Office Ally has been notified that Medicare Administrative Contractors (MACs) received a Technical Direction Letter (TDL) 12035 from CMS that indicates providers should only be allowed to enroll for submitting 5010 claims (no more enrollments to submit 4010 claims) as of 11/1/2011.
In addition to the MACs, the following payer(s) have also made the decision to enroll new Providers starting 11/1/11 for HIPAA 5010 only:
- BCBS North Carolina – PayerID: SB810
Following is a notice from one of the MAC websites:
Beginning November 1, 2011, all new providers submitting through an existing submitter ID (including billing services and clearinghouses) will be required to enroll/link using HIPAA version 5010. If the existing submitter ID is not certified for the version 5010 format, any enrollment requests to link new providers will be rejected and returned. This notice is in accordance with CMS Technical Direction Letter (TDL) 12035.
What does this mean for you?
This decision will not impact existing providers that were already linked to Office Ally for EDI services for the MACs.
Only new providers enrolling with Office Ally for Medicare EDI services may experience enrollment rejections/delays in the ability to begin submitting claims to Office Ally until Office Ally transitions to submit 5010 claims to the respective Medicare Payer.
Office Ally encourages and requests that all new providers be active in follow-up with your applicable Medicare contractor to obtain status of any New EDI setup requests and ensure that you are setup for 5010 under the Office Ally Medicare Submitter Number.
Action taken by Office Ally:
Office Ally has been actively testing the HIPAA 5010 format with the MACs and will begin to transition Payers to the 5010 format starting 12/1/2011 through 12/31/2011 to meet the 4010 cutoff date.
The status of the MACs will be listed on our website under Resource Center: 5010 Information once the transitioning begins. Updated enrollment forms for the MACs will also be available on our website once they become available.
All 5010 Notices (including this one) can all be viewed on the 5010 Information page by going to www.OfficeAlly.com and clicking on Resource Center: 5010 Information
