PayerAnnouncements


 

See also our HeW News & Events web page.
See also our Eligibility and Claim Status Alerts web page.

Date

Payer

Announcement

05/24/2017

Keystone Connect

Keystone Connect - Payer ID 77050

Effective, January 9, 2017, Keystone Connect has canceled the Professional and Institutional claims service with Change Healthcare.  The Payer has indicated that this plan was termed in October 2015 and the timeframe for filing claims has expired.

Claims received will be dropped to paper and mailed to the payer.

02/13/2017

BCBS (IL, MT, NM, OK, TX)

Maintenance Notification for
Eligibility & Benefits and Claim Status Transactions

Blue Cross and Blue Shield of IL, MT, NM, OK and TX will be performing maintenance on 02/19/2017 from 7:00 AM until 3:30PM Central.  Please refrain from sending Eligibility & Benefits (HIPAA 270) and Claim Status (HIPAA 276) inquiries during this time.  We apologize for any inconvenience.

This notification affects the following Plan(s):

  • BCBSIL
  • BCBSMT
  • BCBSNM
  • BCBSOK
  • BCBSTX

02/01/2017

Indiana Medicaid

Indiana Medicaid - New Processing System

Indiana Medicaid is moving to a new processing system.  HeW will be holidng claims that are submitted to us between 02/08/2017 - 02/12/2017.  The claim files will be sent to Indiana Medicaid on 02/13/2017.

12/27/2016

EBMS

EBMS - Provider Notice

EBMS has asked HeW to distribute the following information regarding upcoming changes to their processes/systems:

EBMS is refining our provider database and launching an enhanced system on January 1, 2017 in order to more promptly process your claims. It is crucial that you ensure the correct billing address, taxonomy, NPI, and provider credential information is listed in the correct field on the applicable claims submission.*  If not, you will experience delay in receipt of payment. Your billing address is where any paper checks will be sent. Please contact EBMS customer service at 800-777-3575, 406-869-5555, or mibenefits@ebms.com for questions.

*On the HCFA (CMS 1500) form, the billing address is located in box 33. On the UB form, it is located in box two.

In addition, please consider enrolling in our convenient e-Payment option for improved cash flow and reduction in administrative costs for your facility. Please visit www.zelispayments.com to sign up for e-Payments using ACH or credit card, along with electronic EOBs (835, Excel, or PDF formats). Contact Zelis membership services at 1-877-828-8834 or info@zelispayments.com if you have questions on the options that are available.
 

12/23/2016

Delaware
Medicaid
(DMAP)

Delaware Medical Assistance Program (DMAP)
E-mail Notification System

DMES Go-Live Countdown!
Attention All Providers:

Download Last RA from DMAP Website 12/26/16 through 12/28/16

From the current DMAP website, download your last Remittance Advice. (RA): https://www.dmap.state.de.us.
 

12/15/2016

BCBS (IL, MT, NM, OK, TX)

BCBS OF MONTANA, ILLINOIS, TEXAS, OKLAHOMA AND NEW MEXICO MEDICARE ADVANTAGE CLAIMS PROCESS CHANGES - EFFECTIVE 1/1/2017

Effective January 1, 2017, BCBS of MT, IL, TX, OK, and NM (divisions of Health Care Service Corporation) will implement changes that will affect the processing of Blue Cross Medicare Advantage claims.  These changes will include a new payer ID – 66006.  This payer ID will be effective for claims received on and after January 1, 2017, that contain the following subscriber ID alpha prefixes: YDJ, YDL, XOD, XOJ, ZGD, ZGJ, YID, YIJ, YUX YUB.   Please review the attached document for more detailed information on the upcoming changes.

12/13/2016

Pacific-Source Medicaid

Effective 1/1/17 Payer ID COIHS will no longer be accepted as valid on PacificSource Medicaid claims. 

It has been replaced with 20416.  If you are not already using Payer ID 20416 please begin doing so immediately. 

12/09/2016

BCBS (IL, MT, NM, OK, TX)

CANCELED - Maintenance Notification for
Eligibility & Benefits and Claim Status Transactions

Blue Cross and Blue Shield of IL, MT, NM, OK and TX will be performing maintenance on 12/18/2016 from 7:00 AM until 3:00PM Central.  Please refrain from sending Eligibility & Benefits (HIPAA 270) and Claim Status (HIPAA 276) inquiries during this time.  We apologize for any inconvenience.

This notification affects the following Plan(s):

  • BCBSIL
  • BCBSMT
  • BCBSNM
  • BCBSOK
  • BCBSTX

11/09/2016

IN Medicaid

IHCP Trading Partners: Prepare now for changes with the December 5, 2016 implementation  of CoreMMIS

HeW has been notified by Indiana Medicaid that Indiana Health Coverage Programs (IHCP) will replace its current Medicaid Management Information System (MMIS), IndianaAIM, with a new system called CoreMMIS.

HeW will send claims to Indiana Medicaid on November 29th , this will be the last file sent to Indiana Medicaid until December 5th.  We will hold all Indiana Medicaid claims received after our output window has closed (4:00pm MST) on November 29, 2016, continuing through to December 5, 2016.   During this time Indiana Medicaid will be transitioning to their new system and will not be accepting or processing electronic claims.  On December 5, 2016, HeW will submit all claims that were held to Indiana Medicaid.
 

10/26/2016

DE Medicaid

Delaware Medicaid will be implementing a new Delaware Medicaid Enterprise System (DMES) effective January 1, 2017.

This system will replace the Medicaid Management Information  System (MMIS).  Existing providers will not need to complete re-enrollment.  Delaware Medicaid will be rolling over providers to the DMES and linking them to their respective clearinghouses.  However existing providers are required to complete registration within the new DMES Provider Portal.  Early registration will be held December 1st – 16th, 2016.  Providers can go to the Delaware Medicaid web page for further updates regarding the DMES transition at https://www.dmap.state.de.us/information/dmesNews.html or contact Delaware Medicaid at 1-800-999-3371.

10/11/2016

BCBS (multi)

Scheduled BCBSMT Eligibility and Claim Status Outage - October 16th at 7:00 am until 3:00 pm Central.

Blue Cross and Blue Shield of IL, MT, NM, OK and TX will be performing maintenance on 10/16/2016 from 7:00AM until 3:30PM Central.  Please refrain from sending Eligibility & Benefits (HIPAA 270) and Claim Status (HIPAA 276) inquiries during this time.

09/20/2016

BCBSMT

Scheduled BCBSMT Eligibility and Claim Status Outage - October 14th at 6:00 PM till October 15th at 4:00 PM.

Please be advised that the BCBSMT Eligibility and Claim Status will be unavailable from October 14th at 6:00 PM till October 15th at 4:00 PM as BCBSMT takes the time to move to their new location.  Please hold all Eligibility and Claim Status Transactions for BCBSMT during this time.  This outage only affects BCBSMT, transactions for any other payers, including MT HELP, can be sent during this time.
 

08/12/2016

BCBS (IL, MT, NM, OK, TX)

CANCELED - Maintenance Notification for
Eligibility & Benefits and Claim Status Transactions

Blue Cross and Blue Shield of IL, MT, NM, OK and TX will be performing maintenance on 08/21/2016 from 12:00AM until 5:00AM Central.  Please refrain from sending Eligibility & Benefits (HIPAA 270) and Claim Status (HIPAA 276) inquiries during this time.  We apologize for any inconvenience.

This notification affects the following Plan(s):

  • BCBSIL
  • BCBSMT
  • BCBSNM
  • BCBSOK
  • BCBSTX

08/02/2016

HELP

NEW MONTANA PAYER: HEALTH ECONOMIC LIVELIHOOD PARTNERSHIP (HELP) OR HELP PLAN

Eligibility & Benefits Requests (270) and Claim Status Inquiries (276) for dates on or after 1/1/16 can now be submitted electronically using Payer ID BCBMT.  Prior to submitting these inquiries, you must first complete the enrollment forms found https://www.availity.com/documents/hew/BCBMT_HELP_270_276.pdf .  Please note, when submitting a 270 or a 276 transaction the subscriber ID must include the 3 character alpha prefix (YDM) followed by the numeric member ID/Medicaid ID.  

Providers can also enroll to receive Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) for this payer.  Effective 6/17/16, all BCBSMT providers already receiving ERAs and EFTs were automatically enrolled to receive the ERA and EFT for this new payer and no additional enrollment is necessary.  If you are not currently receiving ERAs/EFTs and would like to enroll, please click http://support.availity.com/articles/FAQ/Montana-Payer-EDI-Enrollment/ to access the required enrollment forms for ERA/EFT.

If you have any questions, please contact HeW Support at 1-877-565-5457, Option 1.