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CEDI Enrollment Status and How to Avoid the Most Common Errors
As of November 6, 2008, National Government Services CEDI is processing enrollment paperwork received on October 21, 2008. Most requests are being processed within eleven (11) days of receipt. CEDI is making every effort to reach our goal to be current in processing enrollment requests under ten (10) days of receipt of the request.
To prevent a delay in the processing of CEDI enrollment requests, electronic trading partners should review the information below on the most common errors seen by CEDI.
The most common errors include:
- Signature missing on the Enrollment Request: After completing any of the on-line CEDI forms, you must click on the “Submit” button, print, sign and fax the form to the number located on the printed form. Do not print the screen before you click on “Submit”. IMPORTANT: Forms that are not printed after clicking on “Submit” and/or are not signed and faxed will not be processed.
- Invalid PTAN and/or NPI Number: Be sure to submit the enrollment forms with a valid PTAN and/or NPI Number. A Provider Transaction Access Number (PTAN) is the legacy number suppliers receive from the National Supplier Clearinghouse. Both the PTAN and NPI must be valid and included on all CEDI requests, otherwise the enrollment request will be rejected.
- NPI number submitted on the request is not on the NPPES Crosswalk: The NPI number submitted on the enrollment request must match what is in the National Plan and Provider Enumeration System (NPPES). To view or update information within NPPES, go to https://nppes.cms.hhs.gov/NPPES/Welcome.do
- Billing Service or Clearinghouse submits only one Supplier Authorization Form for all of their customers: All Clearinghouses, Billing Services or Third Party Services must complete a Supplier Authorization form for each of their customers. The authorization form must be signed by the supplier.
- Trading Partners not completing the appropriate form: The following provides a list of the CEDI Enrollment Forms and a description of when to complete each form.
| Form | Complete for: |
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| CMS EDI Enrollment Form | Every new DME MAC Electronic Trading Partner
(Must also complete the Submitter Action Request Form)
Trading Partners to add a new PTAN/NSC or NPI number to an existing Submitter ID
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| Supplier Submitter Action Request Form | Every new DME MAC Electronic Trading Partner
(Must also complete the CMS EDI Enrollment Form)
Ordering the Express Plus Software Program (Check box included on the form, under Section II - SOFTWARE VENDOR)
Existing Trading Partners to:
• Request the addition of a new transaction
• Changing a file transfer option
• Changing software vendors
• Update contact information
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| Supplier Authorization Form | Suppliers using a Clearinghouse, Billing Service or other Third Party to exchange any transactions with CEDI (This includes claims, ERAs and 276/277 transactions.)
Existing Trading Partners changing to a Clearinghouse, Billing Service or Third Party Biller
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CEDI enrollment forms that are not completed correctly will be rejected and returned to the trading partner, which causes a delay in processing. A letter will accompany the rejected requests, along with a reason for the rejection. If you are experiencing a B108 front end error message and must resubmit your paperwork, please write “B108” on your fax coversheet.
If you have any questions, please contact the CEDI Enrollment team via e-mail at ngs.cedienrollment@wellpoint.com.
Post Date 11/06/08
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