Welcome to WPS

J8 Implementation - EDI

Lisa Cuocci, EDI Sr. Analyst Med BJoEllen Fouts, EDI Sr. Analyst Med A

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EDI Information for the J8 Implementation•WPS recognizes the important role Electronic Data Interchange (EDI) plays in your business operations; •WPS’s implementation goal is to minimize impacts to existing EDI submission methods; •We’d like to share some important information that J8 providers should know about EDI and the J8 implementation…

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No New Forms for EDI Needed

Providers will not need to re-enroll for EDIclaims submission or Electronic RemittanceAdvice (ERA) provided you are: • Currently an NGS EDI customer using one of the

Network Service Vendors (NSVs), or;• Currently a WPS submitter.

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Network Service Vendors (NSV)

• WPS is working with the NSV to ensure there is no disruption in service to electronic providers;

• Your current connectivity through an NSV will remain in place, therefore, connectivity via bulletin board system is not required;

• You can use your current submitter IDs for J8.

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J8 Contract Numbers

• Submitters will need to change their current contract number (receiver ID) on the weekend of the specified cutover:

Workload Current Code New J8 Code Cutover DateIN – A 00130 08101 July 23, 2012

IN – B 00630 08102 August 20, 2012

MI – A 00452 08201 July 23, 2012

MI – B 00953 08202 July 16, 2012

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Important X12 837 Data Element ChangeThe new contract codes (receiver ID) will need to beplaced in the following data elements within yourMAC J8 X12 837 claim files: • ISA-08 • GS-03 • 1000B/NM1-09 (40 qualifier) • 2010BB/NM1-09

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Important X12 835 Data Element ChangesThe new contract codes (receiver ID) will be reported in the following data elements within your MAC J8X12 835 Electronic Remittance Advice: • ISA-06 • GS-02 • 1000A/REF02 (2U qualifier)

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5010• CMS expects trading partners to transition to 5010

transactions; • WPS can assist with any 5010 transition issues;• Visit the WPS EDI 5010 readiness website at:

http://www.wpsic.com/edi/5010-Readiness.shtml• 1500-5010 Crosswalk:

https://www.wpsic.com/edi/pdf/npi_1500_crosswalk.pdf

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PC-Ace Pro32• WPS also utilizes PC-Ace Pro32 as the free, Medicare

supplied billing software;• Different versions of PC-Ace Pro32 are used by other

payers;• WPS has an upgrade which will allow retention of history,

beneficiary and provider data. J8 providers will need to run the upgrade on or after your cutover date in order to transition to the new Part B J8 MAC contractor codes.

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Michigan Part B Providers

• Current Michigan Medicare B submitters will not need to change their current connectivity to WPS;

• Current Michigan B submitters will continue to use their existing WPS submitter ID.

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EDI ACTs

• These Ask the Contractor Teleconferences (ACTs) are to address your EDI questions.

• No reservations are required.• Who should attend? Providers, billing staff, vendors or

clearinghouses with Medicare EDI questions. • 2012 calls (all times 1-2:30 pm cst):

Date Dial In ID – June 14, 2012 800-305-2862 11138601– August 9, 2012 800-305-2862

11138602– October 11, 2012 800-305-2862 11138603– December 6, 2012 800-305-2862 11138604

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Contacting EDI

• EDI Hotline (8-4:00, cst): 866-503-9670;• EDIMedicareA@wpsic.com;• EDIMedicareB@wpsic.com;• http://www.wpsic.com/edi/med-macj8.shtmlReminder: when contacting EDI via email, CMS

prohibits the sending of Protected Health Information (PHI) over the internet. Do not include PHI in email correspondence.