Getting Started
EDISS realizes that transitioning to a new contractor can sometimes be an overwhelming task. To provide clarity and help curb questions, EDISS offers a Getting Started page that outlines all the elements that tie into electronic transaction registration in step by step format. EDISS will be updating the Getting Started page for the JF transition when information is available. Please check often for updates.
| JF Transition Milestones | Date available | Description / Trading Partner Action |
|---|---|---|
| NAS Registration / Testing Availability for Idaho B provider community | 12/21/11 | Online registration and testing portal is open to public. (https://noridian.totalonboarding.com) Activation key is required to activate profile and begin. This key will be distributed via USPS. Idaho B providers are also able to call 855-765-3360 to obtain key. Get your key and start testing immediately to reduce the risk of claims disruption. |
| NAS to release PC-ACE Pro32 to Idaho Medicare B Community | 1/9/12 | NAS’ PC-ACE build posted to http://www.edissweb.com/cgp/news/jftransition.html. This build will convert your existing version of PC-ACE Pro32 to NAS’ version. This new build will have NAS as a payer and CGS as payer. The CGS payer contains the payer id’s to be used prior to 2/1/2012. Please review all transition information before updating this version. |
| NAS begins processing 5010 Production Transactions | 1/16/12 | NAS will begin to process all 5010 electronic transactions formerly supported by CGS. Further information will be distributed by NAS to further clarify this process. |
| NAS begins 4010 Production Processing (may require a submitted plan according to TDL12116) | 1/23/12 | NAS to support the collection of 4010 claim files in parallel with CGS. NAS would take over any providers wishing to early board for the transition. Further information will be distributed by NAS to further clarify this process. |
| All Idaho B providers to be transitioned to NAS | 1/27/2012 After 5pm |
New contractor id required for Idaho B providers within transaction/claim file. Only the 02202 will be accepted. |
| Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming. | 2/27/2012 | Per CMS direction and recent workload changes, all providers in these states are required to use new contractor id. Further information will be distributed by NAS. Failure to update this information will result in claim rejections. |
Registration with Noridian EDISS
Registration for EDI with Noridian is completed online via our Total OnBoarding System. Total OnBoarding (TOB) is a user-friendly, online registration and testing tool. Providers use it to register with EDISS for electronic transactions, add and modify that registration at any time, and test electronic claim submission.
EDISS and CGS your outgoing contractor are working together to make the EDI registration and testing process seamless. EDISS has auto loaded your facility information into TOB. EDISS is in the process of notifying all JF providers with their authorization information for TOB and how to take control of their profile to get started with the registration/testing process.
If you are a vendor representing a healthcare provider or a provider intending to submit directly to EDISS, you will be required to log into TOB, take control of your facility profile, and verify that the profile and transaction information is accurate. All electronic transactions that you were registered for with your previous contractor will be mirrored in TOB. If anything needs to be adjusted, please do so immediately.
JF Idaho B TOB training materials
JF Idaho B Welcome Letter
Note: Any changes that need to be completed to your Medicare enrollment would still need to be changed though Medicare Provider Enrollment. Their contact information can be found at https://www.noridianmedicare.com
Testing Overview
To ensure a smooth transition, EDISS will be working with vendors and direct submitters to take on the Idaho Medicare B workload. View the getting started checklist
Providers Utilizing a Vendor (Clearinghouse or Billing Services)
Providers currently using a vendor (Clearinghouse or Billing Service) will be required to test their files through their vendor. Vendors will be responsible to send test files to Noridian EDISS and gain production approval for their providers.
Providers Submitting Direct to CGS
If you are a provider that will be submitting directly to EDISS, you will be required to test EDI claim files through Total OnBoarding System (TOB) to gain production approval.
Vendors
If you are a vendor, you will be responsible to test EDI data files for your customers. All provider data will be loaded into Total Onboarding available for your viewing and testing.
PC-ACE Pro32
Similar to CGS, EDISS provides the PC-ACE Pro32 software. PC-ACE Pro32 is for providers wishing to transmit claims electronically. PC-ACE Pro32 is a HIPAA-compliant, standard claims submission and remittance processing software. It also provides the capability of creating claim status requests and processing claims status responses. It is provided free to those who want to download the software from the NAS web site.
Note: If you currently use the CGS version of PC-ACE Pro32, you will need to update to the Noridian version of the software.
PC-ACE Pro32 Idaho B conversion file
PC-ACE Pro32 conversion instruction
Approved Vendor List
To view a listing of the EDISS approved vendors, click here.
Connectivity Options
Two connection methods exist for electronic transmission to EDISS. Trading Partners may select a direct dial-up connection or they may choose to use a Network Service Vendor to establish the connection.
Providers Using a Vendor to Submit to EDISS
If you submit your EDI transaction(s) to a Billing Service or Clearinghouse, connectivity may be taken care of for you by your vendor. Please check with your vendor before attempting to establish connectivity to EDISS. To view a listing of available connectivity vendors, click here.
Providers Submitting Directly to EDISS
If you submit claims directly to EDISS, you must establish and maintain a direct connection to EDISS. Direct connection to EDI Support Services (EDISS) can be obtained through dialing into the EDISS Bulletin Board System (BBS).
One of the most commonly used options to connect to EDISS is HyperTerminal. HyperTerminal is communication software installed on most computers running on a Windows based Operating System. Although EDISS does not support HyperTerminal, EDISS provides documentation on how to configure HyperTerminal for data transmission. To make a connection between your office and EDISS, a generic HyperTerminal session is available for download under the PC-ACE Pro32 link of the EDISS website, click here.
Changes in 5010A1 Claim File
This table shows values that will need to be updated when submitting 5010A1 Claim files to Noridian EDI Support Services. These changes are required to be changed in both test and production files.
Name |
File Location |
Value |
Trading Partner ID |
ISA06 |
Provided by EDISS |
Submitter ID |
GS02 and 1000A NM109 |
Provided by EDISS |
Interchange Receiver ID |
ISA08 |
33477 |
Routing Code |
GS03 |
0067 |
Payer ID |
1000B NM109 and 2010BB NM109 |
02202 |
Changes in 5010 Remit File
This table shows values that will change in Remittance Advice files sent from Noridian.
Name |
File Location |
Value |
Interchange Sender ID |
ISA06 |
02202 |
Interchange Receiver ID |
ISA 08 |
Submitter ID provided by EDISS |
Application Sender’s Code |
GS02 |
02202 |
Application Receiver’s Code |
GS03 |
Submitter ID provided by EDISS |
Change in 5010 276/277 File
This table shows values that will need to be updated when submitting 5010A1 Claim Status Request files sent to Noridian.
Name |
File Location |
Value |
Interchange Sender ID |
ISA06 |
Trading Partner ID provided by EDISS |
Interchange Receiver ID |
ISA 08 |
02202 |
Application Sender’s Code |
GS02 |
Trading Partner ID provided by EDISS |
Application Receiver’s Code |
GS03 |
0067 |
This table shows values that will change in Claim Status Response files sent from Noridian.
Name |
File Location |
Value |
Interchange Sender ID |
ISA06 |
33477 |
Interchange Receiver ID |
ISA 08 |
Trading Partner ID provided by EDISS |
Application Sender’s Code |
GS02 |
0067 |
Application Receiver’s Code |
GS03 |
Trading Partner ID provided by EDISS |
Changes in 4010A1 Claim File
This table shows values that will need to be updated when submitting 4010A1 Claim files to Noridian EDI Support Services. These changes are required to be changed in both test and production files.
Name |
File Location |
Value |
Trading Partner ID |
ISA06 |
Provided by EDISS |
Submitter ID |
GS02 and 1000A NM109 |
Provided by EDISS |
Interchange Receiver ID |
ISA08 |
33477 |
Routing Code |
GS03 |
0010 |
Payer ID |
1000B NM109 and 2010BB NM109 |
02202 |
Electronic Remittance Advice (ERA) 835
On February 1, 2012, Noridian will be processing Idaho part B claims under the new JF contract. If you will be receiving the 835 transaction, here is the information you should know. Any 835’s that were delivered prior to February 1, 2012, will continue to be available at CGS mailbox for 14 days after creation. If you need a paper remittance advice contact Noridian Provider Contact Center at 877-908-8431.
As of February 1, 2012 CGS has discontinued the Idaho EDI helpdesk.
Software Options
- Vendors may offer a free or low-cost software package that has the capability to view ERAs and post to the patient accounts.
- EDISS offers PC-ACE Pro32
- Center for Medicare and Medicaid Services (CMS) offers free program for Medicare providers. Medicare Remit Easy Print (MREP) for Part B providers.
Register for the ERA
- Add the 835 transaction to your Total OnBoarding (TOB) profile.
- If additional paperwork is needed, TOB will prompt you for this to be completed.
- Decide where your remittance will be sent
- Remits can be sent to your Billing Service/Clearinghouse or, directly back to your facility
Bulletin Board System (BBS)
- Direct connection to EDI Support Services (EDISS) can be obtained through dialing into the EDISS Bulletin Board System (BBS).
- Bulletin Board System
- Changing Password In EDISS' BBS
- Online Tutorials
Changes in 5010 and 4010 ERA File
This table shows values that will change in Remittance Advice files sent from Noridian.
Name |
File Location |
Value |
Interchange Sender ID |
ISA06 |
02202 |
Interchange Receiver ID |
ISA 08 |
Submitter ID provided by EDISS |
Application Sender’s Code |
GS02 |
02202 |
Application Receiver’s Code |
GS03 |
Submitter ID provided by EDISS |
EDI Educational Resources
EDISS holds interactive online meetings regarding multiple topics, including the JF transition. To view the listed sessions, click here to register.
Contact Information
EDISS highly recommends subscribing to our Email Distribution. The EDISS Email Distribution is used to relay all pertinent information about EDISS to its customers.
To subscribe to the EDISS E-mail Distribution List, click here.
Phone: 855-765-3360
Fax: 701-277-7850
E-mail: idahobedi@noridian.com
Web site: www.edissweb.com
The EDISS Help Desk is available Monday – Friday from 8 a.m. CT to 5 p.m. CT (Wednesday 10 a.m. CT to 5 p.m. CT).