CEDI Updates and Reminders

The Common Electronic Data Interchange (CEDI) is a contract that was awarded to National Government Services by the Centers for Medicare & Medicaid Services (CMS) to provide a standard front-end system for all DME MAC electronic trading partners/submitters. CEDI provides a single front-end solution for the submission and retrieval of DME MAC electronic transactions.

The following electronic transactions are handled by CEDI:

• Electronic claims ( ANSI X12N 837 and NCPDP)
• Delivery of all electronic front end reports
• Delivery of Electronic Remittance Advices (ERA)
• 276/277 Claim Status Request/Response Transactions

CEDI does not handle the enrollment applications or support for Claim Status Inquiry ( CSI) or Electronic Funds Transfer (EFT). CSI and EFT is handled by each DME MAC Jurisdiction.

CEDI Resources
The following CEDI resources are available:
Web site – www.ngscedi.com
Listserv – Available on the CEDI Web site ( www.ngscedi.com) under Listserv Registration

CEDI Help Desk
1-866-311-9184
Hours of operation are 9:00 a.m. – 9:00 p.m. (Eastern Time)
E-mail – ngs.cedihelpdesk@wellpoint.com

The CEDI Help Desk will answer questions and provide support for the following:

• Support for the HIPAA compliant Electronic Formats
• X12N 837 Claims
• NCPDP Claims
• X12N 276 Claim Status Request and X12N 277 Claim Status Response
• X12N 835 Electronic Remittance Advice
• CEDI Password Reset Requests (Call 1-866-311-9184 and select Option 3)
• CEDI Enrollment Status
• X12N 837 Claims
• NCPDP Claims
• X12N 276 Claim Status Request and X12N 277 Claim Status Response
• X12N 835 Electronic Remittance Advice
• Software Support for
• Express Plus
• PCAce Pro32
• MREP
• Verification of the receipt of electronic files
• Support of VMS Pre-Pass Error Reports
• Testing support for vendors and new electronic trading partners/submitters

Frequently Asked Questions document is available on the CEDI Web site

National Government Services, Common Electronic Data Interchange (CEDI) has a Frequently Asked Questions (FAQ) document on the CEDI Web site.

The FAQ document is a great resource to use prior to contacting the CEDI Help Desk. To locate the FAQ document, go to the "Resource Materials" section using the following link: http://www.ngscedi.com/outreach_materials/outreachindex.htm

Electronic Front End Reports delivered by CEDI
It is essential that all Trading Partners/Electronic Submitter download and review all front end reports returned by CEDI.

• National Government Services, Common Electronic Data Interchange (CEDI) creates and delivers the following Level I reports for each claim file submitted:
• TA1 (Note: Some systems may generate a TA1 report for accepted and rejected files, others will only generate a TA1 if the file rejects. Check with your software vendor to determine if your system generated both an accepted and/or rejected TA1.
• TRN
• 997
• GenResponse (GENRPT)

For more information on the Level I reports, access the CEDI Front End Reports Reference Document under the Resource Materials section of the CEDI Web site at: http://www.ngscedi.com/outreach_materials/outreachindex.htm

Questions regarding rejections on the TA1, TRN and/or 997 should be directed to your software vendor. Your vendor will know what needs to be corrected in order to pass these edits.

CEDI will provide support for the GenResponse (GENRPT) report.

• Electronic trading partners/submitters will also receive a Level II report from each DME MAC Jurisdiction that received claims in the file(s) sent to CEDI. These Level II reports are created by the DME MACs and delivered by CEDI.

Electronic Trading Partners/Submitters should first review the DME MAC Front End Edit Error Code Manual to identify the cause of the error before contacting the CEDI Help Desk. For more information on the DME MAC Level II errors, descriptions and report examples, access the DME MAC Front End Edit Error Code Manual under the Resource Materials section of the CEDI Web site at: http://www.ngscedi.com/outreach_materials/outreachindex.htm.

Note: Common Front End Edits (i.e., 20004, 20011, 20322, 40014 and many more) are listed in the DME MAC Front End Edit Error Code Manual. This manual provides the edit number/code, edit descriptions and edit explanations. Examples of these reports are included in the back of the manual.

Commonly asked questions on the Electronic Front End Reports are located in the CEDI frequently asked questions (FAQ) document and can be accessed using the following link: http://www.ngscedi.com/outreach_materials/outreachindex.htm.

CEDI created the resources referenced above to assist DME MAC electronic trading partners with understanding the electronic reports delivered by CEDI.

B108 Warning Message on the CEDI GenResponse (GENRPT) Report

Attention: All CEDI Trading Partners/Electronic Submitters, Software Vendors, Billing Services and Clearinghouses

The Common Electronic Data Interchange (CEDI) provides a B108 error message on the CEDI GenResponse (GENRPT) Report when the NPI is not linked to the Trading Partner (Submitter) ID. At this time, this is a warning message and does not reject claims submitted. Accepted claims with the B108 warning message are being forwarded to the appropriate DME MAC where front end edits will continue to be performed. These edits will validate the supplier is authorized for EDI transactions and perform NPI validation.

The CEDI edit B108 will be changed from a warning to a rejection on or before September 30, 2008. At that time claims that do not have an NPI matched to the Trading Partner (Submitter) ID will be rejected by CEDI and will not be forwarded to the DME MACs. It is important that electronic trading partners complete the steps below to correct the B108 warning message now and avoid future rejection of claims.

All DME MAC Electronic Trading Partners that receive the B108 warning message should complete the following steps. (If a Supplier Authorization Form has previously been submitted to CEDI for the Submitter ID and supplier NPI receiving the B108 warning message, please do not complete the steps below.)

1. The supplier must complete the Supplier Authorization Form by clicking on the following link: http://www.ngscedi.com/forms/formsindex.htm
2. Once complete, click on the submit button at the bottom of the form
3. Print the form
4. Sign the form on the last page where it indicates “Authorized DME Supplier Signature”
5. List the title of the signer and the date signed
6. Fax the form to CEDI at 315-442-4299
7. Retain a copy for your records

Note: The Supplier Authorization Form cannot be signed by a third party. This form MUST be signed by the supplier.

Post Date 08/08/08