ClaimSource Release Notes – 10.12.2017October 12, 2017 10:38 pm
Last updated on October 12th, 2017 at 10:38 pm CT
- Denials Work Queue – New filters added for diagnosis, procedure and DRG
- Reports – Renamed Payer ID to Transmit Code on “Filter by Payer” report filters to more accurately reflect the search criteria. For reports previously showing a Payer ID column, the column titled is also renamed to Transmit Code.
More information on these items is available by clicking the link below:
New Arkansas Medicaid Enterprise MMIS – Claims and Remits – 10.05.2017October 5, 2017 2:07 pm
Last updated on October 16th, 2017 at 02:19 pm CT
Please be advised that because of the changes the Arkansas Department of Human Services (DHS) will be making, the payer has stated that any Provider IDs that are currently associated to our current Trading Partner ID to receive remits will be transferred and linked to our new Trading Partner ID.
To verify if your NPI has been linked to our new Trading Partner ID, please contact AR Medicaid at 501-376-2211, Option 0 and then Option 1 and ask if your NPI is linked to Trading Partner ID # our new TPID is TP010786.
New Arkansas Medicaid Enterprise MMIS – Claims and Remits – 10.05.2017
The Arkansas Department of Human Services (DHS) will have a new Arkansas Medicaid Management Information System (MMIS). We are pleased to announce that our trading partner enrollment application in new MMIS system has been accepted and approved by the State.
The new MMIS will bring cutting edge technology to DHS, Arkansas Medicaid providers and beneficiaries. Go-live of the new Medicaid Management Information System for trading partners is scheduled for October 26, 2017. Deadline to Submit Claims to process in the legacy system is October 20 @ noon CST. We encourage all providers to submit their claims early in the morning in order to make the cut off time. Any claims received after will be held in our system and on October 23, 2017, claims will be submitted to the new system but will be held by Arkansas Medicaid for processing until October 26, 2017. Normal processing will occur in the new system on October 26, 2017.
Early registration for the new HealthCare Provider Portal is open. Arkansas Medicaid providers can register for portal access and assign delegate access now. (HTML, new window). All provider portal functionality will be available after Go-live of the new MMIS on November 1, 2017!
Registering for access and assigning delegates proper access are a provider’s first steps to begin using the new healthcare provider portal. We encourage providers to attend training sessions to understand the portal registration process and delegate access options covered in the workshops. Training will help ensure your success with the new provider portal. For more specific information about provider changes, please visit https://www.medicaid.state.ar.us/provider/frontline.html.
Please note Arkansas Medicaid requires linkage to our new Trading Partner ID to receive remits, it is not a requirement to send claims. During registration, we attempted to link Provider IDs we are currently receiving remits for to our new Trading Partner ID. Please carefully review and ensure that all your Provider IDs are linked to our new Trading Partner ID to avoid any disruption of remit delivery.
For reference, Experian Health is registered within Arkansas Medicaid Management Information System (MMIS) systems as shown below:
Trading Partner ID: TP010786
Trading Partner Name: Experian Health, Inc.
720 Cool Springs Blvd
Franklin, TN 37067
Experian Health will continue to post notices on the ClaimSource Dashboard, which can be accessed by providers at http://www.experianhealthproductdashboard.com under the heading “New Arkansas Medicaid Enterprise MMIS”
ClaimSource Release Notes – 09.28.2017September 28, 2017 9:21 pm
Last updated on September 28th, 2017 at 09:21 pm CT
- Denials Work Queue – CPT/HCPCS filter now allows range and wildcard searches (see documentation below for details)
- Denials Work Queue – New filter for finding payments with a specific reason code and CPT/HCPCS combination. CPT Range and wildcard searches can be used here as well.
- Reports – New report: Claim totals by provider
- Claims Work Queue – “Clean Claims” filter has been renamed “Claims Without Open Errors or Holds” to properly reflect the actual logic behind the search.
Click the link below to view the detailed documentation:
Connectivity Issue – Remits, Illinois Department of Public Aid – 09.29.2017 – ResolvedSeptember 28, 2017 2:03 pm
Last updated on October 2nd, 2017 at 06:54 pm CT
This issue has now been resolved and remit files are being downloaded.
We are experiencing connectivity issues when downloading remits from Illinois Department of Public Aid. Our team is currently working on resolving the issue and we will post an update as soon as the issue is resolved.
ClaimSource Payer Rules Released to Production – Thursday, Sept. 28, 2017 – 09.25.2017September 25, 2017 3:20 pm
Last updated on September 27th, 2017 at 11:56 am CT
The following ClaimSource payer rules will be released to production Thursday, 9/28/17:
- Excellus/BCBS (EDI codes SB804/SB805/SB806) – Professional Claims received after 8/3/17 require NDC codes for HCPCS codes J0000-J9999.
- Traditional Medicare Institutional Outpatient Claims – Attending Physician not allowed for emergency trips; HCPC codes A0427, A0429 – A0434, and A0428 with QL modifier.
- BCBS Michigan (ID Code 00210) – All Institutional claims must have an A3(primary), B3(Secondary) or C3(tertiary) value code https://www.bcbsm.com/content/dam/public/Providers/Documents/hipaa-edi-health-care-claim-institutional.pdf Page 18
Possible ClaimSource Errors, Validating or Saving – 09.22.2017 – ResolvedSeptember 22, 2017 11:37 am
Last updated on September 25th, 2017 at 04:51 pm CT
[09.22.2017@ 11:50a.m. CT] This issue has been resolved.
[09.22.2017@ 11:30a.m. CT]
We have received reports and are investigating possible errors within the ClaimSource application that may occur when validating or saving a claim. We will update this message as soon as the problem has been resolved.
Multiple Payers, Claim Delivery, Invalid Rejections on Sept 11-12, 2017 – 09.19.2017September 19, 2017 1:45 pm
Last updated on September 19th, 2017 at 01:45 pm CT
Efforts to resolve this issue are complete and normal processing is occurring.
However, when new reports are received, please review carefully for new claim status information.
Reports will be delivered directly to the provider not to the vendor.
CLAIMS WITH INVALID REJECTIONS
A disruption has been identified in normal EDI claim processing and delivery to the above Payers. This results in rejections for the impacted claims processed on 9/11/2017 through 9/12/2017. These claims have rejected at the Payer for apparently invalid reasons with the following errors:
ACK/REJECT RELATIONAL – Submitter not approved for electronic claim submissions on behalf of this entity. Usage: This code requires use of an Entity Code. – Submitter
ACK/REJECT RELATIONAL – Entity National Provider Identifier (NPI). Usage: This code requires use of an Entity Code. – Billing Provider”.
12X28 – AH PPO (NON-HMO) NEW JERSEY
TA720 – AMERIHEALTH ADMINISTRATORS
23037 – AMERIHEALTH HMO NJ, DE AND PA
54763 – AMERIHEALTH ADMINISTRATORS
SX055 – KEYSTONE HEALTH PLAN EAST
SX074 – AMERIHEALTH – DE (NON-HMO CLAIMS) – MEDICAL
SX075 – AMERIHEALTH – NEW JERSEY (NON-HMO CLAIMS) – MEDICA
SX083 – IBC PERSONAL CHOICE
12X25 – KEYSTONE HEALTH PLAN EAST
12X26 – IBC PERSONAL CHOICE
ClaimSource Release Notes – 09.14.2017September 14, 2017 10:48 pm
Last updated on September 14th, 2017 at 10:48 pm CT
- New Report – Claim totals by payer
- UB04 Maintenance – Added ability to edit rendering provider at the charge level
- Custom Tables – Added ability to download a spreadsheet template (with or without data)
- Custom Tables – Added ability to upload data from the template spreadsheet
- Forms – A counter showing the number of remaining characters is displayed for large text boxes
- Claim Maintenance – Error panel displays “Ignored” checkbox area more concisely
Click on link to see detailed document of enhancements:
Welcome – To Experian Health’s New Product DashboardAugust 31, 2017 6:42 pm
Last updated on October 18th, 2017 at 11:55 am CT
Welcome to Experian Health’s New Product Dashboard
On August 31, 2017, we completed the transition to our new product dashboard.
We want to encourage you to visit our new product dashboard on your mobile device and invite other team members and colleagues within your organization to subscribe. Our new product dashboard has the same URL Address as before. http://www.experianhealthproductdashboard.com/
Subscribing is Easy
Just visit our product dashboard (link below) and choose “Subscribe.” Enter the email address where you want to receive your notifications. Subscribing to our product dashboard provides you with near real-time information about our products, important announcements, maintenance, and upcoming release notes.
After subscribing, please make sure you adjust any spam or junk email filters so that your email notifications will correctly go to the inbox of the email address that you enter. Post notifications will come from Experian Health Product Dashboard email@example.com
Hint: For our clients who are on-the-go and would like to receive their notifications via standard SMS/MMS text message, you can use the link below to enter your mobile telephone number and your mobile phone carrier’s gateway, as your Subscription. SMS/MMS notifications are only available if supported by your mobile phone carrier. Click Here to learn more about your mobile carrier’s email to SMS/MMS gateways to use as a Subscription to our dashboard notifications with your mobile device.
If you have any questions about the Experian Health Product Dashboard, please email our exceptional Customer Support team. firstname.lastname@example.org.
Informational Notice regarding Health Alliance of Illinois Claims – 08.25.2017August 29, 2017 12:41 pm
Last updated on August 29th, 2017 at 12:41 pm CT
Informational Notice regarding Health Alliance of Illinois Claims
We’ve been informed thru our trading partner that Health Alliance of Illinois (Payer Code 77950 is experiencing system issues which prevents Health Alliance provider service representatives from seeing some claims in their system. Please note, however, that the claim responses received by our clearinghouse from the payer are correct. The payer is aware of the issue and is working toward a resolution but as yet, no ETA has been established.