EDISS Remittance Advice Policy
Effective: January 23, 2018
Based on recent CMS direction involving suppression of Standard Paper Remittance Advice (SPR) outlined in Change Request (CR) 10151, EDI Support Services (EDISS) is implementing a process change for Medicare 835 Remittance Advice recipients.
CR10151 eliminates the issuance of SPRs to providers/suppliers who have been receiving Electronic Remittance Advice (ERA). More details around the CR can be found here: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM10151.pdf.
No Submitter action is needed, but for those that make changes in EDISS Connect to remove the 835 transaction, the following changes are being implemented immediately to address this CR.
Part A providers who unenroll from the 835 transaction in EDISS Connect will have their ERA option removed from the Medicare standard system and will not be moved back to a paper option. Part A providers have the option of viewing their Remittance Advice information in the Noridian Medicare Portal (NMP), but this option is not a full Remittance Advice. The Part A Remittance Advice in NMP are claim level, single-line ERAs only.
Part B providers who unenroll from the 835 transaction in EDISS Connect will have their ERA option removed from the Medicare standard system and not be moved back to a paper option. Part B providers have the ability to view their full Remittance Advice in NMP. At the time of removal, EDISS will adjust the Medicare standard system to ensure that the NMP Remittance Advice option is automatically selected for future use. To view a Remittance Advice in NMP, providers will need to register for NMP full remittance advice access.
Part B providers are encouraged to register for the full remittance advice option in NMP. For more information on NMP registration and functionality, please visit www.noridianmedicare.com.