For All Submitters

There have been some improvements made to EDISS Connect registration. Some of the biggest updates are as follows:

• The contact listed on the Providers EDISS Connect account will receive a Production alert email for every transaction that is moved into production.
  • For a Provider it's important that the contact is up to date on the account profile page to ensure delivery of the production emails
  • It is important to pay attention to the information in each email, so you know which transaction is ready
  • Typically for the 837I/837P, you will want to wait the overnight cycle before submitting claims to avoid any rejections
  • These emails will include the Provider Trading Partner ID
  • It will alleviate calling and/or emailing in for status of your account (which was stopped back in 2019)
  • It provides you with the confirmation request that you can pass onto your Vendor/Clearinghouse to begin submitting on your behalf
• Lines of Business no longer in service were removed.
• Our Contact page on the main login and the contact tab within the Connect account now has the states listed for each jurisdiction.

This provides you with the correct number to call, to avoid any confusion or redialing

Message Sent:
May 7, 2024

For All Submitters

EDISS cannot address Gateway or Connect access issues over email. Requests or questions around access or needing a Submitter ID must come through a phone call.

Medicare Lines of Business

Jurisdiction E (JE) Part A and B: 855-609-9960

Jurisdiction F (JF) Part A and B: 877-908-8431

All Other Lines of Business

800-967-7902

Message Sent:
March 5, 2024

For All Submitters

In an effort to simplify the process of updating your transactions with EDI, we have created a basic list of the steps needed. Whether you are changing vendors or switching to direct, this list has you covered.

Option 1: Change to a new vendor

1. Provider will log into their EDISS Connect account at https://connect.edissweb.com/
   Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
2. Select Manage Transactions.
3. For the 837 transaction, select Add Vendor.
   Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the new vendor.
4. Search for the new Vendor by name or Trading Partner ID and Add the correct option once located.
5. Allow 7-10 business days for the transaction to be moved into production.
   Note: You will not receive a notification when the new vendor has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.

Option 2: Change to direct

1. Provider will log into their EDISS Connect account at https://connect.edissweb.com/
   Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
2. Select Manage Transactions.
3. For the 837 transaction, select the I will and/or check box.
   Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the I will and/or check box.
4. Direct claim submission does require testing.
   • Medicare testing requirements, visit https://www.edissweb.com/web/cgpblue/registration
   • Iowa and North Dakota Medicaid testing requirements, visit https://www.edissweb.com/web/medicaid/registration
5. Once a test file is submitted, please allow 72 hours for review of the file.
6. If the test file is clean, the 837 I will and/or will be moved to a production status in your Connect account.
   Note: You will not receive a notification when the direct transaction has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.
7. Methods of submitting direct transactions:
   • Network Service Vendor (NSV)
   • Noridian Medicare Portal (NMP) Claim Submission (Medicare only)
   • Iowa Web Portal (Iowa Medicaid only)

Message Sent:
March 5, 2024

For New Medicare Direct Submitters

Medicare testing process information is available at https://www.edissweb.com/web/cgpblue/registration.

After adding a direct Medicare 837 transaction in EDISS Connect, allow 10 business days for EDI Support Services (EDISS) to complete testing setup. When setup is complete, submit a Medicare 837 Test file and review the TA1, 999, and 277CA Acknowledgement Reports.

Once a provider has received a clean 277CA Acknowledgement Report, EDI Support Services (EDISS) will ensure the 837 transaction is approved in EDISS Connect. For help, please contact EDISS.

Message Sent:
December 10, 2024
July 5, 2022

For Medicare Submitters

Smart Edit translation help is available on the EDISS Website. Spreadsheets for Institutional and Professional Smart Edits (also known as Custom Edits) can be found in the same manner as the 837 and 277/276 documents.

Go to EDISSweb.com, click on your state, and under Quick Links on the right-hand side, select either Part A or Part B Custom Edits.

Message Sent:
June 6, 2023

For All Submitters

EDISS has come across Provider Connect accounts where both 'I will' and a Vendor are selected for an 837 Claim Submission transaction, but the provider has not tested the direct request. See below for clarification on these options to ensure correct electronic transaction registration.

• I will and/or: Providers should check only if submitting/receiving transactions directly
• Add Vendor: Providers should select if using a vendor for transactions
  • Select Add Vendor
  • Type the vendor name or Submitter ID
  • Highlight the vendor and click add

Message Sent:
May 7, 2024

For All Submitters

When using the support email option, support@edissweb.com, include the following information within the email inquiry.

• Your name
• Business name and location
• NPI
• Business phone number and extension
• Complete description of your issue

To ensure response delivery to your inbox, please add these addresses to your address book or safe list.

Do not e-mail requests to EDISS for issues such as the status of a claim or remittance or questions about claim processing and denials. EDISS does not handle such inquiries.

Note: Gateway and Connect access questions cannot be done via email, please call the appropriate phone number for assistance.

Message Sent:
July 5, 2022

For All Submitters

If you need to email EDISS for help with an error or a re-post, please be sure to verify NPI and/or Trading Partner ID (TPID) numbers that are being sent. We often receive information containing typos, which causes delays in resolution due to additional research. The email address, as well as additional contact information, can be located at https://www.edissweb.com/.

Message Sent:
May 2, 2023

For All Medicare Submitters

The Noridian Custom Edits (NCE) that appear on the 277CA reporting were disabled starting on 8/25/2024. The edits will no longer be applied to claims processed on or after that day. For past reference, the list of Part A and B edits will be available on https://www.edissweb.com/ until 10/31/2024.

Message Sent:
October 1, 2024
September 6, 2024

For All Submitters

In an effort to simplify the NMP submission process, below is a list of items to check when submitting:

• Be sure to select the I will and/or option for the 837 transaction selected in production and in Connect.
• Files sent should be in an ANSI X12 format and contain a file extension of .txt, .edi or .dat
• Files being uploaded should not be more than 10 MB.

Message Sent:
March 5, 2024

For Medicare Submitters

Noridian is devoted to providing solutions that put people first. Effective March 27, 2023, providers will have the option to participate in a short survey after interacting with Noridian's interactive voice recognition (IVR) system or customer service representatives. Noridian encourages providers to participate in the survey and looks forward to hearing your thoughts.

Also available is the Enrollment Experience Survey. If you have registered with EDI in the past three months, we encourage you to take a short survey (click on the link below) to share your thoughts with us. Thank you!

https://med.noridianmedicare.com/web/medicare/edi-letter-survey

Message Sent:
April 7, 2023
March 7, 2023
August 4, 2022

For All Medicare Part B Submitters

For the most current version of Medicare Remit Easy Print (MREP), visit https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/medicare-remit-easy-print. This link will bring you to the cms.gov downloads webpage. For further assistance with software updates, please contact EDISS or visit the Software/Connectivity tab of the EDISS website.

Message Sent:
February 7, 2023

For All Submitters

If you will be changing your Connect account in the near future, EDISS would like to provide a few helpful tips.

• Transaction changes can be completed in Connect by selecting Manage Transactions and then clicking directly on the NPI. The transactions requirements are as follows:
  • Electronic Remittance Advice (835) and Claim Status Request (276) transactions may have only ONE receipt method selected.
  • Claim Submission (837) transactions can have up to TWO submission methods selected.
• Registration processing takes 7-10 business days from the date the change is made, provided no testing is required. Once a transaction is set up, Connect will reflect that is is Completed/Approved.
  • For 837 transactions, wait until the day after the approval date to send claims.
• Edit Profile allows you to edit your company information. Make sure to select Save when done.

Message Sent:
August 4, 2022

For Medicare Submitters

Noridian Custom Edits (NCE), referred to as Smart Edit on the 277CA, were created to assist providers in submitting error-free claims by pre-screening for common errors prior to processing. Informational NCEs went live on 3/27/2022. All NCEs populate in the STC elements of the 277CA, but the informational NCEs have a distinct code set that begin with A2:20:PR. Both types can be cross-referenced to the NCE Spreadsheets:

• Part A https://www.edissweb.com/web/cgpblue/reports/nce-pa
• Part B https://www.edissweb.com/web/cgpblue/reports/nce

NCEs can:

• Help identify problematic and/or certain-to-deny claims prior to Noridian claims processing.
• Alert providers of errors and potential claim processing issues around medical necessity, non-covered services, missing modifiers, and other clinical editing.
• Deliver timely and clear notifications of how to fix claim errors.
• Save administrative time tied to claim resubmissions.
• Improve transparency of claim editing and claims processing.

Provide information or reminders on claim submissions.

Message Sent:
February 7, 2023

For All Medicare Submitters

The assigning of a Submitter ID is completed after the registration for EDISS Connect is complete. There are two Types of Submitter IDs that are assigned at different times.

Vendors: Vendor Submitter IDs are assigned 5-7 business days after they register in EDISS Connect.

Providers: Providers have a two-part registration for EDISS Connect. The following steps will occur:

• Initial registration
• Receive validation email (3-5 business days)
• Log back in and complete registration by adding transactions and method they plan to use to complete each transaction
• Submitter ID is assigned and transactions are granted production status (5-7 business days)

Message Sent:
April 2, 2024

For All Medicare Submitters

Although you are required to register in Connect prior to NMP enrollment, how is NMP access affected when you make changes to your EDISS Connect transactions? It is actually the transactions in Connect that affect the access to information in NMP. When making changes in EDISS Connect, be sure to leave at least 1 transaction in production to keep uninterrupted NMP access. This can be any of the 3 transactions available in Connect, 837, 835 or 276.

Message Sent:
April 2, 2024

For All Submitters

EDI Support Services (EDISS) offers a tool called Gateway Password Management to assist submitters who need to re-set their Gateway password. This tool can be found in the shaded lower section of each web page at https://www.edissweb.com/. It requires the answers to your Security Questions, which were set up during registration.

Message Sent:
May 2, 2023

For All Submitters

There are several free software viewing options available for providers that receive Electronic Remittance Advice (ERA) recipients!

To download, navigate to EDISS Website. Click on your state, navigate to the Software/Connectivity tab, click through to the applicable software page, and follow the information on the individual software page.

• PC-ACE - A claims and remittance software for all Lines of Business offered by EDISS.
  • Note: Before the installation password can be given out, a Software Licensing Agreement (SLA) must be accepted in your EDISS Connect account.
• PC Print - Free software developed by The Centers for Medicare & Medicaid Services (CMS) for viewing Medicare Part A remittance.
• Medicare Remit Easy Print (MREP) - Free software developed by The Centers for Medicare & Medicaid Services (CMS) for viewing Medicare Part B remittance.

Message Sent:
March 7, 2023
February 1, 2022

For All Medicare Submitters

EDI Support Services (EDISS) often gets questions regarding EFT updates and wants to provide clarification on EFT, ERAs, and who can assist with related questions.

EFT (Electronic Funds Transfer) - The process whereby the provider's Medicare payment is transferred to the provider's bank and automatically deposited into their bank account. For assistance with your EFT, contact Provider Enrollment.

ERA (Electronic Remittance Advice) - The ERA is the electronic version of the SPR (Standard Paper Remittance), which serves as a notice of payment and adjustments sent to providers, billers, and suppliers. It explains the reimbursement decisions of Medicare. For assistance with your ERA, contact EDISS.

Message Sent:
May 7, 2024

For Medicare Submitters

Responses to our Registration Survey link have indicated there may be some confusion regarding when registration is appropriate. Here's a quick reference:

IF:

• You are a third-party billing service
• You are a rendering provider
• You are NOT a Medicare Part A/B provider
• Your Medicare jurisdiction is something other than JE or JF

THEN:

No individual registration is needed

Message Sent:
August 4, 2022