Claims warnings turn to rejections

Friday, October 31, 2008

WASHINGTON--Home medical equipment providers who have received a B108 warning message from the Common Electronic Data Interchange (CEDI) found their claims rejected beginning Oct. 1.

The B108 warning message from the GenResponse report occurs when the NPI is not linked to the trading partner (submitter) ID, said Andrea Stark, a Medicare consultant.

“Some people have just not acclimated,” she said. “So, if they haven’t been downloading the GEN report, they are all of a sudden going to have issues and wonder why the money has stopped coming in.”

In May, National Government Services, the CEDI contractor, began processing all claims instead of the four DME MACs processing claims for each of their jurisdictions.

Providers who get a B108 warning message must complete the supplier authorization form and fax it back to CEDI, Stark said. Providers must complete the form themselves; a third-party biller cannot do it for them.

Starting Oct. 6, the GEN report included rejection information. This month, it will include all claims information-acceptance and rejections-and a control number, Stark said. That will speed things up.

“They will be able to turn rejections around in a matter of minutes,” she said.