Print | Bookmark | Email | Font Size: + |

March 24, 2014

EDI Tip of the Month

Welcome to EDI Tip of the Month!  The support team within the EDI Department is available to assist with issues that may impact your office.  A recent trend in our call volume has provided the outline to initiate “EDI Tip of the Month” to detect call topics.

This month’s Tip:  Understanding 277CA and 999 Rejections when claims are transmitted using a 3rd Party (Clearinghouse or Billing Service).

Important Note:  We appreciate the dedication to our clearinghouses and the services they provide to our customers daily. If you are a provider, that uses these services, please remember your clearinghouse is your first point of contact for EDI issues.  Anything they cannot resolve for you should then be referred to the EDI Help Desk.  On contact please provide one of the following pieces of information to one of our “EDI Support Staff”, so timely assistance might be provided:

  • REF-D9 (clearinghouse stamp)---for clearinghouses only
  • FILE ID=ISA-13 (of the file submitted and date file sent to Medicare by clearinghouse) ----provider should be able to provide this to the EDI department, as provided by the clearinghouse. This will ensure that we are looking at the correct file and can provide accurate assistance.

In addition we have 277CA and 999 Job Aids in the EDI section available at www.cgsmediare.com  to assist locating any rejections.

If you require assistance please contact the EDI Department at the numbers listed.

Ohio/Kentucky Part B

1-866-276-9558 Option 2

Ohio/Kentucky Part A

1-866-590-6703 Option 2

Home Health/Hospice

1-877-299-4500 Option 2

We understand our customer’s needs and will continue to provide Confidence, Clarity and Caring Attitudes.

EDI Help Desk Hours      

Monday – Friday           8:00AM – 5:00PM (ET)

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved