Outage for April 2023 Quarterly Release Implementation

National Government Services, Inc. Common Electronic Data Interchange (CEDI) will bring down the CEDI Gateway and CEDI Claims Portal at 3:00 p.m. ET on Friday, March 31, 2023 until no later than 11:59 p.m. ET to implement updates for the April 2023 Quarterly Release.  During this time, CEDI customers will not be able to connect and exchange transactions with CEDI.  This will allow CEDI to process all inbound files received through 3:00 p.m. ET on March 31, 2023.  Once the April 2023 effective updates have been installed and verified, the CEDI Gateway and CEDI Claims Portal will be brought back up for CEDI customers to resume exchanging transactions with CEDI.

April 2023 CEDI Quarterly Release Updates

CMS Edit Spreadsheets

There are no updates to the Centers for Medicare & Medicaid Services (CMS) X12 837 5010A1 edit spreadsheet for the April 2023 Quarterly Release. The version of the edit spreadsheet from the January 2023 Quarterly release will remain on the CEDI Web site for your reference. The CMS edit spreadsheets can be accessed on the CEDI Web site at the following link: https://www.ngscedi.com/frontend.

Code Source Updates

  • CR 12845 – Claim Status Category and Claim Status Codes Update
  • CR 13083 – Taxonomy Code Updates
  • CR 13114 – Claims Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP) & PC Print Update
  • CR 13014 – Inflation Reduction Act Section 11407: Limitations on Monthly Coinsurance and Adjustments to Supplier Payment Under Medicare Part B for Insulin Furnished Through Durable Medical Equipment (DME) for May and June 2023 Claims

Please contact the CEDI Help Desk regarding any questions at ngs.cedihelpdesk@anthem.com or at 866-311-9184.​​​​​​​

Post Date: 03/17/2023