Archived EDI News

One of our goals at AdminaStar Federal is to provide you with the most up-to-date information available. On this page, you will find news about EDI. Please select from one of the topics below, or scroll to your topic of choice:

All Providers
Article	Archive Date	CR#
Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice Revised	07/09/07	5081
Important Guidance Regarding NPI Usage in Medicare Claims Revised	07/09/07	SE0659
CMS Announces the NPI Enumerator Contractor and Information on Obtaining NPIs Revised	07/09/07	SE0528
Claims Submitted With Only an NPI During the Stage 2 NPI Transition Period Revised	07/09/07	5378
Stage 2 Requirements for Use and Editing of NPI Numbers Received in EDI Transactions, via Direct Data Entry Screens or Paper Claim Forms Revised	07/09/07	4023
Stage 3 National Provider Identifier (NPI) Changes for Transaction 835, and Standard Paper Remittance Advice (RA)	07/09/07	5452
Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC)	07/09/07	5601
Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan Revised	07/09/07	5595
E-Commerce Connection - April 2007 (EDI Newsletter) PDF	07/09/07	N/A
E-Commerce Connection- April 2007 (EDI Newsletter) HTML	07/09/07	N/A
DDE, PPTN and CSI Screen Changes Effective April 1, 2007	07/09/07	N/A
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update	07/09/07	5456
National Provider Identifier (NPI) Reminder	07/09/07	N/A
Healthcare Provider Taxonomy Codes (HPTC) Update	07/09/07	5436
Rules of Behavior Governing Medicare Eligibility Inquiries	07/09/07	5431
EDI Gateway Maintenance	07/09/07	N/A
Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI)	07/09/07	SE0679
Remittance Advice Remark Code and Claim Adjustment Reason Code Update	07/09/07	5346
Claims Submitted With Only a NPI During the Stage 2 NPI Transition Period	07/09/07	5378
Electronic Data Interchange (EDI) Media Changes Revised	07/09/07	5225
E-Commerce Connection- October 2006 (EDI Newsletter) PDF	07/09/07	N/A
E-Commerce Connection- October 2006 (EDI Newsletter) HTML	07/09/07	N/A
Ending the Contingency Plan for Remittance Advice (RA) and Charging for PC Print, Medicare Remit Easy Print (MREP), and Duplicate RAs	07/09/07	5308
National Provider Identifier (NPI)	07/09/07	N/A
Scheduled National Plan and Provider Enumeration System (NPPES) Downtime	07/09/07	N/A
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update	07/09/07	5212
Correction of Business Requirement 4320.19 as Contained in CR4320 Regarding National Provider Identifier Information	07/09/07	5217
Important Guidance Regarding National Provider Identifier (NPI) Usage in Medicare Claims	07/09/07	SE0659
Revise Chapters 22 and 24 to Delete References to Free Downloads of X12 Implementation Guides Adopted as HIPAA Standards from Washington Publishing Company (WPC)	07/09/07	5247
Modification of National Provider Identifier (NPI) Editing Requirements in CR4023 and an Attachment to CR4320 Revised	07/09/07	5229
End of Contingency for Electronic Remittance Advice (ERA)	07/09/07	SE0656
E-Commerce Connection-July 2006 (EDI Newsletter) PDF	07/09/07	N/A
E-Commerce Connection-July 2006 (EDI Newsletter) HTML	07/09/07	N/A
Ending the HIPAA Contingency for Remittance Advice	07/09/07	SE0646
Countdown Begins - Get Your NPI!	07/09/07	N/A
NPI Tips	07/09/07	N/A
EFI Now Available	07/09/07	N/A
Options for Providers/Suppliers Affected by CR4376: Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More	07/09/07	SE0627
MMA - Assignment of Physicians, Providers, and Suppliers to the Medicare Administrative Contractors (MACs)	07/09/07	SE0624
Centers of Medicare and Medicaid Services Listserv Initiative	07/09/07	JSM 06403
Update to Chapter 24 CMS Website URL References	07/09/07	4398
E-Commerce Connection-April 2006 (EDI Newsletter) PDF	07/09/07	N/A
E-Commerce Connection-April 2006 (EDI Newsletter) HTML	07/09/07	N/A
Remittance Advice Remark Code and Claim Adjustment Reason Code Update	07/09/07	4326
Stage 1 Use and Editing of National Provider Identifier Numbers Received in Electronic Data Interchange Transactions, via Direct Data Entry Screens, or Paper Claim Forms	07/09/07	4320
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code	07/09/07	4314
NPI News: Information on Electronic File Interchange (EFI) Released	07/09/07	N/A
Shared Systems MSP Balancing Edit and ASCA Enforcement Update	07/09/07	4261
Claim Status Category Code and Claim Status Code Update	07/09/07	4256
Healthcare Provider Taxonomy Codes (HPTC) Update	07/09/07	4254
Announcement of Redesigned National Provider Identifier (NPI) Web Page	07/09/07	N/A
Revision to Chapter 31 – Attestation Form for Conducting Real Time Eligibility Inquiries with Medicare Revised article posted 02/21/06	07/09/07	4093
Revision to Chapter 31 – Addition of Hospice Data to HIPAA 270/271 Eligibility Inquiry and Response Transactions	07/09/07	4193
Termination of the Medicare Health Insurance Portability & Accountability Act (HIPAA) Incoming Claim Contingency Plan, Addition of a Self-Assessable unusual Circumstance, Modification of the “Obligated to Accept as Payment in Full”(OTAF) Exception, and Modification of Administrative Simplification Compliance Act (ASCA) Exhibit Letters A, B and C	07/09/07	4119
Termination of the Existing Eligibility File-Based Crossover Process at All Medicare Contractors	07/09/07	4231
Medical Review Matching of Electronic Claims and Additional Documentation	07/09/07	4052
New Telephone Number for the EDI Helpdesk	07/09/07	N/A
E-Commerce Connection-January 2006 (EDI Newsletter) PDF	04/07/06	N/A
E-Commerce Connection-January 2006 (EDI Newsletter) HTML	04/07/06	N/A
National Provider Identifier - Enumerator Website Information	01/27/06	JSM 05402
Electronic Remittance Advice Information	01/27/06	N/A
Administrative Simplification Compliance Act (ASCA) Mandatory Electronic Submission of Medicare Claims	01/27/06	3440
The Centers for Medicare & Medicaid Services (CMS) Consolidation of the Claims Crossover Process	01/27/06	SE0504
E-Commerce Connection-October 2005 (EDI Newsletter) PDF	01/11/06	N/A
E-Commerce Connection-October 2005 (EDI Newsletter) HTML	01/11/06	N/A
E-Commerce Connection-April 2005 (EDI Newsletter) PDF	10/03/05	N/A
E-Commerce Connection-April 2005 (EDI Newsletter) HTML	10/03/05	N/A

Carrier
Article	Archive Date	AP#
Medicare Part B Front-End Edits, Effective 07/02/07	07/09/07	N/A
Report Change for Med B Front-End Report, effective 07/02/07	07/09/07	N/A
Reporting the NPI on Physician Claims for Clinical Diagnostic Services Purchased Outside of the Local Carrier's Jurisdiction	07/09/07	5289
Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC)	07/09/07	5601
NPI and Billing/Rendering Provider Information Claim Denials, effective May 18, 2007	07/09/07	N/A
Temporary Addition to the Administrative Simplification Compliance Act (ASCA) Exception List for Medicare Secondary Payer (MSP) Claims	07/09/07	R5488
Medicare Part B Front-End Edits Relating to the National Provider Identifier (NPI) Crosswalk Testing	07/09/07	JSM 07206
National Provider Identifier (NPI) Crosswalk Testing	07/09/07	JSM 07206
Medicare Part B Front-End Edit Report Updates	07/09/07	N/A
Medicare Part B Front-End Report Changes for Edits M340-M351	07/09/07	N/A
Medicare Remit Easy Print (MREP) Version 1.9	07/09/07	N/A
Medicare Part B Front-End Edit Report Changes	07/09/07	N/A
New Medicare Part B Front-End Edits effective October 2, 2006	07/09/07	N/A
Medicare Remit Easy Print (MREP) Update	07/09/07	5032
Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More	07/09/07	4376
Medicare to Stop Mailing Standard Paper Remittance (SPR) for Those Providers/Suppliers Also Receiving the Electronic Remittance Advice (ERA)	07/09/07	4376
2005 Revised American National Standards Institute X12N 837 Professional	07/09/07	4260
MREP Enhancements, and Clarification of Check Issue/EFT Effective Date	07/09/07	4289
Medicare Remit Easy Print (MREP) Software (Revision)	07/09/07	SE0611
Express Plus Computer Based Training Course - Now Available	07/09/07	N/A
Smoking and Tobacco Use Cessation Counseling Services: Common Working File Inquiry for Providers	07/09/07	4104
ATTENTION!! Medicare Remit Easy Print (MREP) Software	07/09/07	N/A
New Medicare Part B Front End Edit effective April 3, 2006	06/15/06	N/A
New and Updated Med B Front End Edit effective January 3, 2006	03/08/06	N/A
Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.0 (MM3716)	01/27/06	3716
Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services (MM3630)	01/27/05	3630
New and Updated Med B Front End Edit effective October 1, 2005	12/21/05	N/A
New and Updated Med B Front End Edit effective April 4, 2005	06/28/05	N/A
Medicare Secondary Payer (MSP) Changes This file contains the changes relating to MSP. The AdminaStar Federal Medicare Part B processing system will begin capturing and retaining Medicare Secondary Payer (MSP) claims payment data at the line level beginning January 1, 2001.	01/14/05	N/A

Jurisdiction B DME MAC
Article	Archive Date	CR#
New DMEPOS CMNs and DIFs for Claims Processing Revised 04/16/07	07/09/07	4296
New Contractor Number for CIGNA Government Services, LLC-Jurisdiction C DME MAC Workload	07/09/07	5548
Electronic Oxygen Claims Rejecting with Edit Code 40076	07/09/07	N/A
EDI Computer Based Training (CBT) Courses Available	07/09/07	N/A
Clarification of new CMNs and DIFs	07/09/07	4296
New DMEPOS Certificates of Medical Necessity (CMN) Technical Guide (Revised 12/28/06)	07/09/07	4296
Medicare Remit Easy Print (MREP) Version 1.9	07/09/07	N/A
EDI Support for the Jurisdiction B DME MAC	07/09/07	N/A
New, Updated and Deleted DME MAC Front End Edits effective October 2, 2006	07/09/07	N/A
NCPDP Coordination of Benefits (COB) Companion Document Update	07/09/07	5080
NCPDP Coordination of Benefits (COB) Workaround Instructions	07/09/07	4290
DME MAC Electronic Claim File Testing Procedures	07/09/07	N/A
Chapter 24 Update to the NCPDP Narrative Portion of Prior Authorization Segment	07/09/07	5092
Important Information for Electronic Submitters - June 27, 2006 through July 3, 2006	07/09/07	N/A
Jurisdiction B DME MAC Transition Information for Software Vendors, Clearinghouses and Billing Services	07/09/07	N/A
Medicare Remit Easy Print (MREP) Update	07/09/07	5032
Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More	07/09/07	4376
Medicare to Stop Mailing Standard Paper Remittance (SPR) for Those Providers/Suppliers Also Receiving the Electronic Remittance Advice (ERA)	07/09/07	4376
New and Updated DMERC Front End Edits effective April 3, 2006	07/09/07	N/A
2005 Revised American National Standards Institute X12N 837 Professional	07/09/07	4260
MREP Enhancements, and Clarification of Check Issue/EFT Effective Date	07/09/07	4289
Medicare Remit Easy Print (MREP) Software (Revision)	07/09/07	SE0611
Electronic Claim Submission for Break in Service Claims	07/09/07	N/A
Express Plus Computer Based Training Course - Now Available	07/09/07	N/A
ATTENTION!! Medicare Remit Easy Print (MREP) Software	07/09/07	N/A
Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.0 (MM3716)	07/09/07	3716
New and Updated DMERC Front End Edits effective January 3, 2006	03/08/06	N/A
New and Updated DMERC Front End Edits effective October 1, 2005	01/27/06	N/A
FA0.48 - Obligated Accept Amt This is an important notice to all Region B DMERC Vendors. This file details an UPDATE to the 732 edit effective April 15, 2001.	01/14/05	N/A
Medicare Secondary Payer (MSP) Changes This file contains the changes relating to MSP. The AdminaStar Federal Medicare DMEPOS processing system will begin capturing and retaining Medicare Secondary Payer (MSP) claims payment data at the line level beginning January 1, 2001.	01/14/05	N/A

Intermediary
Article	Archive Date	CR#
Reporting the NPI on Physician Claims for Clinical Diagnostic Services Purchased Outside of the Local Carrier's Jurisdiction	07/09/07	5289
MM5334 Revised American National Standards Institute (ANSI) X12N 837 Institutional Health Care Claim Companion Document (REVISED)	07/09/07	5334R
Medicare Part A EDI Front-End Accept/Reject Report Changes	07/09/07	06-0877
DDE Screen Changes, effective June 19, 2006	07/09/07	N/A
2006 Revised American National Standards Institute X12N 837 Institutional Health Care Claim Companion Document	07/09/07	06-0877
Smoking and Tobacco Use Cessation Counseling Services: Common Working File Inquiry for Providers	07/09/07	N/A
Med A Tran Accept/Reject Changes Effective October 3, 2005	01/27/06	N/A
Changes to Network Service Vendors Notification of Changes to Network Service Vendors (Medicare Intermediary Manual, Transmittal 1855, dated April 26, 2002).	01/14/05	N/A

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