Payer Notification - EDI Claim Rejections
Posted by Sheila Odeen on 31 January 2023 03:27 PM

Date:  01/31/23


Notification Type:  Payer Notification


Subject: EDI Claim Rejections


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



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

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Payer Notification - Ohio Medicaid MMIS Transition
Posted by Sheila Odeen on 16 January 2023 12:08 PM

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

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Payer Notification - UPDATE: Payer Rejection
Posted by Sheila Odeen on 04 January 2023 05:32 PM

Date 1/04/23


Notification Type:  Payer Notification


Subject:  UPDATE: Payer Rejection




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." 

Our Trading partner is working with the payer

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