Clearing House Updates July 21, 2008

Wisconsin Medicaid

Wisconsin Medicaid was not ready for NPI only claims. As a result, HCDS had to modify their clearinghouse programs to accommodate Medicaid. Please rebill any outstanding claims to Wisconsin Medicaid. All Medicaid legacy ids must be in your database. Taxonomy codes used for Medicaid should be the taxonomy codes that are listed on the NPI Enumerator�s document when you were issued your NPI.

HIRSP- Wisconsin Health Risk Program.

The old payer id code was 00074. Please change the payer id to the new code 00WPS.

DME

Durable Medical Claims can now be filed to NGS, the new entity that is processing DME claims. If you do not have the new HCDSDME format available in your electronic claim options, please contact the HCDS support department.

Billing Errors

If the electronic billing run in PPM is interrupted by an error message in PPM or an error from your computer, please call HCDS support. If the billing run is interrupted, it creates an incomplete file. This incomplete file must be deleted or it will append itself to the next file created, therefore creating a file that can not be processed.

Medicare Crosswalk Errors

If offices are getting crosswalk errors on the Medicare carrier reports, this may be a result of the way the provider registered with Medicare using their social security number instead of the employer tax id. If this is the case, the provider will need to call provider relations and re-credential with Medicare. This process can take 4-6 weeks. As a temporary work-around, contact HCDS support to have a new electronic claim form created, which will be called HCDSWIM for WI Medicare and HCDSILM for IL Medicare.. This form will transmit the correct information regarding the social security number. After the re-credentialing process at Medicare is complete, the temporary format for Medicare should be discontinued and the ecs format should be changed back to HCDSEMC.