Enhanced Claim Status
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
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 firstname.lastname@example.org
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. email@example.com.
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.
Medicare System Delays (FISS, MCS, CMS) – Claims and Remits 08.23.2017 – UpdateAugust 23, 2017 2:08 pm
Last updated on August 31st, 2017 at 06:53 pm CT
[3:15p.m. CT] This issue has now been resolved.
Medicare System Delays – Claims and Remits
Description of Problem
The Medicare MACs have been experiencing latency issues with the Fiscal Intermediary Standard System (FISS) and the Multi-Carrier System (MCS). The Centers for Medicare & Medicaid Services (CMS) has been experiencing issues with connectivity.
What This Means to You
Receiving answers may be slow due to the system issues and timeouts may occur. The interactive voice response (IVR) system and NGSConnex may also be slower for you to access information.
8/23/2017: The MACs are working with system maintainers to resolve this issue.
Delayed ERA Processing, Meridian Health Plan – 08.21.2017August 21, 2017 2:45 pm
Last updated on September 5th, 2017 at 03:48 pm CT
An interruption had been identified in normal Electronic Remittance Advice (ERA) processing and delivery for Meridian Health Plan. This impacts some ERA expected from the above Payer for processing. It results in delivery delays for the impacted ERA because valid files from the Payer were not received. Efforts to resolve this issue continue. No action is required.