Palmetto GBA insurance carrier EDI conversions

RelayHealth has received notification concerning the payors listed below that the current contracted Intermediaries will be converting to Palmetto GBA on the dates specified below.

Palmetto GBA is requiring re-enrollment for all providers. RelayHealth has made the Palmetto GBA agreements available on the Payor Agreement Library. Re-enrollment requirements are:

• Providers already approved to submit transactions through RelayHealth must complete the Palmetto GBA EDI Enrollment Form
• Providers with an agreement in Open status at RelayHealth must complete the Palmetto GBA EDI Enrollment Form
• Providers not enrolled through RelayHealth must complete current intermediary forms and the Palmetto GBA EDI Enrollment Form

The enrollment cut off date to enroll with the current Intermediary will be determined by Palmetto GBA. Once determined, Palmetto GBA will no longer allow enrollment through the current intermediary. After the enrollment cut off date, only the Palmetto GBA EDI Enrollment Forms will be accepted by RelayHealth.

The payor affected are listed below:
CPID 1446 Nevada Medicare currently with contracted Noridian, converting on August 4, 2008
CPID 2467 Hawaii Medicare currently with contracted Noridian, converting on August 4, 2008
CPID 3508 California Medicare currently with contracted NGS, converting on August 18, 2008
CPID 5567 Hawaii Medicare currently with contracted NGS, converting on August 18, 2008
CPID 1436 Northern California Medicare currently contracted with NHIC, converting on September 2, 2008
CPID 1444 Southern California Medicare currently contracted with NHIC, converting on September 2, 2008

Action Required: Re-enrollment is required for both enrolled and non-enrolled providers who want to continue sending to the above payors. Please begin using the new agreements on the Payor Agreement Library to complete enrollment.

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