News for ODJFS Trading Partners
Last updated: September 4, 2008
NPI News
NPI is mandated to be used on electronic claims on and after May 23, 2008.
If an NPI only is submitted in the billing loop on an 837 electronic claim transaction, ODJFS will reject all claims for that provider that cannot be identified in the ODJFS system. Although the legacy ID is not required, ODJFS will continue to accept claims that contain both the NPI and legacy ID in the billing loop of the electronic claim until further notice. If it is included, a legacy ID will be validated. An invalid legacy ID will be rejected. Electronic claims that are missing an NPI in the billing loop on the 837 claim transaction will be denied.
Please click here for more information or visit Ohio Medicaid's NPI Information site.
Other News
Response Transactions
Do you know how to take advantage of all the information that ODJFS sends to you automatically? The trace file, the U277 and the 824 all contain valuable information that lets you track the progress of your claim files. Be sure to check your download folder for these files regularly after uploading your claims. If you have any questions about the information contained in these files, please contact the EDI Support Unit or see the ODJFS Companion Guides on the Trading Partner website.
This message concerns submitting nursing facility room and board claims with non-covered days reported on the claim. The claim-level CLM02 charge amount is a total of the line-level SV203 covered days amounts. For non-covered days, a zero is reported in the SV203 and the non-covered charges are reported in the SV207.