Outage for January 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, December 30, 2022 until no later than 11:59 p.m. ET to implement updates for the January 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 December 30, 2022.  Once the January 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.

January 2023 CEDI Quarterly Release Updates

CMS Edit Spreadsheets

The Centers for Medicare & Medicaid Services (CMS) has updated the X12 837 5010A1 and the 276/277 edit spreadsheets for the January 2023 Quarterly Release. Updates and changes are noted on the tab labeled “Change Log” for easy reference. The edit reference number and a brief description of the change to the edit are listed. The CMS edit spreadsheets can be accessed on the CEDI Web site at the following link: https://www.ngscedi.com/frontend.

Eliminating Certificates of Medical Necessity & Durable Medical Equipment Information Forms — January 1, 2023

Suppliers, billers, and vendors: Certificates of medical necessity (CMNs) and the durable medical equipment (DME) information forms (DIFs) are discontinued effective January 1, 2023. As a result, CEDI will reject claims submitted with CMN and DIF forms or their electronic claim data elements with claims for dates of service on or after January 1, 2023. Suppliers must continue to submit CMN and DIF information for claims with dates of service before January 1, 2023.

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

Post Date: 12/16/2022