The following companion guides have been updated:

• NCPDP Request Companion Guide
• NCPDP Response Companion Guide

The Known Issues of eMedNY have been updated. Please see:

• Issues of eMedNY

Important notice regarding the prohibition of sharing ePACES Userid's and Passwords has been included in ePACES General Information and in the ePACES Help Document.

The following edit was updated to the Edit Error Knowledgebase:

• 01240 - RESTRICTED RECIPIENT INPATIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PROVIDER

The following companion guides have been updated:

• 837 Dental Companion Guide
• 837 Institutional Companion Guide
• 837 Institutional Managed Care Capitation Premium Billing CG
• 837 Professional CG
• 837 P Non-Emergency Transportation CG
  

Please see the updated Override Error Messages.

The Rate Code Crosswalk has been updated with rate codes for the following programs:

• Ambulatory Patient Group (APG)
• FQHC
• Child Plus
• Primary Care Enhancement Mental Health Services by Social Workers
• Medically Managed Inpatient Services and Medically Supervised Withdrawal Services

The following edit was updated to the Edit Error Knowledgebase:

• 02067 - ATTENDING PROVIDER NOT LINKED TO BILLING PROVIDER

Please see updated NPI FAQ - My claims are getting denied for edit 02067 – Attending Provider not linked to Billing Provider, what does that mean? also located under general FAQs.

Please see two new buttons that appear under the green LOGIN ePACES button and the LOGIN eXchange button, respectively, on the emedny.org homepage. When used - each will bring you to SELF HELP where you will find Enrollment information for each function (ePACES or eXchange), as well as informative FAQs and a variety of other helpful material.

The following FAQ's have been updated with info for NPI:

• 820 or 835 - Why am I not receiving an 820 or 835 transaction in response to my 837?
• 837 COB Tutorial – Tertiary Claim to Medicaid with full line item detail
• License Number - How to send a License Number as a Provider Identifier?
• NPI, National Provider Identifier - Where does the NPI go (in which loops and segments) on the X12 837 electronic claim?
• Physician's Assistants Billing – Rendering Provider reporting for physicians and group practitioners
• POA - What are the requirements for reporting Present on Admission?
• Premium Billing - How should a Managed Care Plan submit a HIPAA 837I for premium billing?
• Sample Data for Nursing Home patient with Medicare Managed Care

Please see the updated eMedNY Provider Testing User Guide.

An 835 sample file with NPI data in transaction has been added. Please review:

• 835 X12 WITH NPI DATA

• 820 Supplementary CG
• 835 Supplementary CG

The following edits were updated to the Edit Error Knowledgebase:

• 01249 - CONSECUTIVE THERAPEUTIC DAYS GREATER THAN 4 FOR RTF CLAIM, NO PRIOR AUTHORIZATION PRESENT
• 02069 - MISSING ORDERING NPI
• 02070 - INVALID ORDERING NPI
• 02071 - ORDERING MMIS PROVIDER ID CANNOT BE DERIVED
• 02072 - INVALID NPI AND MMIS ORDERING PROVIDER ID COMBINATION
• 02074 - UNITS GREATER THAN MAXIMUM

The ePACES Prior Approval Quick Reference Guides located on the Self Help page have been updated with NPI information.

• ePACES Dental Prior Approval Reference Guide
• ePACES DME Prior Approval Reference Guide
• ePACES Eye Care Prior Approval Reference Guide
• ePACES Private Duty Nursing Prior Approval Reference Guide

ePACES Quick Reference documents on NYHIPAADESK updated with NPI information.

• FOD - 4008: ePACES Application Claimwork
• FOD - 4009: ePACES Building and Submitting Claim Batches
• FOD - 4010: ePACES Setting Up User Accounts
• FOD - 4011: ePACES Provider, Other Payer and Submitter
• FOD - 4012: eACES Voiding and Replacing Claims
• FOD - 4013: ePACES Application Claim_Status_Inquiry_and_Response
• FOD - 4014: ePACES Enrollment - Removing TSN
• FOD - 4015: ePACES - Edit a Sent Claim Function
• FOD - 4016: ePACES DVS Request
• FOD - 4017: ePACES DVS Response
• FOD - 4018: ePACES DVS Confirmation
• FOD - 4019: ePACES Eligibility Request
• FOD - 4020: ePACES Eligibility Response
• FOD - 4021: ePACES SA Request
• FOD - 4022: ePACES SA Confirmation
• FOD - 4024: Enhanced ePACES PA Inquiry
  

Please see updated NPI FAQ - How can I tell if I need to get an NPI for NYS Medicaid billing? (Category of Service (COS) 0268 does require an NPI, therefore it was removed from this list.)

• 270 Companion Guide
• 271 Companion Guide
• 276 Companion Guide
• 277 Companion Guide
• 278 Req DVS SA CG
• 278 Request Confirmation CG
• 278 Request Prior Approval CG
• 278 Response (Confirmation) CG
• 278 Response DVS SA CG
• 278 Response Prior Approval CG

• Technical Supplementary CG

• 837 Dental Companion Guide
• 837 Institutional Companion Guide
• 837 Professional CG