DME
MAC Jurisdiction C Site LinksApril 2, 2008
DME MAC Express Plus Upgrade for CEDI
All DME MAC electronic Trading Partners (submitters) must begin exchanging electronic transactions with the new National Government Services Common Electronic Data Interchange (CEDI) front end. Jurisdictions A and D must be transitioned by May 1, 2008 and Jurisdictions B and C must be transitioned by June 1, 2008. CEDI and the DME MACs strongly encourage all electronic Trading Partners to transition to CEDI prior to the cutover dates listed above.
National Government Services has upgraded the Express Plus software program to connect and exchange transactions with CEDI. The Express Plus software is provided by Jurisdiction A, Jurisdiction B and Jurisdiction D as their low cost electronic billing software.
All Express Plus users must download the upgrade (Version 4.3.8) and follow the instructions below to communicate with CEDI. To download and begin using the new Version 4.3.8 of Express Plus, you need to:
- Access the CEDI Web site at: http://www.ngscedi.com
- Select "Software Downloads"
- On the "Software Downloads" page, print ALL of the following
documents:
- Express Plus Upgrade Instructions - These instructions will guide you through the process of running the Express Plus upgrade program.
- Express Plus CEDI Script - These instructions will guide you through the procedures to create the communications' scripts to connect to and send/receive files with CEDI.
- Express Plus CEDI Connection and Login - These instructions will assist you in logging into CEDI and sending/receiving files with CEDI.
- Follow the instruction documents listed in the order above.
If you experience any problems installing the upgrade, updating your Express Plus communication scripts or have any questions, contact the CEDI Help Desk at:
ngs.cedihelpdesk@wellpoint.com
- OR -
866-311-9184
The CEDI Help Desk is available from 9:00 a.m. to 9:00 p.m. (ET) Monday through Friday.
Once Version 4.3.8 of the Express Plus program is installed and the additional instructions are complete, electronic submitters using this software will become a CEDI Production Submitter. As a CEDI Production Submitter, Express Plus users can submit all DME MAC claims for all Jurisdictions to CEDI. Electronic Front End Reports for claims submitted to any DME MAC Jurisdiction will be available through the CEDI connection with the Express Plus software Version 4.3.8. Electronic submitters using this software will not have to dial in separately with each Jurisdiction to send or receive electronic data. If you are currently setup to receive an Electronic Remittance Advice (ERA), you will also dial in to CEDI to receive these files.
CEDI Production Submitters
National Government Services' CEDI and the DME MAC EDI departments are coordinating to ensure that electronic submitters successfully submitting electronic claims to the CEDI are no longer submitting electronic claims to other DME MACs EDI front end systems. National Government Services CEDI is providing daily lists of CEDI production submitters to the DME MAC EDI departments. The DME MAC EDI departments are then deactivating those Submitter IDs. This meansthat once a Trading Partner (submitter) is approved to submit production claims to CEDI, they will no longer be authorized to submit DME claims to any of the DME MACs.
Trading Partners (submitters) who have submitted production claims to CEDI must submit any additional EDI materials and requests to CEDI for processing. The DME MAC EDI departments will not process EDI materials for Trading Partners (submitters) who are in production with CEDI.
Note: CEDI will not process Claim Status Inquiry (CSI) or Electronic Funds Transfer (EFT) applications. CSI and EFT will continue to be handled by the appropriate DME MAC Jurisdictions. CSI and EFT functions will not transition to CEDI.
Please direct questions regarding this notification to the CEDI Help Desk via e-mail at ngs.cedihelpdesk@wellpoint.com or by telephone at 1-866-311-9184.
