Vendor Testing Plan

 

Software vendors that would like to test with CEDI for the 5010A1/D.0 transaction formats must submit a testing plan to CEDI to provide detailed information about the testing that will be conducted.

Vendor Testing/Transition Plan External File

Enrollment for Production 5010 and D.0

CEDI Trading Partners that still need to migrate from the 4010A1 and/or NCPDP 5.1 formats to the 5010A1 and/or NCPDP D.0 formats will need to complete the Submitter Action Request Form located under CEDI Enrollment Forms.

Please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com if you have any questions.

Resource Materials

Front End Report Documentation

Reference Documents

Implementation of HIPAA Formats for DME Trading Partners PDF File

CEDI Top 15 5010A1 Edits PDF File (497 KB) (05/07/13)

5010 Acknowledgements

All of the following files are referenced in the overview presentation provided by CMS at http://www.cms.gov/MFFS5010D0/. External File

These samples are generic in nature and only contain fictitious information.

CMS Acknowledgement Overview Samples Zip File

CMS examples of the acknowledgements Zip File used in overview presentation.

  1. CMS_EXAMPLE_TA1.TXT
    This file contains a TA1 rejecting an Interchange Envelop which had an incorrect submitter identifier.
  2. CMS_EXAMPLE_999.TXT
    This file contains a 999 accepting a Functional Group which was accepted but contains errors.
  3. CMS_EXAMPLE_277CA.TXT
    This file contains a 277 Health Care Claim Acknowledgement rejecting a claim which contains invalid characters.

Testing Process

Vendors will need a vendor test ID with CEDI beginning with a V08 to preform testing.

  1. If you do not have a vendor test ID, please send an e-mail to the CEDI Help Desk to request a vendor test ID. You will need to include the name of the software and contact information.

    • If you already have a vendor test ID, please send an e-mail to the CEDI Help Desk to let them know that you would like to begin testing. Please provide the name of the software and contact information. Any required testing forms will be e-mailed.

  2. Software vendors will also need to complete the Vendor Testing Plan located on the CEDI Web site under Vendor Testing Information.

  3. Once approval is given by CEDI to begin testing, the software vendor will need to contact the CEDI Help Desk at 866-311-9184 for the initial password or a password reset if the ID has not been used in a while.

  4. All software vendors will need to send their test files under their vendor test ID. Connection to submit test files to the CEDI Gateway will be provided by Network Service Vendors. A list of approved Network Service Vendors is available on the CEDI Web site under Telecommunications.

  5. Once testing is completed successfully, CEDI will send an e-mail confirmation with approval. Please follow all instructions provided in the confirmation e-mail before sending production claims.

Contact Information

Vendors:

  • Please direct questions regarding testing to the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com.
  • Please contact the CEDI Help Desk for initial passwords or password resets at 866-311-9184.

Providers:

  • Contact your vendor for more information.

 

Post Date 05/07/13