Monday, July 21, 2008

Re-enrollment required for Nevada and Hawaii Medicare by August 4th 2008

If you have been billing electronic claims to Nevada or Hawaii of Medicare through RelayHealth it is extremely important that you re-enroll your providers.

CPID# 1446 Nevada Medicare & CPID# 2467 Hawaii Medicare is converting on August 4th to a new intermediary Palmetto GBA. Palmetto GBA is requiring re-enrollments for all providers including those that are already approved to submit claims electronically.

Other insurance carriers to follow suit-
CPID 1446 Nevada Medicare currently contracted with Noridian, converting on August 4, 2008 CPID 2467 Hawaii Medicare currently contracted with Noridian, converting on August 4, 2008 CPID 3508 California Medicare currently contracted with NGS, converting on August 18, 2008 CPID 5567 Hawaii Medicare currently contracted with 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

Recommendation: Time is not on your side. If you are concerned about your money flow and what is coming in it's imperative you complete these EDI Agreements with RelayHealth ASAP. Think of EDI Agreements as going to Disneyland. You arrive early to find that all of LA must be sleeping in today because the Park is empty. You have free reign to rides, assistance, friendly employees. A couple of hours later you notice that you are now standing in lines (no more running through them) but it's still not bad. By mid-day you feel that everyone from LA is at Disneyland it's taking you a hour to stand in line to ride a 3 minute ride.

**Moral of the story is it pays to be first in line and get this out of the way before you try and do it when everyone else is trying to complete EDI Agreements. Also the later you take in completing them the possibility of processing issues, missing documents or worse they are so inundated with EDI Agreements they prevent doctors from registering until they complete the ones they have on file.

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