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Enrollment Setup - 5010 and D.0 Transaction Options Only
Per direction received from the Centers for Medicare & Medicaid Services (CMS), beginning November 15, 2011, CEDI will no longer accept requests for new suppliers to be setup for X12 837 or NCPDP claims with a Trading Partner unless that Trading Partner has been approved for production X12 5010A1 or NCPDP D.0. Suppliers will only be allowed to be setup with Trading Partners who are in production with the 5010A1 or D.0 claims formats.
Any forms received beginning on November 15, 2011 with the transaction option selected as 4010A1 will be checked for the following situations:
- If the vendor is approved for the 5010A1/D.0 transaction options, the provider will be setup for 5010A1/D.0 instead of the 4010A1/5.1 transactions selected on the form.
- If the vendor is not approved for the 5010A1/D.0 transaction options, the form will be rejected. The vendor will be required to pass testing before the form can be resubmitted with the 5010A1/D.0 transaction options selected.
CEDI Enrollment will no longer process enrollment forms for the 4010A1/5.1 transaction options. All enrollment forms will be processed for the 5010A1/D.0 transaction options. Verify with your vendor that they are approved for the 5010A1/D.0 transaction options before completing any enrollment forms.
If you have any questions, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184.
Post Date 11/14/11
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