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Production Alerts

Title Submitters Affected Description
NCE Informational Edits - Resolved 04/13/2022 For Medicare Submitters NCE Informational Edits: Informational Edits through NCE (STC*A2:20:41) are currently displaying with a U rather than a WQ in the NCE Description line. The second STC line appropriately reflects WQ. Please look to REF*1K for claims that hit these informational edits to note that the claim will process through to the payer. EDISS is working to resolve the appearance of the NCE Description line for informational edits, but claims hitting the informational NCE are processing correctly through to the payer and no action is needed.
NCE Issue - Resolved 04/11/2022 For Medicare Submitters NCE Issue: Medicare submitters may receive a Smart Edit 2843 on claims submitted with a non-specific procedure code with a description starting March 27 in error. Noridian is working to resolve and apologizes for the inconvenience. If a submitter receives this NCE in error, please resubmit. The error may reoccur after resubmission - if this is the case, please hold the claim and resubmit on/after April 11. The issue will be resolved on April 11.
IME Connectivity Maintenance - Resolved 04/08/2022 For IA Medicaid Submitters IME Connectivity Maintenance: IME Connectivity will be down for maintenance from 12:00 AM to 6:00 AM on 4/8/2022.

Production Alert Archives

 

What's New

New Code K1034 Not in PC-ACE
For PC-ACE Submitters

The new code K1034 for OTC COVID tests is not currently included in PC-ACE. Providers using PC-ACE should manually add this code if needed for billing. To add the code in PC-ACE, users can click Reference File Maintenance, navigate to the Codes/Misc tab, click HCPCS under the Shared column, and click New to enter the code information. The code will be included in the next PC-ACE release.

 

Informational NCE Began March 27, 2022
For All Medicare Submitters

Informational Noridian Custom Edits (NCE) went live for Part A and for Part B on March 27, 2022.

 

NCE populate in the STC elements of the 277CA with distinct code sets that can be cross-referenced to the NCE Spreadsheet. To assist submitters' NCE review, Noridian established edit spreadsheets for Part A at https://www.edissweb.com/blue/reports/nce-pa.html and for Part B at https://www.edissweb.com/blue/reports/nce.html.

 

Informational edits set on claims but do not cause them to reject. Claims that hit informational edits will process through to the payer. These can be distinguished from NCE that do cause the claim to reject by the STC codes. Informational Edits will appear in the STC segment as A2:20:PR, while the rejecting edits will appear in the STC segment as A3:23:41

 

Informational NCE example:

 

STC*A2:20:PR**WQ*********SMARTEDIT PATTERN 8446 INFORMATIONAL. DIAGNOSIS CODE T8453XD COULD INVOLVE THIRD PARTY LIABILITY AND OR SUBROGATION OF BENEFITS.~

 

Rejecting NCE example:

 

STC*A3:23:41**U*********SMARTEDIT PATTERN 45 PER MEDICARE GUIDELINES TEAM SURGERY IS NOT PERMITTED FOR PROCEDURE CODE 99214.~

 

New TIN Effective 1/1/2022
For All Medicare Submitters

Submitters may have noticed a new TIN appearing on their 2022 remits. Noridian implemented a new TIN effective 1/1/2022. It is correct for remits to reflect a TRN*03 of 1262326076.

 

Using the Gateway SSPR for Password Resets
For All Submitters

EDI Support Services (EDISS) requires all submitters to use the Gateway Self-Service Password Reset (SSPR) website to gain access to their account when their password has been forgotten or has expired.

 

The "Forgot password?" option uses the security questions and answers that were created during registration. EDISS recommends Gateway users store their security questions and answers in a safe and secure location where they can be accessed for future use.

 

To access the Gateway SSPR,

 

For help using this feature,

 


 

 

 

Current System Status

Quick Links

Scheduled Maintenance Downtime
for HIPAA Production Line

 

 

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