct\u003cbr/\u003e3 more Medicare claims from last week by clicking on the trace no and made the correction\u003cbr/\u003eon the claims and click RESUBMIT CLAIM TO PAYOR. When you view the sent batches, instead\u003cbr/\u003eof 5 for TRLBZ, you will see 8 (5 today + 3 resubmitted).\u003cbr/\u003e\u003cbr/\u003eWith the new feature, you can now click on the outbound batch no (underlined number) and\u003cbr/\u003ewe will display the 8 claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":219,"Name":"Texas Medicaid Healthstep EPSDT Claims payorid 86916]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1222405200000)\/","Searchable":"219|Texas Medicaid Healthstep EPSDT Claims payorid 86916]|If you are sending claims to payorid 86916EPSDT Texas Healthstep, please make sure you enter\u003cbr/\u003ethe group taxonomy number under Tools \u003e\u003e Option 2 on lines relating to 86916 EPSDT\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":218,"Name":"Payors with automatically forced electrnonic EOB]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1222059600000)\/","Searchable":"218|Payors with automatically forced electrnonic EOB]|Please note that there are payors out there that automatically cuts off your paper eob if you\u003cbr/\u003esubmit claims electronically through a clearinghouse.  One such payor is Louisian Medicaid.\u003cbr/\u003eThese payors will force you to take electronic remittance notices (Ansi 835 transaction).  This\u003cbr/\u003emeans you will incure additional charges with the clearinghouse for doing this additional\u003cbr/\u003etransaction.  If you are not willing to pay this additional amount to the clearinghouse\u003cbr/\u003e(Anvicare-FreeClaims), please do not subscribe to doing claims electronically with these\u003cbr/\u003epayors.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":217,"Name":"Weekly paying payor clients]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1221800400000)\/","Searchable":"217|Weekly paying payor clients]|There are a certain medicaid such as Florida, Maryland, Mississippi where the payors cut their\u003cbr/\u003epayment checks every week on a certain day such as Monday or Wednesday and as long as they\u003cbr/\u003ereceived your claims by a certain day before that.  For these payors, you must get your claims in\u003cbr/\u003ewell before the deadline. You cannot wait until the last day, last hour to get them in to FreeClaims.\u003cbr/\u003eWhile we do our best to send your claims out every day between 2 and 4 pm (Central time), we may\u003cbr/\u003eencounter operational issue where you claims will go the next day.  We do not GUARANTEE that you claims\u003cbr/\u003ewill go by 2 EVERYDAY even that is what happen 99.99 percent of the time. The issue came about when\u003cbr/\u003ewe have operational issues such as equipment failure at our site, at the payor site or issue with\u003cbr/\u003ethe delivery method such as outtage in phone or internet services.  Last Friday, we shut down\u003cbr/\u003ethe office in advance of Hurricane Ike and claims did not go out until Monday. This affected clients\u003cbr/\u003ewho try to beat the Friday cut off.\u003cbr/\u003e\u003cbr/\u003eAgain, if you are in this group of clients, please send in your claims several days before the deadline.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":216,"Name":"Louisian BCBS, PayorId 23738 resubmission]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1221541200000)\/","Searchable":"216|Louisian BCBS, PayorId 23738 resubmission]|Due to a new discovery of a requirement that 23738 needs, we have resubmitted all claims since\u003cbr/\u003eMay 23, 2008. This may cause rejects for duplicate claims. We apologize should this happens.\u003cbr/\u003eSpecifically, 23738 needs the 2010AB loop (pay-to loop) in the 837 transaction set.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":215,"Name":"Anvicare/FreeClaims Operations Update]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1221541200000)\/","Searchable":"215|Anvicare/FreeClaims Operations Update]|\tAnvicare would like to thank all our customers for their patience during and after Hurricane Ike.\u003cbr/\u003e\tOur systems are current and up and running.  Operations are back to normal and we have resumed\u003cbr/\u003e\tregular business hours.  If we missed your support call during the past few days please call us or\u003cbr/\u003e\temail support@anvicare.com for assistance.  Your patronage is very much appreciated.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":214,"Name":"Hurricane Ike]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1221541200000)\/","Searchable":"214|Hurricane Ike]|We processed all reports and sent out all claims for today Monday Sep 15, 2008. Please hold all\u003cbr/\u003ecustomers serivce calls until tommorrow when we will be back at full staff.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":213,"Name":"Hurricane Ike]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1221541200000)\/","Searchable":"213|Hurricane Ike]|In preparation for Hurricane IKE, should our servers/website go down, our secondary communication\u003cbr/\u003epoint is at www.anvicare.com. We appreciate your patience in advance and will make every attempt to\u003cbr/\u003ekeep you posted with any interruptions in our daily operations.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":212,"Name":"IMPORTANT for all Medicare  CA, CA North Regon, HI, NV ][J1 MAC Migration]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1218776400000)\/","Searchable":"212|IMPORTANT for all Medicare  CA, CA North Regon, HI, NV ][J1 MAC Migration]|\tYou must return the following information this week or you will not be registered to submit to\u003cbr/\u003eMedicare and your claims will reject for Enrollment. Send an email to sales@anvicare.com with the\u003cbr/\u003efollowing information:\u003cbr/\u003e\u003cbr/\u003eProvider Name\t\tPTAN(Old Legacy)\t\tNPI\t\tClaims\t\tERA\u003cbr/\u003eJames E. Jones, MD\t1234567\t\t\t\t1234567890\tY\t\tYes or No (Select one)\u003cbr/\u003e\u003cbr/\u003eYour email content should look like this:\u003cbr/\u003e       James E. Jones, MD\t1234567\t\t1234567890\tY\tYes\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":211,"Name":"NYMCQ moved to NGS][MAC Migration]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1218776400000)\/","Searchable":"211|NYMCQ moved to NGS][MAC Migration]|FYI, we have transitioned NYMCQ to NGS (the same party we send NY Medicare to)\u003cbr/\u003eIf you are a new provider wanting to send NYMCQ, please contact NGS edi at 877.273.4334. Our submitterid with NGS is CH0000402\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":210,"Name":"CTMCR moved from ACS to NGS][MAC Migration]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1218776400000)\/","Searchable":"210|CTMCR moved from ACS to NGS][MAC Migration]|FYI, we have transitioned CTMCR from ACS to NGS (the same party we send NY Medicare to)\u003cbr/\u003eIf you are a new provider wanting to send CTMCR, please contact NGS edi at 877.273.4334. Our submitterid with NGS is CH0000402\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":209,"Name":"Highmark Issues Update] from  http://www.highmarkmedicareservices.com/","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1217566800000)\/","Searchable":"209|Highmark Issues Update] from  http://www.highmarkmedicareservices.com/|DE, DC, MD Medicare providers... Report rejections as follows indicate Enrollment was not transferred correctly from TRLBZ to\u003cbr/\u003eHighmark.\u003cbr/\u003e\t\t\t\t\t\t\t\t\t      M012 BILLING PROV NOT ON FILE  BATCH DELETED\u003cbr/\u003e000000000001 2010AANM1     B P ADTL ID  XXXXXXXXXX    M013 SUBMIT BPRV NOT ON FILE   BATCH DELETED\u003cbr/\u003e   EMC PROVIDER : NPI: XXXXXXXXXX    PIN:       BATCH STATUS : DELETED     ENTIRE BATCH MUST BE RESUBMITTED\u003cbr/\u003e   (XXXXXXXXXX in this bulletin have been used in place of your NPI but your rejection report would have the NPI)\u003cbr/\u003e\u003cbr/\u003ePlease contact Highmark to re-enroll (see bulletin 207 for Anvicare Submitter ID)\u003cbr/\u003eor complete the form under Tools \u003e\u003e Forms:\u003cbr/\u003e \tHighmark Delaware_DC Medicare Enrollment and Agreement.pdf\u003cbr/\u003e\t \tHighmark Maryland Medicare Enrollment and Agreement.pdf\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":208,"Name":"Highmark Issues Update] from  http://www.highmarkmedicareservices.com/","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1217307600000)\/","Searchable":"208|Highmark Issues Update] from  http://www.highmarkmedicareservices.com/|DE, DC, MD Medicare providers... Manually spot check claims from each batch.  As expected the transition to Highmark\u003cbr/\u003ehas generated some issues.  You should be sure the claims are on file by checking claim status.  You will need your\u003cbr/\u003ePTAN and NPI as well as claim information for submitted claims.  You can use the AVR service at Highmark.  See the\u003cbr/\u003eweb page for more informaton.  Refile claims that do not indicate received or processed by Highmark.\u003cbr/\u003e\u003cbr/\u003e(ISSUED: 07/28/2008 at 4:00 PM)Some NPIs Omitted From DE/DCMA/MD Crosswalk Files\u003cbr/\u003e\tWe are aware of a recent problem that caused some NPIs to be omitted from the Part B DE/DCMA/MD crosswalk files.\u003cbr/\u003e\tThis problem was the basis for unexpected claim rejections for some of our customers.\u003cbr/\u003e\tPlease be assured that we are in the process of identifying the root cause of this problem and will take appropriate\u003cbr/\u003e\tcorrective actions as expeditiously as possible. We will continue to provide periodic updates and apologize to all\u003cbr/\u003e\taffected customers for the inconvenience.\u003cbr/\u003e\u003cbr/\u003e\t-(UPDATED: 07/21/2008 at 11:30 AM) Denied Claims\u003cbr/\u003e\u003cbr/\u003e\tUPDATE:\u003cbr/\u003e\tAs of July 18, 2008 we have reprocessed over half of the claims denied in error. We anticipate that all impacted claims\u003cbr/\u003e\twill be completed within the next week. We will continue to provide you periodic updates.\u003cbr/\u003e\tORIGINAL ALERT:\u003cbr/\u003e\tOn June 12, 2008, Highmark Medicare Services Inc. erroneously denied claims and adjustments with message B7 - This provider\u003cbr/\u003e\twas not certified/eligible to be paid for this procedure/service on this date of service. This message will be shown on the\u003cbr/\u003e\tstandard provider remittance (SPR) of the claim and/or adjustment. The adjustment activity on previously paid services\u003cbr/\u003e\tautomatically generated a demand (refund) request through the Healthcare integrated General Ledger Accounting System (HIGLAS).\u003cbr/\u003e\tAfter reviewing several options to correct this situation, Highmark Medicare Services Inc. has decided to mail the demand (refund)\u003cbr/\u003e\tletters. The impacted providers need to repay the amount indicated in the demand (refund) letter to Medicare. If you wish to\u003cbr/\u003e\trequest immediate offset, please call 1-888-291-2623.\u003cbr/\u003e\tAll impacted claims and adjustments will be re-adjusted to pay as appropriate under a separate payment.\u003cbr/\u003e\tWe understand this is an inconvenience to the provider community and apologize, however due to claims processing limitations,\u003cbr/\u003e\tthis is the most efficient way to resolve this issue.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":207,"Name":"NYMCQ is now going to NGS] [J13 MAC]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216962000000)\/","Searchable":"207|NYMCQ is now going to NGS] [J13 MAC]|NYMCQ is now processed by NGS.\u003cbr/\u003eOld     New     Desc       Anvicare SubId\u003cbr/\u003e-----   -----   ------------------------   ---------\u003cbr/\u003eNYMCQ   NYMCQ   New York Medicare Part B (QueenO   NYBQ11582\u003cbr/\u003eWe resubmitted all claim from 07/18/2008 until today.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":206,"Name":"NYMC2 is now 13202]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216875600000)\/","Searchable":"206|NYMC2 is now 13202]|As part of the J13 MAC transition, NYMC2 is now 13202\u003cbr/\u003eWe force change the payoridmatch table (tools \u003e Opt 1) and the networkidmatch table (tools \u003e Opt 2). You don\u0027t need to\u003cbr/\u003edo anything.\u003cbr/\u003e\u003cbr/\u003eWe will go back and resubmit all claims from the 18th onward.\u003cbr/\u003eWe will force the new payorid to these claims also.\u003cbr/\u003e\u003cbr/\u003eIf you have to resubmit old claims in the system with NYMC2, please make sure you\u003cbr/\u003emanually change the payorid to 13202\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":205,"Name":"Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216875600000)\/","Searchable":"205|Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]|Payor Id changes:\u003cbr/\u003eOld     New     DescSource Id    PRJ\u003cbr/\u003e-----   -----   ------------------------    ---------    -------\u003cbr/\u003e00901   12302   Maryland Medicare Part B    1928975      prj78t2\u003cbr/\u003e00902   12102   Delaware Medicare Part B    1929639      prj84d0\u003cbr/\u003e00903   12202   DC Metro Medicare Part B    1929639      prj84d0\u003cbr/\u003e\u003cbr/\u003eWe force change the payoridmatch table (tools \u003e Opt 1) and the networkidmatch table (tools \u003e Opt 2). You don\u0027t need to\u003cbr/\u003edo anything.\u003cbr/\u003e\u003cbr/\u003eWe will go back and resubmit all claims from the 10th onward. We will force the new payorid to these claims also.\u003cbr/\u003e\u003cbr/\u003eIf re-registration is need. Highmark edi phone no is 866.488.0546 Option 3\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":204,"Name":"RESUBMIT POLICY]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216616400000)\/","Searchable":"204|RESUBMIT POLICY]|       Anvicare/Freeclaims will no longer resubmit claims on your behalf. You must now do your own resubmission by either viewing the claim\u003cbr/\u003e       by clicking on the trace number of the claim you with to resbumit and click RESUBMIT claim to Payor, or  re-upload the claim in a file again.\u003cbr/\u003e       Please note if you re-upload the file again, you will have  more than one claim with the same patient name and date of service.\u003cbr/\u003e       In addition, any special programming to accomodate features or functions that your billing software cannot accomodate will be\u003cbr/\u003e       reviewed and you will be provided a quote for special programming if we determine we can accomodate your request.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":203,"Name":"NPI OF COMMERCIALS CARRIERS PREVIOUSLY NOT IN TOOLS \u003e\u003e OPT2]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216616400000)\/","Searchable":"203|NPI OF COMMERCIALS CARRIERS PREVIOUSLY NOT IN TOOLS \u003e\u003e OPT2]|If you send only commercial carrier claims and you wish to send the NPI number to the payors, please make sure\u003cbr/\u003eyou have at least one row in the Network ID table in TOOLS \u003e\u003e Opt2 with your provider name and NPI information.\u003cbr/\u003eIf you do not have one, please contact us at 281.325.0208 and we will be happy to assist you.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":202,"Name":"Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216357200000)\/","Searchable":"202|Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]|We have recieved our Submitter ID from Highmark for MD DE and DC. Per Highmark - Providers\u003cbr/\u003epreviously enrolled under the TrailBlazer Jurisdiction with the Anvicare/Freclaims Submitter\u003cbr/\u003eID were transferred over. (Should you receive errors on your report regarding Enrollment you\u003cbr/\u003ecan contact Highmark directly). New providers or providers not enrolled can complete the enrollment\u003cbr/\u003eforms under Tools\u003e\u003eForms\u003e\u003eHighmark Maryland Enrollment form or Highmark DE/DC Enrollment form.\u003cbr/\u003eClaims sent to Anvicare and pending from July 11 to date will be submitted the week of 7/21/08.\u003cbr/\u003eA follow up notice will follow upon transmision of pending claims.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":201,"Name":"Help with Medicare Edits for NPI]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216184400000)\/","Searchable":"201|Help with Medicare Edits for NPI]|We have added more information on NPI and Medicare Edits under FreeClaims Reports/Invoices\u003cbr/\u003eThe message states Click here for Medicare Summary Edits for NPI and if you click on the link\u003cbr/\u003eyou will find some helpful information.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":200,"Name":"Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1216184400000)\/","Searchable":"200|Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]|We anticipate receiving our Submitter ID next week. We have called Highmark and our forms have been\u003cbr/\u003ereceived and are being procesessd. Once we receive the ID, we will prefill the new submitter id on\u003cbr/\u003etheir new forms and allow providers to download the form for completion and submittal to Highmark.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":199,"Name":"Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1215061200000)\/","Searchable":"199|Update Communications Specific to MD/DCMA/DE Medicare Part B Providers]|Anvicare/FreeClaims.com is working with Highmark for the J12 implementation date of July 11, 2008 to receive our Submitter ID.\u003cbr/\u003eThe paperwork has been completed by Anvicare and we are awaiting our confirmation letter with the new ID.  If you are a\u003cbr/\u003eProvider or Agent representing a Maryland, Delaware or DC provider(s) and send Medicare claims to Freeclaims check daily for\u003cbr/\u003enew information.  Once we get our submitter id we will promptly provide the location of any forms required with instructions\u003cbr/\u003eon the completion and delivery.  Anticipated date for Submitter Id is July 16th. Claims cannot be sent to Medicare until this\u003cbr/\u003eprocess is complete.    We have no further information at this time so please allow us to utilize our time working\u003cbr/\u003ewith Highmark until we post a new  update.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":198,"Name":"Communications Specific to MD/DCMA/DE Part B Providers]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1215061200000)\/","Searchable":"198|Communications Specific to MD/DCMA/DE Part B Providers]|Anvicare/FreeClaims.com is working with Highmark for the J12 implementation date of July 11, 2008.\u003cbr/\u003eExisting Maryland providers will not need to complete any change paperwork. Deleware and DC providers\u003cbr/\u003ewill need to complete forms that are not available at this time but will be next week per Highmark.\u003cbr/\u003eHighmark has assured us that they will process any forms rapidly once they are available.  If you are a provider\u003cbr/\u003eor Agent representing any Delaware or DC providers and send Medicare claims to Freeclaims check daily for new\u003cbr/\u003einformation.  We have no further information at this time so please allow us to utilize our time working\u003cbr/\u003ewith Highmark until we post an update.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":197,"Name":"Texas Medicare 00900 TXMCR converted to 04402]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1214370000000)\/","Searchable":"197|Texas Medicare 00900 TXMCR converted to 04402]|Effective today, we have transition Texas Medicare old payor id 00900 and TXMCR to 04402 and we will send these\u003cbr/\u003eclaims to Trailblazer Health. Your reports (in step 6) should read TRLBZ Payor Report.\u003cbr/\u003e\u003cbr/\u003eIf you send claims with the old payorid embedded in your claim file, we covert these ids to 04402 as well.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":196,"Name":"FLMCD additional info to Bulletin 195]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1214197200000)\/","Searchable":"196|FLMCD additional info to Bulletin 195]|Link for Manual on how to login and create your acc, link to us (billing agent) and assign us rights (roles)\u003cbr/\u003ehttp://mymedicaid-florida.com/providerreadiness/FMMIS_Secure_Web_Portal_User_Guide_v1_0.pdf\u003cbr/\u003e\u003cbr/\u003eLink to enter your Medicaid No and PIN you received in the mail\u003cbr/\u003ehttps://public.flmmis.com/public/pinletter\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":195,"Name":"TRLBZ Maryland / Virginia]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1214197200000)\/","Searchable":"195|TRLBZ Maryland / Virginia]|\u003cbr/\u003eIf you receive this error or a very similar error on your TRLBZ report, please disregard. Corrections\u003cbr/\u003eto the files sent to TRLBZ are being made and claims will be resubmitted within 24 hours. Look for a\u003cbr/\u003ecorrect report by the end of the week.\u003cbr/\u003e\u003cbr/\u003ePROVIDER     ID: 1111111111       BATCH ID: 030315 0002  Status: REJECTED/PROD\u003cbr/\u003eTotal  Claims:       1   Charges:$79.00\u003cbr/\u003eClaim Rejects:       1   Charges:$79.00\u003cbr/\u003eR MSG-V0B EMC Enrollment required HL= REF-02\u003cbr/\u003e\u003cbr/\u003ePATIENT: LASTNAME       FIRSTNAME     PCN: 0000000000000001 Status: REJECTED\u003cbr/\u003eINSURED:ID: 00000000A\u003cbr/\u003e\u003cbr/\u003eFirst DOS: 2008/06/17    Charges:$79.00 Payor: 00901\u003cbr/\u003eR MSG-VBC Invalid DX code     \u003e72281   -HL=4  HI -01\u003cbr/\u003eR MSG-C1E Procedure Code invalid\u003e99213       - HL=4   SV1-01\u003cbr/\u003eR MSG-C14 DX used for DX Pointer 1 Invalid\u003e72281   - HL=4     HI\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":194,"Name":"Resubmit 22099 Horizon NJ BC][Resubmit 81400 ams to AVLTY]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1213765200000)\/","Searchable":"194|Resubmit 22099 Horizon NJ BC][Resubmit 81400 ams to AVLTY]|Please note when you look at the payor reject from 22099 on your NEIC reports, please disregard claims\u003cbr/\u003ebefore 6/16/08. This date is listed in the report next to the label NEIC PROCESSING DATE.  The fix didn\u0027t\u003cbr/\u003eoccurred until then.\u003cbr/\u003e\u003cbr/\u003eAll claims for 81400 have been resubmitted by us from 5/23/08 to today.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":193,"Name":"FLMCD Transition from ACS to EDS] [Florida Medicaid]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1213678800000)\/","Searchable":"193|FLMCD Transition from ACS to EDS] [Florida Medicaid]|As of tomorrow, 6/23/08. ACS will no longer accept claims from everyone.  This Medicaid contract has been\u003cbr/\u003eawarded to EDS. EDS, however, will not take claims until 6/26 and their first pay period will be 7/5/08.\u003cbr/\u003eWhat you need to do to transition over to EDS.\u003cbr/\u003e1. Locate the letter you received from EDS with your PIN number.\u003cbr/\u003e2. Go to the website publishe in the letter and login and create your account.\u003cbr/\u003e3. Create an AGENT\u003cbr/\u003e4. Search for qdn@anvicare.com\u003cbr/\u003e5. Select Florida Medicaid WebPortal\u003cbr/\u003e6. Give us all the rights (roles) by put a check mark on every items.\u003cbr/\u003e7. Continue to send claims to us as normal.\u003cbr/\u003e\u003cbr/\u003eAs with any other transition, expect potential delays and issues.\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"},{"ID":192,"Name":"22099 BS NJ \u003e\u003e NEIC Resubmission]","IsAcknowledged":false,"IsNew":false,"AcknowledgedDate":null,"CreatedDate":"\/Date(1213333200000)\/","Searchable":"192|22099 BS NJ \u003e\u003e NEIC Resubmission]|Please be advise,we resubmitted all payor id 22099 claims from 6/10 to yesterday 6/12 on your behalf\u003cbr/\u003edue to some programming issue. (payor needs REF EI/SY at 2310b)\u003cbr/\u003e\u003cbr/\u003e\u003cbr/\u003e"}],"Total":183,"AggregateResults":null,"Errors":null}