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CBH's relaxed edit on the Submitter ID
data element NM109 allows providers to use either their PROMISe ID
or their tax identification numbers. Please continue to follow the
CBH Companion Guides and the National Implementations Guides for
other data in file submission.
Providers whose files failed due to incorrect data in the Submitter
ID data element, must resubmit those files so that they can be
reprocessed. |
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Files submitted between 5/14 and 5/24,
2004, which moved successfully through HIPAA EDI system are
currently being processed in the CBH claims adjudication system.
Files submitted after 5/24 are in queue to be processed through CBH
HIPAA EDI system. CBH expects to move these files through HIPAA
processing beginning 6/1. Providers will not receive TA1 and /or 997
responses for these files until they are processed through the HIPAA
EDI system. |
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CBH has ceased enforcement of the edit
on submitter ID in the NMI segment. |
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A HIPAA Training was offered at CBH on
May 24-26. A PDF file of the presentation can be found on the
HIPAA Resources
Page. |
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May 25, 2004 |
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For your convenience, a copy of the
Payment Detail
File layout, also known as the
CBH Remittance Advice File, has been posted on the HIPAA Resources
Page. |
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May 19, 2004 |
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EDI Confirmation Reports
will not be available through the
browser interface until further notice, but providers will continue
to receive them by fax. |
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May 7, 2004 |
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The
EDI Confirmation Reports have not
been available through the EDI Browser interface as was previously
announced. We anticipate that you will be able to access these
reports next week and apologize for the inconvenience. |
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May 6, 2004 |
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The CBH Companion Guides for the
837P and 837I incorporate comments
from the
State Companion Guide
regarding the
PROMISe™
ID
that are incorrect. |
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These are the
incorrect instructions |
837 Professional
Page 16: Billing Provider
Secondary Identification 2010AA reads:
• Data Element REF02 will be in
‘TTPPPPPPPLL’ format, where: TT is the two-digit Group Type.
PPPPPPP is the seven-digit Group MAID
Number.
LL is the two-digit Group Address Code.
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Page 17: Pay-tp-Provider
Secondary Identification 2010AB reads:
•
Data Element REF02 will be in
‘TTPPPPPPPLLQ’ format, where:
TT is the two-digit Provider Type,
PPPPPPP is the seven-digit Provider MAID
Number,
LL is the two-digit Provider Address
Code.
Q is QSB indicator (Qualified Small Business). The value for the QSB
indicator is ‘9’ if the provider is a Qualified Small Business. If
the provider is not a Qualified Small Business, do not enter a value
for Q.
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837 Institutional
Page 16 Billing Provider
Secondary Identification reads:
• Data Element REF02 must contain the
provider information.
• Data Element REF02 will be in ‘TTPPPPPPP’ format, where: TT is the
two-digit Provider
Type. PPPPPPP is the seven-digit Provider MAID Number.
• For the 837 Institutional Inpatient claims, the two-digit Provider
Address Code and the onedigit
QSB Indicator (Qualified Small Business) does not apply.
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This is what you
should do instead |
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For Data Element
REF02 use your
PROMISe™
ID number found on your Schedule A. |
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This will be corrected in the next
revision of the CBH Companion Guides. |
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April 30, 2004 |
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Schedule As are now available through the EDI
Browser
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Since using incorrect billing codes is
one of the most frequent claims submission errors, we strongly
encourage you to refer to your most recent Schedule A. Copies of the most current version will
always be available through the EDI Browser interface.
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The Schedule As
from the EDI Browser are in Adobe PDF format.
To view and print these
files, you will need the free Adobe Acrobat Reader software. For
more information, see our help page |
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HIPAA
Alerts Archives |
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April 2004 |
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March 2004 |
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January - February 2004 |
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October - December 2003 |
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HIPAA Resources |
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HIPAA FAQ |
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