Due to an intermediary processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check dates 06/27/2012 through 06/29/2012:

CPIDs 3429 and 3550 United Healthcare
CPIDs 3797 and 6535 Definity Services
CPIDs 1431 and 8598 Medica Choice FFS
CPID 8597 Medica PHP Share Primary

The clearinghouse is working with the intermediary to receive all outstanding ERA files as quickly as possible. Additional updates will be forwarded as more information becomes available.

Please be aware of a delay in the delivery of ERA files for the dates above.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

TRICARE has informed the clearinghouse of a new requirement to include the patient’s gender code in all eligibility requests beginning Sunday, 07/01/2012 at 12:01 AM CT. TRICARE will reject any transactions that do not include the gender code with responses: … Continue reading →

Due to a payer intermediary change, the clearinghouse will be changing electronic claims routing for the following payers effective 06/29/2012: CPID 5454 Choiceone UTMB Chip – Professional CPID 8928 Choiceone UTMB Chip- Institutional The clearinghouse has identified the following items … Continue reading →

TRICARE is currently unable to process eligibility transactions. The payer is working to restore service as quickly as possible. We will update you as soon as we receive additional information. If you have any questions, please contact Client Services at … Continue reading →

CIGNA has scheduled maintenance as listed below. During this timeframe, eligibility transactions should not be sent. Transactions sent during the scheduled maintenance timeframe below may receive a response stating: Unable to Respond at Current Time. Begin: Sunday, 07/01/2012 7:00AM CT … Continue reading →

CMS MEDICARE has scheduled maintenance as listed below. During this timeframe, eligibility transactions should not be sent. Transactions sent during the scheduled maintenance timeframe below may receive a response stating: Unable to Respond at Current Time. Begin: Saturday, 06/30/2012 6:00AM … Continue reading →

Professional Claims for CPID 3435 XL Health Care Improvements may have received an invalid denial message on the Explanation of Benefits (EOB) due to a payer processing issue: 710 Missing/incomplete/invalid billing provider/supplier address This issue began on 05/08/2012 and was … Continue reading →