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Payer Change Details

Please bookmark this page to stay current with upcoming payer changes.

 Current Changes Minimize

New York Medicare Upstate submitters sending to HealthNow   posted:  02-03-09

National Government Services has announced that New York Medicare Upstate submitters that have been submitting to the HealthNow Gateway will be migrated over to the National Government Services Gateway.  This migration must be completed by February 15, 2009 to avoid interruptions.

 

You should receive a letter indicating your new Submitter ID and temporary password.  

 

Your new Submitter ID needs to entered in 1000A NM109, ISA06, and GS02 in the Claim Manager receiver.

 

The dial-up phone number should also be changed to (877) 879-6471.

 

Please give us a call at (337) 989-5042 so that we can make the appropriate changes for you.

 

Florida Medicare Part A submitters sending to First Coast Service Options   posted: 01-05-09 

CMS has changed the Contractor Code for Florida Medicare Part A submitters effective February 13, 2009.

 

The Contract Code is changing from 00090 to 09101. This needs to be changed in 1000B NM109 and GS03 in the Claim Manager receiver and the Payer Number field in your Practice Management System.

 

Current users do not have to fill out a new enrollment form. You will continue to use the same Submitter ID and Login.

 

J9 Transition Website:

http://www.fcso.com/Transition/EDI/index.asp

 

Florida Medicare Part B submitters sending to First Coast Service Options   posted: 01-05-09

CMS has changed the Contractor Code for Florida Medicare Part B submitters effective February 1, 2009.

 

The Contract Code is changing from 00590 to 09102. This needs to be changed in 1000B NM109 and GS03 in the Claim Manager receiver and the Payer Number field in your Practice Management System.

 

Current users do not have to fill out a new enrollment form. You will continue to use the same Submitter ID and Login.

 

J9 Transition Website:

http://www.fcso.com/Transition/EDI/index.asp

 

Pennsylvania Medicare Part B submitters sending to Highmark   posted: 11-24-08

CMS has changed the Contractor Code for Pennsylvania Medicare Part B submitters effective December 12, 2008.

 

The Contract Code is changing from 00865 to 12502. This needs to be changed in 1000B NM109, ISA08, and GS03 in the Claim Manager receiver and the Payer Number field in your Practice Management System.

 

Current users do not have to fill out a new enrollment form. You will continue to use the same Submitter ID and Login.

 

J12 MAC Transition Website:

http://www.highmarkmedicareservices.com/transition/j12/index.html

 

New Jersey Medicare Part B submitters sending to Highmark   posted: 10-30-08

The transition from NGS to Highmark is occurring on November 15, 2008.

Dark days are expected from November 15, 2008 to November 17, 2008.

 

The Contractor Code is changing from 00805 to 12402. This needs to be changed in 1000B NM109, ISA08, and GS03 in the Claim Manager receiver and the Payer Number field in your Practice Management System.

 

Current users do not have to fill out a new enrollment form. You will continue to use the same Submitter ID and Login.

 

J12 MAC Transition Website:

 

Deleware Medicare Part A submitters sending to Trailblazer   posted: 10-30-08

The transition from Trailblazer to Highmark is occurring on November 15, 2008.

Dark days are expected from November 15, 2008 to November 17, 2008.

 

The Contractor Code is changing from 00308 to 12101. This needs to be changed in 1000B NM109, ISA08, and GS03 in the Claim Manager receiver and the Payer Number field in your Practice Management System.

 

You will receive a new Submitter ID and Login from Highmark.

If you have not received your new Submitter ID and Login call (866) 488-0546.

 

J12 MAC Transition Website:

http://www.highmarkmedicareservices.com/transition/j12/index.html

 

New York Medicare Upstate submitters sending to HealthNow   posted: 9-18-08

Transition occurred 09/01/08.

 

The Contractor Code has changed from 00801 to 13282. This needs to be changed in 1000B NM109, ISA08, and GS03 in the Claim Manager receiver and in the Payer Number field in Medisoft.

 

Current users do not have to fill out a new enrollment. You should continue submitting the same way; no other changes have taken place.


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