Date:  01/31/23

Notification Type:  Payer Notification

Subject: EDI Claim Rejections

Payer ID/Name:    00246/00800 Highmark BCBS Western and Northeastern New York

Description: 

Earlier this week ASK was made aware of an issue regarding the new J7E prefix assigned to Highmark BCBS Western and Northeastern New York. Claims for subscribers with this prefix rejected on the ASK front end from 1/1/2023 – 1/27/2023 indicating the subscriber information was invalid.

Highmark BCBS Western

Date:  01/16/23

Notification Type:  Payer Notification

Subject:  Ohio Medicaid MMIS Transition

Payer ID/Name:    MCDOH – Medicaid Ohio

Description:    Ohio Department of Medicaid (ODM) is migrating all data from the Electronic Data Interchange (EDI) system managed by Gainwell Technologies to their new EDI vendor, Deloitte. With the migration to the new Deloitte EDI, there are several dates which may impact your line(s) of business as the state decommissions the

Date:  1/04/23

Notification Type:  Payer Notification

Subject:  UPDATE: Payer Rejection

Payer ID/Name:    MHHNP – MEMORIAL HERMANN

Description: Update: No provider action is required claims will be reprocessed - Office Ally was notified on January 03, 2023, Claims submitted to Memorial Hermann - UB from 12/31/2022 through present are rejecting with the message "The payer ID is not valid. Please correct and resubmit the failed transactions." 

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