Feature Articles. Payer ID Group Health Cooperative has
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1 EDI News December 2009 Contents Group Health Cooperative has notified Premera EDI that they will soon begin rejecting electronic claims that do not contain the National Provider Identifier (NPI). Feature Articles page 1 Transactional Tips page 2 EDI Confirmation Reports and Transactions page 3-4 How to Contact EDI page 4 Holiday Closures page 4 Feature Articles Group Health Changes: NPI Required, New Payer ID Group Health Cooperative has notified Premera EDI that they will soon begin rejecting electronic claims that do not contain the National Provider Identifier (NPI). To prevent rejection of your Group Health Cooperative claims, be sure to enter the NPI as the primary provider identifier for the Billing Provider and Pay-To-Provider (if sent). The provider s tax ID number (or Social Security number) is required as the secondary provider identifier. Use the NPI as the provider identifier (when required or sent) for any of the following provider types within the claim at either the claim or service line level: Referring Provider Rendering Provider Purchased Service Provider Service Facility Location Supervising Provider Premera Begins Work on HIPAA 5010 Group Health also has indicated that they will only accept Payer ID Please remove and stop sending Payer ID for Group Health Cooperative claims. Please make these necessary changes to your system to prevent claim rejections. REMEMBER Include NPI and Only Payer ID The U.S. Department of Health and Human Services final rule on standards for certain healthcare transactions HIPAA 5010 dictates that all covered entities must comply by Jan. 1, Premera has begun this long, complex project with scope and implications analysis. This work also includes a corporate-wide business plan for achieving full compliance with the electronic healthcare transactions requirements. This includes all relevant Premera applications that involve employer groups, providers, vendors, and trading partners. The phased project is expected to last through Dec. 31, Premera will provide regular updates about the project on the provider portal at An Independent Licensee of the Blue Cross Blue Shield Association December 2009 Alaska EDI News 1
2 Transactional Tips NEIC Transition to Emdeon Reports The EDI Team is in the process of transitioning NEIC reports over to the new Emdeon reporting. You may have already received them. The new Emdeon Reports RTP-34, -35 and -41 capture information that was reported on the old NEIC reports, R022, R023, R026, R059, R060, and R061. The EDI Team will mail Emdeon reports to Trading Partners who send other payer claims with Carrier Code 0000 and/or claims destined for a commercial payer through Emdeon. NPI (National Provider Identifier) The EDI Team continues to identify and contact providers who are not utilizing the NPI on their claims. This may only pertain to specific providers in an office whose NPI has not yet been registered with Premera. Provider group offices that typically receive an electronic remittance advice 835 transaction will not receive an 835 for a provider who has not registered their NPI with Premera Does the EDI Team Have Your Current Contact Information? Please provide Premera with any updates or changes you have made since initially registering your NPI list. You may send a spreadsheet with your changes by to edi@premera.com or fax your NPI updates to EDI at The EDI Team will make sure that the NPI updates are made in your provider file records. Premera s EDI Team maintains a contact list of Trading Partners to improve EDI communications. If your contact information has changed, please be sure to the EDI Team at edi@premera.com or call us at the number below so that we can update our records. Be sure to include all addresses and telephone numbers as well as related Tax ID and EDI Submitter ID. To delete or add access for your billing staff to our Secure Transport (ST) secure website (connectiva.com), please call the EDI Team at or fax your changes to Emdeon Payer Listings The Premera Clearinghouse is a free service for other payer claims. To ensure that you are only sending Emdeon Participating Payer claims, providers may review a payer s status with Emdeon at emdeon.com. Here s how: Click on Payer Lists (on right side of screen). Click on Medical/Hospital/Dental Payers. In the Payer Name field, enter the name of the payer. In the Code field, enter the Premera Clearinghouse Submitter ID of Click on View List at the bottom of the page. Scroll down for payer ID number. Be sure the Type displays as Par (for participating) before sending claims for any payer. Please note that only Emdeon participating payers are to be sent to the Premera Clearinghouse. Trading Partners that send non-participating payers will lose the capability to send Emdeon Payer claims. Also, any Payer ID that includes alpha and numeric values, with the exception of Tricare (SCWI0) and HMA (TH049), must not be sent to the Premera Clearinghouse. For questions regarding the listing, contact the Emdeon Payer List Help Line at or their help desk at December 2009 Alaska EDI News 2
3 EDI Confirmation Reports and Transactions Clearinghouse Reports Avoid lost claims and eligibility errors by downloading and reviewing the clearinghouse reports from Secure Transport (ST). These reports contain rejected claim information. Verifying the reports against your office reports ensures accurate claim tracking. Remember these key points to effectively use the reports: Reports are only available online via ST. Retrieving (downloading) your reports regularly ensures notification that we have received your claims and alerts you to claim rejections. Rejected claims are not processed; they must be corrected and re-billed. Electronic Claim Transaction Report (BCWARPT): The Electronic Claim Transaction Report is available for all electronic claim submitters regardless of claim format. Online reports are available after 6 a.m. each day and contain claims processed as follows: Files received by 3 p.m. Monday through Friday are processed in that day s cycle, with resulting reports available the following morning. Files received after 3 p.m. are processed the next business day, with resulting reports available the following business day. These reports are your only notification of claim receipt or any rejections. Six generations of reports are available. The most recent transmission report is named BCWARPT. Older previous transmission reports are named BCWARPT1 through BCWARPT6. For each report there is a compressed (.EXE) file and an uncompressed file. To assist in claim reconciliation the Process Notes/CH Tracking No. field on this report includes and reports back the unique claim number when sent by a clearinghouse or other billing agent in the HIPAA 837 professional claim transaction in the Loop 2300, REF*D9 segment. The first part of this field, Process Notes, displays *REJECTED* when a claim is rejected in the EDI validation process. In position 12 of the column is the CH Tracking No., a fixed, 20-position field. 837 Transaction Error Report (ANSI X12 Submitter): The 837 Transaction Error Report was developed to report claims that are rejected in the HIPAA validation process. This report provides detailed information about HIPAA validation errors. Claims rejected at this level do not appear on any other report and must be corrected and re-transmitted. To correctly balance files transmitted to our clearinghouse, you will need to reference both the Electronic Claim Transaction Report (BCWARPT) and the 837 Transaction Error Report. For assistance, please contact a member of our EDI Team at To assist in claim reconciliation, the CH Tracking Number field on this report includes and reports back the unique claim number when sent by a clearinghouse or other billing agent in the HIPPA 837 professional claim transaction (in the Loop 2300, REF*D9 segment). Up to 20 characters will be displayed in this new field. 997 (Functional Acknowledgement ANSI X12 Submitters): The 997 is found in the ST Download Directory. It is the responsibility of each provider office to download their 997 after every file transmission. The 997 is available within one hour of transmitting the file. If any portion of your file does not pass HIPAA validation or contains other errors, all or part of the file may be rejected and reported on the 997. Contact your software vendor for assistance in interpreting this report. The following are other payer reports available in your ST Download Directory: Noridian Medicare Reports The Nordian report file names are: Claims Confirmation Report Batch Detail Control Listing CHNORA.NEW CHNORB.NEW (Uncompressed version) (Uncompressed version) CHNORA.EXE CHNORB.EXE (Compressed version) (Compressed version) Additional (archived) generations of the online reports will be CHNORA.1 through CHNORA.99 (Uncompressed version) CHNORA1.EXE through CHNORA99.EXE (Compressed version) December 2009 Alaska EDI News 3
4 Contact EDI Availity Reports (Includes WA Regence Blue Shield and Asuris NW Health, Idaho Blue Shield and Idaho Welfare) Availity Batch Report file names are: CHAVAI.NEW (Uncompressed version) CHAVAI.EXE (Compressed version) Additional (archived) generations of the online reports will be CHAVAI.1 through CHAVAI.6 (previous uncompressed report versions) CHAVAI1.exe through CHAVAI6.exe (previous compressed report versions) A NEW Availity Delayed Payer Report is now available to provide further payer validation information. This report provides claim warning and rejections that are not reported in the Availity Batch Report. Availity Delayed Payer Report file names are: CHAVDP.NEW (Uncompressed version) CHAVDP.EXE (Compressed version) Additional (archived) generations of the on-line reports will be CHAVDP.1 through CHAVDP.6 (Uncompressed) CHAVDP1.exe through CHAVDP6.exe for (Compressed) Secure Transport (ST) users, please use the following steps to download your response report files: 1. Go to your Download Directory 2. Highlight the appropriate report file 3. Select Download 4. Report file will be downloaded to the appropriate report directory on your PC ST is available 7 days a week, 24 hours a day. Holiday Closures 2009 Premera will be closed on the following dates: Thursday, Nov. 26 (Thanksgiving Day) Friday, Nov. 27 (Day after Thanksgiving) Thursday, Dec. 24 (Day before Christmas) Friday, Dec. 25 (Christmas Day) Friday, Jan. 1 (New Year s Day) 2010 How to Contact EDI If you have questions or wish to obtain information about any of the articles in this newsletter, please call one of the EDI representatives listed below: Phone hours: 8 a.m. 5:00 p.m. (PST), M-F w Toll-free Select Option 1 for Seattle (Mountlake Terrace) office Select Option 2 for Spokane office Select Option 3 for Bend office w Fax numbers: Seattle (Mountlake Terrace) office: Spokane office: Bend office: w Questions or problems: the EDI department at EDI@premera.com w Premera health plan information: Use our Web site at premera.com Mountlake Terrace office Direct Lines Lynnette Boulch Lenea Dyer Liza Franzen Linda Hunt Rowena Solomon Dana Thomas Spokane office: Toll-free Beth Passmore Eric Gilbert Shari Johnson Bend office: Darci Simms Lynnette Boulch December 2009 Alaska EDI News 4
5 Please post or circulate this newsletter in your office EDI News Online: premera.com EDI News is produced quarterly to provide important information related to Electronic claims processing for the office billing staff, billing services and software vendors from Premera. Please keep this newsletter for future reference. Editor: Lenea Dyer Phone , Fax: The EDI team is dedicated to providing, excellent service ( ) December 2009 Alaska EDI News 5
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