Passport Medical Necessity
Medical Necessity / Authorizations – Processing Delays 12.7.17 – ResolvedDecember 7, 2017 8:29 am
Last updated on December 15th, 2017 at 01:15 pm CT
The Experian Health technical teams are aware of an issue that is causing processing delays with the Medical Necessity and Authorizations products. We do not have an ETA at this time. Any additional information will be posted here.
This issue was resolved at approximately 1:00p.m. CT on 12/7/17
Notice – Jurisdiction J Transitions, Cahaba to Palmetto – Effective Jan. 29, and Feb. 26, 2018November 15, 2017 2:21 pm
Last updated on January 12th, 2018 at 12:57 pm CT
TRANSITION FROM CAHABA TO PALMETTO
On September 7, 2017, the Centers for Medicare & Medicaid Services (CMS) announced that Palmetto GBA will begin transition of the new A/B Medicare Administrative Contract (A/B MAC) for Jurisdiction J (JJ), which includes Alabama, Georgia and Tennessee.
Below are the effective dates of the transition, along with the newly assigned contractor codes.
Part A – Effective 1/29/2018
Georgia Part A – Contractor code 10211
Tennessee Part A – Contractor code 10311
Part B – Effective 2/26/2018
Georgia Part B – Contractor number 10212
Tennessee Part B – Contractor number 10312
Regardless of the date of service, all claims processing, customer service and payments will be handled by Palmetto GBA JJ MAC upon the listed effective dates. Cahaba GBA will transfer all pending and in-process operations to Palmetto GBA JJ MAC at that time, including claims, appeals and enrollment applications.
A new Electronic Funds Transfer (EFT) agreement will NOT be required as your existing agreement will be transferred to Palmetto GBA. You will not need to take further action and your current EFT will remain in effect.
Experian Health providers currently submitting claims to Cahaba GBA will not be required to re-enroll or complete a new provider enrollment application with Palmetto GBA.
No payer code changes are required. Experian Health providers should continue to submit their claims using the following payer codes:
- Georgia Medicare Part A: 12M05
- Georgia Medicare Part B: SMGA0
- Tennessee Medicare Part A: 12M53
- Tennessee Medicare Part B: SMTN0
Medical Necessity / Order Checker – Intermittent Slow Responses During Peak Usage – 10.11.17 – ResolvedOctober 11, 2017 8:17 am
Last updated on October 22nd, 2017 at 09:06 pm CT
[10/11/17 8:00a.m. CT]
Medical Necessity / Order Checker – Intermittent Slow Responses During Peak Usage
The Experian Health technical teams are aware of an issue that is causing intermittent slow response times from Medical Necessity and Order Checker during periods of peak usage. The team has identified a possible root cause and is working on a solution at this time as a top priority. We do not have an ETA at this time. Any additional information will be posted here.
[10/19/17 4:00p.m. CT]
Resolved – after several days of monitoring response times after the recent hardware upgrade the performance appears to have improved substantially. The occurance of peak time response issues has drop dramatically.
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.
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