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

October 2022 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 October 2022 Quarterly Release. The version of the edit spreadsheet from the October 2021 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.

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Claim Status Category and Claim Status Codes Update

Learn about claims status category and code updates effective October 1, 2022:

See the instruction to your Medicare Administrative Contractor (PDF) This is an external PDF document.​​​​​​​.

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: 09/13/2022