Starting November 19th 2008 RelayHealth is offering a direct connection to bill electornic claims and Remittance to Kaiser mid Atlantic for Professional (CMS-1500) and Institutional (UB-04) claims.
This is an exciting new direct connction for medical offices that use RelayHealth/McKesson as their clearinghouse.
The CPIDs included in this new connection are:
CPID 2819 Kaiser Mid Atlantic / Professional (CMS-1500)
CPID 7506 Kaiser Mid Atlantic /Institutional (UB-04)
You will not need to complete EDI Agreements (YEAH) for these direct connections either just enter the CPID# in the correct place for your PM vendor or Clearinghouse and transmit immediately.
The following payor reports will be available:
RelayHealth Standardized Payor reports for the above payors) will be available as soon as possible after November 20, 2008.
The following payor edits will be required by Kaiser Mid Atlantic:
Edit 01 version 0098 ? IN LOOP 2010BA, NM109 CAN NOT BE MORE THAN 10 CHARACTERS.
Edit HU version 0019 - IN LOOP 2010AA, NM108 MUST BE SENT AND MUST BE EQUAL TO 'XX'
Edit HU version 0020 - WHENI LOOP 2010AB IS SENT, NM108 MUST BE SENT AND MUST BE EQUAL TO 'XX'
Edit HU version 0022 - IN LOOP 2310B(PROF)/2310C(INST), NM108 MUST BE SENT AND MUST BE EQUAL TO 'XX'
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