November 19, 2008
Delaware Part A - Transition Update
Original Message:The J12 MAC transition of the Delaware Part A workload to Highmark Medicare Services is continuing as scheduled. The first FISS batch cycle was completed last night and onlines and provider accesses were available at 7:00 A.M. Reminder, the first Delaware Part A HIGLAS payment cycle is scheduled to be completed today and the output from that cycle will be run through the Delaware Part A FISS batch cycle this evening. Due to the 5 day pay forward sweep performed by NGS, we are not expecting a large payment output from tonights Delaware Part A cycle. An additional update will be provided on 11/19/08.
Update:IBM successfully completed the first HIGLAS payment cycle for Delaware Part A. These payments were successfully brought into last nights Delaware Part A FISS batch cycle and that batch cycle has successfully completed. As noted in our last update, the pay out last night was small due to the 5 day pay forward sweep performed by NGS, however, all payments and ERAs will be processed on schedule. This will be our last transition update for Delaware Part A. Future business as usual updates will be noted on the main Highmark Medicare Services webpage.
NJ Part B - Transition Update
Original Message:The J12 MAC transition of the New Jersey Part B workload to Highmark Medicare Services is continuing as scheduled. The first HIGLAS payment cycle was completed yesterday and the first New Jersey Part B MCS batch cycle was completed last night. No issues were identified and the Medicare onlines were available by 6:00 A.M. EDI Services completed a review of the Electronic Remittance Files and released all files this morning. No issues were identified. An additional update will be provided on 11/19/08.
Update:IBM completed the second HIGLAS payment cycle for New Jersey Part B. However, a system problem occurred with the HIGLAS payment cycle for New Jersey Part B that reduced the number of payments made from last night's (11/18/08) batch cycle. We are currently researching the issue with the Shared System Maintainer, IBM and the EDC. An update will be provided once the issue and a corrective action are identified. Please note, payments not impacted by the HIGLAS issue were validated and will be released. We will continue to provide transition updates until the current HIGLAS payment issue is resolved.
November 18, 2008
Delaware Part A - Transition Update
The J12 MAC transition of the Delaware Part A workload to Highmark Medicare Services is continuing as scheduled. The first FISS batch cycle was completed last night and onlines and provider accesses were available at 7:00 A.M. Reminder, the first Delaware Part A HIGLAS payment cycle is scheduled to be completed today and the output from that cycle will be run through the Delaware Part A FISS batch cycle this evening. Due to the 5 day pay forward sweep performed by NGS, we are not expecting a large payment output from tonights Delaware Part A cycle. An additional update will be provided on 11/19/08.
NJ Part B - Transition Update
The J12 MAC transition of the New Jersey Part B workload to Highmark Medicare Services is continuing as scheduled. The first HIGLAS payment cycle was completed yesterday and the first New Jersey Part B MCS batch cycle was completed last night. No issues were identified and the Medicare onlines were available by 6:00 A.M. EDI Services completed a review of the Electronic Remittance Files and released all files this morning. No issues were identified. An additional update will be provided on 11/19/08.
New Jersey Part B EDI Customers
ATTENTION New Jersey Part B EDI Customers:
Original Message: Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on November 17, 2008, the delivery of the EDI Error Reports, 277 eligibility responses and the X12N 835 Electronic Remittance Advice (ERA) for Tuesday, November 18, Wednesday, November 19, and Thursday, November 20, 2008, may be delayed to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these files and reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files to Stratus may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
Update: The EDI Error Reports, X12N 277 eligibility responses, and the X12N 835 Electronic Remittance Advice (ERA) are now available for retrieval from your electronic mailbox on the Stratus Telecommunication Server. Thank you for your patience.
November 17, 2008
Delaware Part A EDI Billers - Transition Update
ATTENTION Delaware Part A EDI Billers:
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on November 17, 2008, the delivery of the X12N 997 Functional Acknowledgment and the Implementation Guide (IG) Edit Report, for Tuesday, November 18, Wednesday, November 19, Thursday, November 20 and Friday, November 21, 2008, may be delayed to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files to Stratus may be delayed each day.
In addition, to validate payment accuracy, the X12N 835 Electronic Remittance Advice (ERA) will be delayed daily from Tuesday, November 18 through Monday, December 1, 2008. We apologize for any inconvenience.
November 16, 2008
NJ Part B - Initial Transition Update
The J12 MAC transition of the National Government Services' New Jersey Part B workload to Highmark Medicare Services is continuing as scheduled. All weekend activities have been completed with no major issues, and we are expecting to complete all validations prior to the first batch cycle on Monday night. Please remember that Monday, 11/17/08, is a dark day, and there is no IVR access. Normal hours of operation should be re-established on Tuesday morning (11/18/08). An additional transition update will be posted on Monday.
November 16, 2008
Delaware Part A - Initial Transition Update
The J12 MAC transition of the National Government Services' Delaware Part A workload to Highmark Medicare Services is continuing as scheduled. All weekend activities have been completed with no major issues, and we are expecting to complete all validations prior to the first batch cycle on Monday night. Please remember that Monday, 11/17/08, is a dark day, and there is no provider DDE or IVR access. All access should be re-established by 6:00 A.M. Eastern Time on Tuesday morning (11/18/08). An additional transition update will be posted on Monday.
November 14, 2008
New Jersey Part B EDI Billers
ATTENTION NEW JERSEY PART B EDI BILLERS: New J12 Contractor ID Takes Effect at 4:00PM EST on Friday, November 14, 2008.
Due to the transition to the J12 MAC, a new Contractor Identification (Contractor ID) number (a.k.a., Payer ID) has been assigned for the Part B workload for New Jersey. Part B claims for New Jersey will be processed by the J12 MAC using the Contractor ID number shown below effective with claims received after 4:00PM EST on November 14, 2008.
The new J12 Contractor ID (Payer ID) must be reported in the ISA08, GS03, and 1000B NM109 element of the ANSI ASC X12N 837I/276 EDI transactions starting after 4:00PM EST on Friday, November 14, 2008. The new J12 Contractor ID (Payer ID) will be returned in the ANSI ASC X12N 835/277 EDI transaction. MCE customers can refer to the article on page 3 of the October 2008 EDI Transition News for instructions on how to change the Contractor ID (Payer ID) in the MCE software program. The October 2008 EDI Transition News is located at: http://www.highmarkmedicareservices.com/transition/j12/edi-newsletters/editransitionnews-sipp4b-1008.pdf
Part B Locale - New Jersey, Existing Contractor ID - 00805, J12 Contractor ID - 12402
Delaware Part A EDI Billers
ATTENTION Part A DE EDI Billers: New Submitter IDs and J12 Contractor IDs Take Effect at 4:00PM EST on Friday, November 14, 2008
IMPORTANT: Starting with production files submitted to Highmark Medicare Services after 4:00PM EST on Friday, November 14, 2008, you must use the new Submitter ID issued by Highmark Medicare Services in a letter dated September 15, 2008. If you bill via a Billing Service or Clearinghouse, they received the new Submitter ID, you did not receive a letter from Highmark Medicare Services containing a new Submitter ID. If you bill directly, the EDI Submitter ID is a seven-position, unique numeric value and must be reported in ISA06 and GS02 of the ANSI ASC X12N 837I/276 EDI transactions. PC-ACE customers can refer to the article on page 13 of the October 2008 EDI Transition News for instructions on how to change the Submitter ID in the PC-ACE software program. The October 2008 EDI Transition News is located at: http://www.highmarkmedicareservices.com/transition/j12/edi-newsletters/editransitionnews-sipp4a-1008.pdf
In addition to the new Submitter ID, the new J12 Contractor ID (Payer ID) must also be reported starting with production files submitted after 4:00PM EST on Friday, November 14, 2008. The new J12 Contractor ID (Payer ID) should be reported in the ISA08, GS03, and 1000B NM109 element of the ANSI ASC X12N 837I/276 EDI transactions and will be returned in the ANSI ASC 835/277 EDI transactions. PC-ACE customers can refer to the article on pages 14-15 of the October 2008 EDI Transition News for instructions on how to change the Contractor ID (Payer ID) in the PC-ACE software. For additional transition details, please refer to the October 2008 EDI Transition News located at: http://www.highmarkmedicareservices.com/transition/j12/edi-newsletters/editransitionnews-sipp4a-1008.pdf
Part A Locale - Delaware, Existing Contractor ID - 00308, J12 Contractor ID - 12101
September 11, 2008
ATTENTION NEW JERSEY PART A 835 ERA RECEIVERS:
UPDATE:
The X12N 835 Electronic Remittance Advice (ERA) is now available for retrieval from your electronic mailbox on the Stratus Telecommunication Server. Thank you for your patience.
Original Message:
ATTENTION NEW JERSEY PART A 835 ERA RECEIVERS:
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on September 2, 2008, the delivery of the X12N 835 Electronic Remittance Advice (ERA) may be delayed daily until September 17, 2008 to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these files to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files may be delayed each day until September 17, 2008. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
September 8, 2008
NEW JERSEY PART A 835 ERA Receivers
UPDATEThe X12N 997 Functional Acknowledgment, the Implementation Guide (IG) Edit Report, and the X12N 835 Electronic Remittance Advice (ERA) are now available for retrieval from your electronic mailbox on the Stratus Telecommunication Server. Thank you for your patience.
ORIGINAL MESSAGEDue to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on September 2, 2008, the delivery of the X12N 835 Electronic Remittance Advice (ERA) may be delayed daily the week of September 8, 2008 to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these files to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
September 5, 2008
Attention New Jersey Part A DDE Providers
Highmark Medicare Services has become aware of DDE access issues for some of our NJ Part A Providers. Based on our analysis, it appears that some DDE Provider Access records were not moved from the Riverbend NJ A region to the new Highmark Medicare Services NJ Part A region during cutover weekend. We are currently working with Riverbend to identify the impacted access records and we are planning to add any impacted records by close of business Friday, September 5, 2008 if not sooner. We apologize for any inconvenience.
Also, during the transition weekend, the Enterprise Data Center (EDC) deleted numerous logon IDs for New Jersey Part A FISS. Highmark Medicare Services requested these IDs to be reinstated by EDC on 9/3/2008. As a result of the reinstatement process, the impacted user IDs were reset to the default password. If you are receiving a password error when attempting to utilize your FISS DDE logon for the New Jersey Part A system, please refer to the password reset instructions and the RACF ID and Password Rules.
UPDATE: Highmark Medicare Services is continuing to work with Riverbend to determine all of the impacted records. To date, we have identified 373 access records that were not transitioned from Riverbend to Highmark Medicare Services correctly. These records will be reactivated the evening of September 5, 2008 and should be available for use starting Monday, September 8, 2008. We are continuing to review additional access records that may not have been transitioned correctly and we will make updates as appropriate. We appreciate your patience as we work through this issue.
NEW JERSEY PART A - NPI Crosswalk Issues
We are aware of a transition issue that caused some NPIs to be omitted from the NJ Part A NPI crosswalk file by Maricom (NPI Crosswalk Contractor). This problem could have been the basis for unexpected claim rejections for some of our customers. Please be assured that we have identified the root cause of the problem and are working with Maricom toward an immediate resolution. Once the problem is resolved, customers affected by this issue will be required to resubmit all rejected claims. We will publish an update as soon as possible and apologize for the inconvenience.
UPDATE: Maricom has identified 6 provider NPI records that were not correctly crosswalked during the NJ Part A transition. These records have been corrected and should be re-entered into the NJ Part A FISS system the evening of September 5, 2008. Impacted providers may resubmit their claims beginning on Monday, September 8, 2008.
September 4, 2008
Attention NJ Part A Providers Only - Claims Suspending in Error
The CDS is currently experiencing technical difficulties. This has caused some claims to pend in Status Location SB0100 which is the start of the systems cycle. The CDS is currently working to resolve the problem. We will notify you of any updates via the website and listserv. Thank you!
NEW JERSEY PART A - NPI Crosswalk Issues
We are aware of a transition issue that caused some NPIs to be omitted from the Part A NJ crosswalk file. This problem could have been the basis for unexpected claim rejections for some of our customers. Please be assured that we have identified the root cause of the problem and are working toward an immediate resolution. Once the problem is resolved, customers affected by this issue will be required to resubmit all rejected claims. We will publish an update as soon as possible and apologize for the inconvenience.
The J12 MAC transition of the Riverbend New Jersey Part A workload to Highmark Medicare Services has been completed. All accesses were re-established Wednesday morning as expected and the first financial batch cycle was successfully completed Wednesday night. Payments and Electronic Remittance Advice for NJ A providers are being distributed today as planned.
September 3, 2008
NEW JERSEY PART A EDI BILLERS
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on September 02, 2008, the delivery of the X12N 997 Functional Acknowledgment, the Implementation Guide (IG) Edit Report, and the X12N 835 Electronic Remittance Advice (ERA) may be delayed daily the week of September 02, 2008 to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
SPECIAL NOTE REGARDING ERA: Providers should be aware that Riverbend had previously paid New Jersey Part A providers three times per week. As part of the transition, Highmark Medicare Services will be moving to a daily payment cycle for New Jersey Part A providers. However, as a result of the transition activities, the first payment cycle run by Highmark Medicare Services for New Jersey Part A providers will take place on Wednesday night, September 3. Checks and EFTs created from this batch cycle will be dated September 4, 2008. In addition, the first Electronic Remittance Advice (ERA) for New Jersey Part A providers will also be created from the September 3 payment cycle.
September 2, 2008
New Jersey Part A - Transition Update
The J12 MAC transition of the Riverbend New Jersey Part A workload to Highmark Medicare Services is continuing as scheduled. All weekend activities have been completed with no major issues, and we are expecting to complete all validations prior to tonight's first batch cycle. Please remember that today (Tuesday 9/02/08) is a dark day, and there is no provider DDE or IVR access. All access should be re-established by 6:00 A.M. Eastern Time on Wednesday morning (9/3/08).
August 28, 2008
ATTENTION NEW JERSEY PART A EDI BILLERS:
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on September 02, 2008, the delivery of the X12N 997 Functional Acknowledgment, the Implementation Guide (IG) Edit Report, and the X12N 835 Electronic Remittance Advice (ERA) may be delayed daily the week of September 02, 2008 to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
SPECIAL NOTE REGARDING ERA: Providers should be aware that Riverbend had previously paid New Jersey Part A providers three times per week. As part of the transition, Highmark Medicare Services will be moving to a daily payment cycle for New Jersey Part A providers. However, as a result of the transition activities, the first payment cycle run by Highmark Medicare Services for New Jersey Part A providers will take place on Wednesday night, September 3. Checks and EFTs created from this batch cycle will be dated September 4, 2008. In addition, the first Electronic Remittance Advice (ERA) for New Jersey Part A providers will also be created from the September 3 payment cycle.
August 4, 2008
UPDATE:
The X12N 997 Functional Acknowledgment, the Implementation Guide (IG) Edit Report, and the X12N 835 Electronic Remittance Advice (ERA) are now available for retrieval from your electronic mailbox on the Stratus Telecommunication Server. Thank you for your patience.
ATTENTION PENNSYLVANIA, MARYLAND and DC PART A EDI BILLERS:
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on August 04, 2008, the delivery of the X12N 997 Functional Acknowledgment, the Implementation Guide (IG) Edit Report, and the X12N 835 Electronic Remittance Advice (ERA) for Tuesday, August 5, Wednesday, August 6, and Thursday, August 7, 2008, may be delayed to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files to may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
July 14, 2008
Weekend MD/DC/DE Transition Activities
The transition of the TrailBlazer MD/DC/DE Part B workloads to Highmark Medicare Services is continuing as scheduled. Additional cutover validations have been completed today with no major issues identified. We are expecting to be completed with all validations prior to tonights first batch cycle.
ATTENTION DELAWARE, DC METRO AREA, and MARYLAND PART B EDI BILLERS:
Due to the Enterprise Data Center (EDC) transition for Jurisdiction 12 on July 14, 2008, the delivery of the EDI Error Reports, 277 eligibility responses and the X12N 835 Electronic Remittance Advice (ERA) for Tuesday, July 15, Wednesday, July 16, 2008, Thursday July 17, and Friday July 18, may be delayed to validate accuracy prior to distribution. Typically, Highmark Medicare Services expects to post these files and reports to your electronic mailbox on the Stratus Telecommunication Server by 8:30 A.M. Eastern Time, but due to this transition, the delivery of these files to may be delayed each day. A follow-up listserv will be sent daily when the files are available for retrieval. We apologize for any inconvenience.
MD/DE/DCMA Part B Transition - EDI Alert
July 13, 2008
Weekend MD/DC/DE Transition Activities
The transition of the TrailBlazer MD/DC/DE Part B workloads to Highmark Medicare Services is continuing as scheduled. The first round of Cutover validations have been completed with no major issues identified. Cutover activities will continue through Monday (which is a Dark Day) and as previously announced we are still anticipating our first batch cycle including EDI input to run Monday evening. We will provide an additional update by Monday afternoon.
July 11, 2008
Weekend MD/DC/DE Transition Activities
In order to communicate any disruptions during the transition period, Highmark Medicare Services will continue to provide updated communications regarding possible impacts to Medicare Part B providers in MD/DE/DCMA on our website, as well as via our J12 MAC Transition listserv.
June 11, 2008
Special Alert For NJ Part A Providers- Important Update for NJ Part A Customers with EFT
If you are a Riverbend customer in New Jersey currently using Electronic Funds Transfer (EFT) to receive your Medicare payments, please be on the lookout for this important letter advising you of the transition impact to you and what you need to do to respond. Please mark your CMS-588 Form as "Revision to Current Authorization" and print MAC at the end of that line on the CMS-588 Form to assist in processing. Remember to list Highmark Medicare Services as the contractor in Section V on page 2.
May 29, 2008
Special Alert For All Providers
J12 MAC Transition Newsletter Is Now Available. Click here to download.
May 23, 2008
Attention: TrailBlazer EDI Customers: EDI Submitter Identification Number Notifications
Due to some systems difficulties, the EDI Submitter Identification Number notifications scheduled for mid-May 2008 were delayed. The EDI Submitter Indentification Number notifications were mailed on May 22, 2008. We appreciate your patience and apologize for any inconvenience resulting for this short delay.
April 25, 2008
SPECIAL Transition Alert for MD/DCMA/DE Part B providers - DATE EXTENDED TO MAY 16, 2008
If you are a TrailBlazer customer currently using Electronic Funds Transfer (EFT) to receive your Medicare payments, please be on the lookout for this important letter advising you of the transition impact to you and what you need to do to respond. Please mark your CMS-588 Form as “Revision to Current Authorization” and print MAC at the end of that line on the CMS-588 Form to assist in processing. Remember to list Highmark Medicare Services as the contractor in Section V on page 2.
April 23, 2008
Transition Alert for MD/DCMA/DE Part B providers
If you are a TrailBlazer customer currently using Electronic Funds Transfer (EFT) to receive your Medicare payments, please be on the lookout for this important letter advising you of the transition impact to you and what you need to do to respond. Please mark your CMS-588 Form as “Revision to Current Authorization” and print MAC at the end of that line on the CMS-588 Form to assist in processing. Note the due date of April 25, 2008.