CPIDs 4491, 4492, 5529 Massachusetts Medicaid: New Processing System

Massachusetts Medicaid has announced that claims submitted to MassHealth will convert to their new MMIS system on May 26, 2009. 

 

RelayHealth will be implementing the changes for CPIDs 4491, 4492 and 5529 Massachusetts Medicaid to the new system on May 15, 2009.

 

 

RelayHealth has identified the following items regarding this transition to the new MMIS system:

• Provider Online Service Center (POSC) Registration is required. MassHealth has mailed providers registration letters with instructions on how to register. Please contact MassHeath at (800) 841-2900 with registration questions.

Providers MUST link RelayHealth as a subordinate no later than May 25, 2009 in order to continue claim submission after May 26, 2009.

• Providers will link User ID mhird as part of your online registration for the following transactions at www.mass.gov/masshealth/newmmis.
• 837 Professional claims
• 837 Institutional claims
• 835 Electronic Remittance Advice (ERA)

RelayHealth will begin submitting claims to the new MMIS system on May 16, 2009

Electronic claims submitted between May 16, 2009 and May 25, 2009 will be held by MassHealth for processing until implementation on May 26, 2009

June 2, 2009 will be the last day that ERA is produced from the legacy MMIS system.

June 8, 2009 will be the first day that ERA is available from the new MMIS system.

New Member ID requirements are now 12 numerics. The current 10 alphanumeric Member ID will continue to be accepted for a limited time.

Payor agreements for new providers will continue to be required for electronic claims and remittance setup.

There are no payor reports that will be returned from MassHealth.

 

 Action Required: Provider training is available at http://masshealthnewmmisprovidertraining.ehs.state.ma.us/Providers

Thank you

Mike Feldman

PC Solutions

Modifier tool at dmefree.com - under Free Data

Modifier Finder Tool Now Available! Are you a DME MAC Jurisdiction C supplier who routinely uses modifiers in billing your claims to Medicare? If so, CIGNA Government Services has a new online tool just for you! The Modifier Finder tool has been designed to aid Medicare suppliers in using modifiers correctly. Read more...

 

Link from here

www.dmefree.com

FreeData page

 

PGBA Modifier Finder Tool

 

or available here

http://www.cignagovernmentservices.com/jc/pubs/news/2009/0509/cope9812.html

 

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 203 413 5772

 

Looking for your own domain or website - check out 1and1.com,,

We use it, click here for more info

http://www.1and1.com/?affiliate_id=89102

 

 

 

 

RxDME2000 users new tool - Free Report Designer

Dear RxDME2000 software user,

A new tool has been created for users of RxDME2000

it is called Report Designer (we also call it Report Writer)

this program is only available for RxDME2000 versions 2.17a or 2.17b .  

The download link is

http://www.dmefreeserver.com/files/RXDRW217B1.EXE

This is not merely a quickly search program, but a true report writer designed for the end user!  In other words, it's easy to use!   The program comes with a set of pre made reports that you can copy and save for your own modification or use to give you a head start on design concepts.  And when you press F1 there is a help system too, with a tutorial!

There are almost no limits on what type of reports you can make;  examples being

File listings,, sorted your way

Labels

Mail Merge documents for marketing

Forms, such as Delivery sheets, Invoices etc.

Physicians orders

We are giving this program to our RxDME2000 users for free, it is a supported product, ReportDesigner was carefully created and tested to make sure you get real and accurate results!   If you want to share your creations with other RxDME2000 users that would be awesome as well!

When you install it please take the time to look at the Read me document that comes up during installation.

Good designing,, and please contact us with questions on using the program,, if you need help getting the program to select the right records or whatever.

Thank you

 

Mike Feldman

PCSolutions

www.dmefree.com

fax 203 413 5772

 

Looking for your own domain or website - check out 1and1.com,,

We use it, click here for more info

http://www.1and1.com/?affiliate_id=89102

 

 

 

 

Friday May 8th, 2009

Our email server seems down, we hope this is a temporary situation.
We can occasionally receive email but cannot send.

Also RxDME2000 users
Keep an eye out for an email regarding
the release of our new RxDME2000 Report writer!

Enjoy the weekend

Mike

RelayHealth Notify: Claims: CPIDs 1755 and 2544 SummaCare Health Plans: Direct Connection

As part of the Direct initiative, we are pleased to announce a new direct connection with SummaCare Health Plans for processing electronic Claims. This new connection will become effective for claims submitted on and after May 06, 2009.

The CPIDs included in this new connection are:

• CPID 1755 SummaCare Health Plans - Professional
•  

 

the following items for you to be aware of with this change:

• Payor agreements for electronic claims are not required.
• The following payor reports will be available
• Summacare Health Plans Acknowledgment report
• Normalized Payor reports for the above payor will be available as soon as possible after May 06, 2009

 

RelayHealth Notify: Claims: CPIDs 4791 and 5927 Aultcare: Direct Connection

As part of the Direct initiative, we are pleased to announce a new direct connection with Aultcare for processing electronic claims. This new connection will become effective for claims submitted on and after May 7, 2009.

 

The CPIDs included in this new connection are:

• CPID 4791 Aultcare - Professional
•  

 

RelayHealth Notify: Claims: CPID 4749 TriCare For Life: New Payor Connection

The following new CPID has been added for electronic claim submission using the 4010A1 ANSI format.  Effective immediately, claims can be submitted as follows:

 

CPID	Payor Name	Transaction Type	Enrollments
4749	TriCare For Life	837 Professional	Yes