Information Regarding Fix to Correct National Provider Identifier (NPI) Information within the 837 Institutional Crossover Claim Files
The Centers for Medicare & Medicaid Services (CMS) has learned that its October 2, 2006 Fiscal Intermediary Shared System (FISS) release introduced error conditions (zeroes being populated in the 2010AA and 2010AB segments for the national provider identifier (NPI)) that negatively impacted the volume of Part A 837 COB claims that should have crossed to the supplemental (next) payer(s) after Medicare. The error condition created non-compliant HIPAA transactions that, as of October 27, prevented up to 97% of the Part A 837 COB claims from crossing to the next payer. The CMS has aggressively pursued a fix to the problem within the FISS and has been informed that the fix to correct the issue has been successfully tested. The installation of the fix into production has occurred or will occur and will produce two outcomes: 1) upon installation date of the fix into production at the Fiscal Intermediary locations, all claims transmitted to CMS' Coordination of Benefits Contractor (COBC) to be crossed over to the next payer will no longer contain the error condition and the Part A Medicare claims crossover process will return to normal; 2) all claims that errored out due to this problem will be repaired and retransmitted to the COBC to be crossed over. As a result of the fix being installed at most Fiscal Intermediaries, the error rate for Part A 837 COB claims that were transmitted to the COBC for crossover to the next payer has dropped to 47% as of 11/2/2006.
The CMS anticipates that the Medicare paid claims affected by the error condition from October 2, 2006 until the individual production date of the fix at each Fiscal Intermediary will be repaired & retransmitted to the COBC for crossover to the next payer by the week of November 6th at the latest.
All Fiscal Intermediaries have reported that they have installed the fix into production with the exception of the following list. It is anticipated that these Fiscal Intermediaries will move the fix into production no later than November 5, 2006, enabling the Part A Medicare claims crossover process to return to its regular schedule and to recover the claims that did not cross from October 2, 2006 through November 4, 2006.
Noridian (Oregon, Idaho, North Dakota, Arizona, Utah, Wyoming, North Dakota)
Montana Blue Cross
Nebraska Blue Cross
Cahaba (Iowa, South Dakota)
AdminaStar Federal
Cooperativa de Seguros de Vida de Puerto Rico
Kansas Blue Cross
United Government Services
Page Last Updated: Monday, 09-Jun-2008 13:34:24 CDT
