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:
March 11, 2025
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:
March 11, 2025
August 4, 2022

For All Trading Partners

EDI Support Services (EDISS) is committed to helping Trading Partners read and understand the reports generated by our front-end collection system. The following are some tips to ensure Trading Partners maximize the benefit of the information found on these reports.

The reports are created in a specific order:

• Interchange Acknowledgement (TA1): Will not generate if no errors are detected
• Functional Acknowledgement (999)
• Claims Acknowledgement (277CA)

Reports assist Trading Partners track their claims through the electronic collection process, and to the appropriate payment floor. For instructions on downloading reports, refer to the Reports page at https://www.edissweb.com/.

EDISS requires the ISA13 (Interchange Control Number) element from the inbound file for questions regarding claim submissions. This will specifically be required for Submitters who send more than 500 inbound files per day or in cases where the inbound file is not able to be located. Providing this information ensures that EDISS reviews the correct file. Callers who do not have this may be asked to call back once they have obtained the ISA13 element.

Message Sent:
March 11, 2025

For All Submitters

On 2/09/2024 providers will have access to the EDI Rejection Lookup Tool that will replace the Rejection Spreadsheets.

The EDI Reject Lookup Tools will allow submitters to access rejection information received on their TA1, 999 or 277CA reports. The tool provides the user with detailed information as to what the rejection is related to.

To use the Edit Lookup Tool, enter in either part of the rejection code or a keyword.

Message Sent:
February 5, 2025
December 10, 2024
February 6, 2024

For All Medicare Submitters

To ensure callers reach the appropriate department, EDISS would like to provide some clarification on the terms "Rejection" and "Denial." EDISS can help with Rejections, but not Denials.

Rejection (EDISS):

The claim file stopped processing before it reached Medicare. The submitter received an error on one of the three EDISS front-end system acknowledgement reports - the TA1, 999, or 277CA report. A remittance advice will NOT be generated.

EDI can help with Rejection questions.

Denial (PCC):

The claim processed through EDI, was received by Medicare for processing, but was either not paid or not paid in full by Medicare. The submitter will receive the Denial information on a Remittance Advice.

The Provider Contact Center (PCC) can help with Denial questions.

Message Sent:
February 5, 2025
February 6, 2024

For All Submitters

To provide the most efficient customer service possible for our Submitter community, EDISS implemented a change to what information is required when calling or emailing for claim submission assistance. Effective 11/1/2024, EDISS requires additional elements from the inbound file for questions regarding claim submissions.

• Date of Submission - must be within the last 30 days
• ISA13 (Interchange Control Number) - this is typically nine digits in length
• Unique Submitter ID used to send the file

Providing this information ensures that EDISS reviews the correct file. To prevent delays in receiving assistance, please ensure you have this information ready when calling as those who do not have this may be asked to call back once they have obtained the required elements.

Message Sent:
February 5, 2025
October 1, 2024

For All PC-ACE Users

An updated version of the HIPAA-compliant PC-ACE software is now available for download from the EDISS website at https://www.edissweb.com.

An update to PC-ACE is available every quarter (i.e., January, April, July and October). Updating quarterly is important to ensure edits, codes and other information is current within the PC-ACE program. The update installation may either be run from the website or saved to your local computer or network.

ATTENTION: If saving the update to your local computer or network, DO NOT save the update file in the current WINPCACE folder on the drive where PC-ACE is installed. Doing so will cause loss of data to any information you have saved within PC-ACE.

Message Sent:
April 1, 2025
January 20, 2025
July 2, 2024
January 9, 2024
October 4, 2023
September 6, 2023
April 7, 2023
February 7, 2023
September 8, 2022

For Medicare Part A Submitters

An updated version of PC-Print is currently available for download at https://www.edissweb.com/web/cgpblue/software/pcprint. For further assistance with software updates, please contact EDISS.

Message Sent:
April 1, 2025
January 20, 2025
July 2, 2024
January 9, 2024
October 4, 2023
April 7, 2023
February 7, 2023
August 4, 2022

For All Submitters

In an effort to assist providers with identifying their submitter ID, EDI has created a look up tool which can be located on the Connect login page at connect.edissweb.com/.

Note: This tool is for providers only. Vendors that are needing the submitter ID for a provider, will need to reach out to the provider to obtain the submitter ID.

For Medicare Submitters

EDISS provides a valuable tool for decoding and interpreting errors incurred in the processing claim files. The EDISS website, www.edissweb.com, houses both the Professional and Institutional edit spreadsheets, which can be used to research rejection error codes. The edit spreadsheets are designed to interpret errors listed on acknowledgement reports; they do NOT provide information on denial error codes received on remittance advice.

To access the edit spreadsheets, choose the appropriate state from the main EDISS page, then click on either the 837P Edit Spreadsheet or the 837I Edit Spreadsheet located under the Quick Links.

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 All Submitters

Submitters may contact EDISS over the phone or through email. Please be sure to use the correct Line of Business phone number and follow our email guidelines (below).

Note: Please call the appropriate phone number for assistance with Gateway and Connect access questions. Email cannot be used for these questions at this time.

Phone:

Medicare Lines of Business
Jurisdiction E (JE) Part A and B: 855-609-9960
Jurisdiction F (JF) Part A and B: 877-908-8431

Monday - Friday 8:00 A.M. - 7:00 P.M. (CT)
See Training Closure Schedule

All Other Lines of Business
800-967-7902

Monday - Friday 8:00 A.M. - 5:00 P.M. (CT)
See Training Closure Schedule

Email:

Non-critical questions or issues
support@edissweb.com

Concerns or praise to EDISS management
edimgmt@edissweb.com

Include

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

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

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

Message Sent:
March 1, 2022
July 6, 2021

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 Medicare Submitters

EDI Support Services (EDISS) assigns a Trading Partner ID, also known as a Submitter ID, when an entity registers for an electronic transaction in EDISS Connect. The Trading Partner ID is used to submit electronic transactions and to register for the Noridian Medicare Portal (NMP).

To obtain and locate the Trading Partner ID for NMP registration, the Provider will need to complete the following steps:

• Register for access to EDISS Connect, if not already registered.
  • Note: If an EDISS Connect account exists but no one currently has access, contact EDISS for assistance in obtaining the Provider Submitter ID.
• Register within EDISS Connect for an electronic transaction, if not already registered.
  • Log into EDISS Connect and look for the blue header within the account.
  • Locate the field titled 'SubmitterId' within the blue header.
  • Use the 'SubmitterId' listed when registering for the Noridian Medicare Portal.

Note: The EDISS Connect Registration is a separate registration from the Noridian Medicare Portal Registration. EDISS Connect will only supply the Provider Submitter ID.

Message Sent:
July 5, 2022

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,

• IA Web Portal Users should use https://accountmgt3.edissweb.com
• All other users should use https://accountmgt2.edissweb.com

For help using this feature,

• IA Submitters should visit: https://www.edissweb.com/med/software/gateway.html
• All other Submitters should visit: https://www.edissweb.com/cgp/software/gateway.html

Message Sent:
July 11, 2023

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

EDI Support Service (EDISS) will be implementing a change effective 11/1/2024 regarding what information is required when calling or emailing for electronic remittance advice assistance. As a reminder, EDISS retains all electronic data for 30 days.

If the request is made by phone:

• Unique Submitter ID used to retrieve and/or download the file
• Billing NPI
• The check example that is missing

Note: If there are more than 5 missing ERAs, it is recommended that you send an email for the request.

If the request is made by email:

• Unique Submitter ID used to retrieve and/or download the file
• Billing NPI
• Check number, check date, check amount - this must be sent via a secure email

Note: For JE providers utilizing a vendor, EDISS must receive the request from the Vendor.

To prevent delays in receiving assistance, please ensure you have this information ready when making the request or you may be asked to call back once you have obtained the required information.

Message Sent:
October 1, 2024