Experian Health Release Notes – 08.03.2017

Last updated on September 13th, 2017 at 12:00 pm CT

Release Date:
Thursday, August 3, 2017 at 10:00p.m. CT

Change Overview:
ClaimSource Payer Rules Released to Production –  Thursday, August 3, 2017
All Payers, Professional Claims, CPT 99024 is exempt from invalid $0 total charges rule. PA Medicaid – All Claims. Recipient ID Numbers. Tricare Institutional Claims, Payer IDs 57106, 61125 or 97726.  (Error if Tricare ICD/DCN exists and it is not 13 digits in length on bill type xx7.) Read Dashboard Post

Scheduled Maintenance, Extended Interruption – Thursday, August 3-4, 2017
On Thursday, August 3-4, 2017, during our normal maintenance window, we will perform hardware  updates for STAT Scheduling services, including all Medical Necessity and Authorizations products. Beginning at 10:00p.m. CT until 1:30a.m. CT (August 4) our Medical Necessity and Authorizations products will be offline for these hardware upgrades.

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Retiring Duplicate NEBO Alerts – Thursday, August 3, 2017
Old NEBO alerts will be retiring on Thursday, August 3, 2017 in an effort to remove duplicates. These alerts will be replaced by new and improved NEBO alerts.  The new alerts will not limited to any single payer, but will be covering all payers, as opposed to the previous alerts being retired.  All client configurations and properties from the retiring alerts will be automatically transferred to the new NEBO alerts to ensure a smoother transition. If you have an Epic build, look at the character count for the retired alerts and make appropriate adjustments.
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Scheduled 30-Minute Processing Delays,
Weekday Evenings of
August 14, 2017
Some clients may experience a brief 20-minute delay on weekday evenings, beginning the week of Monday, August 14, 2017 between 10:00p.m. and 10:30p.m. CT.  This is unlikely to result in any downtime, but may minimally delay transaction processing for some clients.

Notice – Scheduled Processing Interruption, Thursday, August 17, 2017
During our scheduled maintenance there will be a two-hour downtime for all Patient Access and Financial Services products, Thursday, August 17, 2017, from 10:00p.m. to 11:59p.m. CT. This affects all clients who use OneSource, EDI, eCareNext (ECN), PaymentSafe, Patient Estimates (PE),  Registration Quality (RQA), and Care Certainty.  Due to the scale of this change, clients may also expect 60-minutes of processing slowness to occur between 12:00a.m. and 1:00:a.m. CT. (August 18th).

Important Reminder – Continued Migration of VPN Tunnels
until August 18, 2017

Through August 18, 2017 and part of our ongoing efforts to improve system performance and stability, Experian Health (f/k/a Nebo Systems/Passport Health Communications) will migrate our VPN tunnels from our data center in Chicago, Illinois, to our data center in Franklin, Tennessee.   Any updates will be posted on our product dashboard. Read Dashboard Post  Please understand that this change represents only a very small and limited number of our clients being affected. However, in the event your data connection is disrupted, please immediately contact our support team at customer.support@experianhealth.com.

Experian Health  –  Batch Processing for Monday, August 7, 2017
The Experian Health Systems Team remains committed and focused on delivering the highest level of availability for all products. We continue to make technology, people, and process changes to improve our service. In preparation for the increased requests on Monday, August 7, 2017, we want you to be aware of the following issues.
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  • BatchSource and Coverage Discovery inquiries (which utilize batch processing) will be available after 2:00p.m. CT on Monday, August 7, 2017.
  • Please Note:  This does not effect On Demand Coverage Discovery inquiries which are preformed within our other interface platforms.
  • If your facility sends real-time batches through an EDI interface on Monday, August 7, 2017, you may notice a longer delay than usual. This is because we will throttle the number of outstanding and simultaneous inquiries (allowable by the customer) to insure that real-time requests receive processing priority.
  • As usual, it is not necessary to resubmit your eligibility inquiries in the event a payer is unavailable, or when you do not receive an immediate response. We will hold your inquiries and submit them for processing when the payer begins accepting requests.

Reminder – Medicare Usage, Rules of Behavior, Monday, August 7, 2017
Medicare continues to monitor eligibility transaction volumes on the 1st and 1st Monday of each month. This will include Monday, August 7, 2017. The purpose of this monitoring is to maintain the performance of their eligibility system, as they continue to see higher than normal transaction volumes on these days. CMS has published modified Rules of Behavior to address the issues identified as problematic. Read Dashboard Post

CMS now considers the following examples of aberrant and/or unauthorized behavior to include:

  1. Submitting high inquiry volume.
  2. Submitting transactions that receive a high error rate.
  3. Inappropriate use of service type codes.
  4. Using automated processes for sending large numbers of eligibility requests in a short period of time or high ratio of eligibility inquires to claims submitted.
  5. Submitting eligibility requests using the same NPI and HICN number 30 or greater times in a 24-hour period.

New Medicare Beneficiary Identifier, (MBI) – Announcement, April 2018
CMS recently announced changes to the Medicare Beneficiary Identifier (MBI).  In order to provide you the most current information on the MBI change we will continue our product dashboard as we receive more information from CMS. Once this change if effective, scheduled for April 2018, we will also modify search criteria to support the new MBI. The transition period where both MBI’s and HICN numbers will both be available is now scheduled to be for a 21-month period.  New Medicare cards offer greater protection to more than 57.7 million Americans. New cards will no longer contain Social Security numbers, to combat fraud and illegal use.  Read Dashboard Post

Visit Experian Health’s Product Dashboard
Our product dashboard provides you with near real-time information about our products, important announcements, and upcoming release notes. We would also like to encourage you to invite other team members and colleagues within your organization to subscribe to dashboard.  If you have any questions about the Experian Health Product Dashboard, please email our exceptional Customer Support team.   customer.support@experianhealth.com.

Special Notes:
Weekly Deployment Schedule:
Experian Health’s weekly application deployment is between 8:00p.m. and 10:00p.m. CT every Thursday night. However, our deployment process typically results in no customer impact or downtime. If we suspect a change will impact customers, we will communicate forty-eight hours in advance. The hardware and systems maintenance follows the application deployment Thursday nights from 10:00p.m. to 12:00a.m. CT. During this window customers may experience intermittent processing issues.

Previous Deployment Detail:
Previous deployment notes can be viewed on our new
Experian Health Product Dashboard.