Experian Health Release Notes – 10.19.2017October 19, 2017 12:21 pm
Last updated on October 19th, 2017 at 04:47 pm CT
Thursday, October 19, 2017 at 10:00p.m. CT
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Important Notice – TLS 1.2 Security Requirements – Due October 31, 2017
Experian Health is focused on helping our customers improve their security by using the latest security protocols. On October 31, 2017, Experian Health will require TLS 1.2. At Experian Health, we take the protection of our customer’s data very seriously. The disablement of TLS 1.0 and 1.1 is being undertaken so we can maintain the highest security standards and promote the safety of your data as well as align with industry-wide best practices. Click on the headline to read more and to download FAQs.
Important Notice – Scheduled Downtime Interruption – Thursday, October 19, 2017
During our scheduled maintenance Thursday, October 19, 2017, between 10:00p.m. CT and 11:59p.m. CT. there will be a two-hour downtime for all Patient Access, Financial Services, Coverage Discovery, and Core products. Product access to Financial Assistance Screening, Propensity to Pay, and Patient Identity Verification will also be interrupted. Due to the scale of this change, some clients may also expect 60-minutes of processing slowness to occur early Friday, October 20, between 12:00a.m. CT and 1:00a.m. CT. We apologize in advance for any inconvenience this may cause. Should you have any questions or concerns regarding this system downtime, please reach out to our exceptional Customer Support team.
Patient Self Service – Deployments Scheduled – Thursday, October 19, 2017
Experian Health will be deploying specific technical revisions to the Patient Self Service applications. This will be completed during our normally scheduled maintenance period this evening. To access specific details about this deployment, click the headline to visit our post on the product dashboard.
Notice – Scheduled Maintenance Interruption – Morning of Saturday, October 21, 2017
The Experian Health Engineering team is planning a maintenance window on the morning of Saturday, October 21, 2017 between 5:00a.m CT and 8:00a.m. CT. During this time period, you will be unable to access Contract Manager, Claim Scrubber, Patient Responsibility Pricer, and Payer Alerts. Each of these applications will be unavailable. Our Real-Time Scrubber and HL7 transaction processing will also be unable during this time. We have scheduled this maintenance period to reduce any impact this may cause and we apologize in advance for any inconvenience.
CMS Medicare HETS 270/271 Scheduled Outage – Saturday, October 21-22, 2017
CMS announced an upcoming outage to the Medicare HETS 270/271 eligibility system. CMS data center maintenance will begin at 10:30 PM CT on Saturday, October 21, 2017. The HETS 270/271 system will be unavailable during this period. Attempts to open a connection to the HETS 270/271 application will result in errors. CMS estimates that the maintenance window will be completed by 7:00 AM CT on Sunday, October 22, 2017.
Reminder – Data Services, Scheduled Downtime – Wednesday, October 25, 2017
On Wednesday, October 25, 2017, between 1:30p.m. CT and 4:00p.m. CT. our Data Services team we will perform a database upgrade. During this time, certain reports on the Reporting Portal will not be available and includes Eligibility, PaymentSafe, Authorizations, and Notice of Admission. We have scheduled the time of this upgrade such that it does not interrupt any nightly processes and to reduce any impact this may cause. Please understand that the impact of this upgrade represents only a very limited number of our clients, if any, that may be affected. We apologize in advance for any inconvenience.
Tentative Notice – Scheduled Processing Interruption – Thursday, November 9, 2017
During our scheduled maintenance Thursday, November 9, 2017, from 10:00p.m. to 11:59p.m. CT. there will be a two-hour downtime for all Patient Access, Financial Services, Coverage Discovery, and other core products. Due to the scale of this change, some clients may also expect 60-minutes of processing slowness to occur early Friday, November 10, between 12:00a.m. and 1:00p.m. CT. We apologize in advance for any inconvenience this may cause.
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 to update our product dashboard when we receive updates from CMS. Once this change if effective, as scheduled for April 2018, we will also modify the search criteria to support the new MBIs. The transition period where both MBI’s and HICN’s numbers will both be available is scheduled for a 21-month period. New Medicare cards will 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.
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.
TLS 1.2 Update – Revised FAQs – 08.31.2017 – Upgrade Due October 31, 2017October 19, 2017 11:10 am
Last updated on October 19th, 2017 at 12:31 pm CT
Experian Health is focused on helping our customers improve their security by using the latest security protocols. On October 31, 2017, Experian Health will require TLS 1.2. At Experian Health, we take the protection of our customer’s data very seriously. The disablement of TLS 1.0 and 1.1 is being undertaken so we can maintain the highest security standards and promote the safety of your data as well as align with industry-wide best practices. You can read more about TLS 1.2 and see FAQs by clicking the link below.
Discontinued, DMC Care Eligibility – 10.19.2017October 19, 2017 10:25 am
Last updated on October 22nd, 2017 at 10:25 am CT
Effective immediately, DMC Care Eligibility is no longer available through Experian Health.
We apologize for any inconvenience this may cause.
Blue Cross Community Options, Subscriber ID Response Issue – 10.19.2017October 19, 2017 9:03 am
Last updated on October 22nd, 2017 at 09:04 am CT
Blue Cross Community Options is currently returning an unusually high percentage
of responses containing “Duplicate Subscriber IDs Found” issues. This payer is aware
of this issue and is tentatively planned to correct this issue on December 7, 2017.
Sporadic PaymentSafe Slowness & Timeouts Reported – Wed 10/18/17 @ 10:00am CTOctober 18, 2017 8:57 am
Last updated on October 21st, 2017 at 08:57 am CT
as of 10am CT – Payments appear to be flowing properly and we have not received any new reports of slowness. We are actively checking with the few clients that did report slowness to see if things are improved and back to normal. We are continuing to monitor this closely at this time.
as of 8:45am CT – Experian Health has received some sporadic reports of payment slowness within the PaymentSafe application and requests timing out. We are actively engaged and reviewing the issue.
We do see payments flowing so it is not impacting all payments at this time.
Will report an update once we have more info.
Blue Cross Illinois Advantage and Community Options, PCP/IPA, Not Returning – 10.16.2017October 16, 2017 11:26 am
Last updated on October 19th, 2017 at 11:26 am CT
Blue Cross Advantage and Community Options are currently not returning the PCP/IPA information in the eligibility response. We have notified BCBS of IL of this issue and well provide updates as we receive additional information from them.
ERA 835 Delays, OPTUM, UHC (9/27-Current) – Multiple Payers – 10.10.2017October 10, 2017 2:02 pm
Last updated on October 13th, 2017 at 02:02 pm CT
Some 835’s for UnitedHealthcare from check date 9-27-17 through present are delayed. UnitedHealthcare continues to work on the issue and it has been escalated. However there is no ETA as to when the 835s will be delivered. Payer IDs include:
AARP Insured By UnitedHealthcare Insurance Company
UnitedHealthcare Community Plan AZ
UnitedHealthcare Community Plan CA, DE, FL, HI, LA, MA, MD, NM, OH, PA, VA, WA
UnitedHealthcare Community Plan NJ
UnitedHealthcare Community Plan NY
UnitedHealthcare Community Plan WI
UnitedHealthcare Community Plan KS
UnitedHealthcare Community Plan MO
UnitedHealthcare Community Plan MI
UnitedHealthcare Community Plan TX
UnitedHealthcare Community Plan NE
UnitedHealthcare Community Plan IA,MS,TN
UnitedHealthOne / Golden Rule
UnitedHealthOne All Savers Insurance (AMS)
ERA Processing Delays, Sept. 27-Oct. 1, Multiple Payers – 10.04.2017October 4, 2017 9:46 am
Last updated on October 7th, 2017 at 09:47 am CT
An interruption has been identified in normal Electronic Remittance Advice (ERA) processing and delivery for the following payers This impacts some ERA expected from these Payers for processing between 9/27/2017 through 10/1/2017. It results in delivery delays for the impacted ERA because the files from the Payer were not received.
Efforts to resolve this issue continue. It is currently open and in progress.
No action is required.
35145 – KEY FAMILY OF COMPANIES
04567 – UNITEDHEALTHCARE COMMUNITY PLAN / MD
NYU01 – UNITEDHEALTHCARE COMMUNITY PLAN / NYU
39026 – UMR – WAUSAU/UHIS
44054 – GOVERNMENT EMPLOYEES HEALTH ASSOCIATION (GEHA)
86047 – AMERICHOICE NJ MEDICAID
87726 – UNITEDHEALTHCARE
95378 – UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY
95959 – UNITEDHEALTHCARE WEST / PACIFICARE CA – 95959
96385 – KANCARE / UNITEDHEALTHCARE COMMUNITY PLAN – KS
UHC Eligibility Responses and Historical Plan Information – 09.14.2017September 14, 2017 12:18 pm
Last updated on September 17th, 2017 at 12:18 pm CT
UHC has recently started returning historical plan information for Medicaid members in their eligibility responses. We have notified the payer of this and they’re researching the root cause of this change.
United Health Care Service Type Code – Updates to 270/271 Eligibility Transactions, Sept. 15 – 09.14.2017September 13, 2017 3:44 pm
Last updated on September 16th, 2017 at 03:44 pm CT
We have identified a problem sending multiple Service Type Codes to UHC in one transaction. We are working with UHC to resolve. Once this issue is resolved we will notify you of a new release date.
On September 15th we will begin sending one (1) transaction with up to ten (10) Service Type Codes to UHC on behalf of our providers. Adjustments in both the FR and NE Clearinghouses are being made to support this change.
Two Important Items.
- We will no longer be charging a transaction for each service type code since we will be including up to 10 in one transaction.
- If a provider sends more than 10 Service Type Codes we will send more than 1 transaction. For example, if a provider sends 25 Service Type Codes we will send 3 transactions each with 10 Service Type Codes.
UnitedHealthcare will allow requests and return benefits for up to 10 service type codes (STC) for 270/271 EDI transactions starting September 15, 2017. This will give care providers access to more eligibility and benefit information for our members, with the ability to request the specific information they need in one 270 transaction, such as:
5 Diagnostic lab
30 Health plan benefit coverage
PT Physical therapy
AE Physical medicine
Physical therapy and specialist benefits will be available in September, both as a generic response and an explicit response. Generic responses are obtained by requesting STC 30 and will automatically include physical therapy and specialist benefits. Explicit responses are obtained by requesting the specific STC only, such as PT or 96. In most cases, a message segment will be returned when benefits are for a specialist.