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Jul
25
Erroneous Rejection Message (7/17-7/20 Submissions)
Posted by Will Morrow on 25 July 2017 04:05 PM
Claims submitted to Office Ally for various payers between 7/17 and 7/20 may have failed with one of the following messages:

The Validator encountered an internal error com.edifecs.xengine .XEException com.edifecs.common.ecl.ECLException DB opt Edifecs Common UserECLDB jECL ECLRegistry is not ECL registry. Invalid data

OR

THE VALIDATOR ENCOUNTERED AN INTERNAL ERROR COM.EDIFECS.XENGINE.XEEXCEPTION COM.EDIFECS.COMMON.ECL.ECLEXCEPTION DB

These rejections were due to a processing error at one of our trading partners.

Office Ally has identified all affected claims and those claims have been resubmitted.  New responses will be posted to the claims within the next 24-48 hours.
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Jul
11
Kaiser Permanente Processed 6/28/17 Files Twice In Error
Posted by Will Morrow on 11 July 2017 11:31 AM
Please see the following communication from Kaiser Permanente:

Date / Time (Time Zone): July 10, 2017, 11:30 AM MT

Due to an internal issue at Kaiser Permanente’s end on 6/29/17, the files that were sent to Kaiser for Colorado region on 6/28/17 were processed twice in error.  Providers will receive 835 with one entry indicating the claim is paid or denied and another entry indicating the claim was denied as a duplicate.  Please have provider ignore the 835 entry that have the duplicate denied status.

Provider action is not required at this time.

837P

  • Kaiser Foundation Health Plan of Colorado – payer id COKSR 

 837I

  • Kaiser Foundation Health Plan of Colorado – payer id COKSR 

Sorry for any inconvenience this may have caused.  Feel free to contact NEHBO should there be any question regarding this matter


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Jun
28

Please see the below communication from Blue Shield of California:

Good Afternoon,

We wanted to provide an update in regards to our inability to provide the ERA’s that you may be missing from June 19th to current.

We are working diligently with our IT Departments and other resource partners who are currently testing in our processing environments and developing the appropriate scripts needed to move and process our ERA files. 

There currently is not an estimated time of delivery as of yet, however, we feel that we are closing the gap very quickly.

There is a meeting scheduled with all departments involved at 3:00 PM to discuss progress, next steps, etc.; and we will provide another update after this meeting.

We also want to extend our fullest apologizes and recognize the large pain of convenience this has caused your business.


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Jun
27

Some claims sent to the following payers may have rejected for the following reason:

PAYERS:
CareFirst BCBS NCA Region (SB580)
CareFirst BCBS (MD) (SB690)

Rejection Message:

Payer requires BL as the filing indicator.

Office Ally has made the necessary updates to fix the issue that caused claims to fail for this reason.  Any claims that failed for this reason can now be resubmitted.


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Jun
27
Please see the below communication from Blue Cross and Blue Shield of North Carolina (BCBSNC):

Due to delays experienced by the adjudication system, commercial 835s (remits) that would have been delivered today (6/27/17) are now anticipated to be delivered tomorrow (6/28/17).

This delay will not impact the MedAdvantage 835s.  They will be delivered today as scheduled.

BCBSNC regrets any inconvenience this may cause.


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