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eMedNYHIPAASupport > eMedNYHIPAASupport What's New

eMedNYHIPAASupport What's New


Status Date Page/Document Description
New 5/16/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One edit has a CARC update:

01721 Changed from CARC 16 to 306 for better edit messaging

Three (3) edits have a Claim Status Code update:

00068, 00073, 01007, 01018 Changed Claim Status Code from from 187 to 718 for better edit messaging.
New 4/11/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One (1) new edit added:

02329 New edit
Changed 3/29/2024 User Guides

The following Transaction Instruction Guide has been updated:

Changed 12/5/2023 User Guides

The following Web Services Guide has been updated:

Changed 11/27/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Five (5) Edits have been updated:

00068Updated X12 purchase address
00918, 01011, 01018, 02069 Updated X12 purchase address; clarified acronym TR3
Changed
New
11/8/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Two (2) edits have been modified; Two (2) edits are new:

00186 Clarified acronym
00689 Minor clarification to solution
02347, 2348 New edits
Changed 10/25/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Six (6) Edits have been modified:

01337, 01496, 01497Removed edits from EEKB - Family Health Plus (FHP) is no longer an active program
01336 Removed reference to Family Health Plus (FHP) - program no longer active
01278 Clarified acronym COE and added COE 95 to solution
02131 Clarified acronym OBS
Changed 7/24/2023 Online HIPAA 5010/D.0 Resources

Updated outdated links and refreshed the design.

Changed 6/28/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Three (3) edits have changed as follows:

00127, 01283Updated Medical Pended Claims Address in cause/solution
01171 Updated contact in solution
Changed
New
6/2/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Eight (8) edits have changed as follows:

00140, 01172, 02100 Updated cause and/or solution
00867, 00551 Edit removed
00078, 02346, 00868 Edits added
Changed 3/31/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Fourteen (14) edits have changed as follows:

00180Cleaned up grammar
02344 Removed duplicate sentence
00938, 02040-02049, 02071Cleaned up and clarified; acronyms; cause; solution
Changed 3/30/2023 User Guides

The following Transaction Instruction Guide has been updated:

Changed 3/21/2023 User Guides

The following Web Services Guide has been updated:

New 2/23/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Two (2) new edits has been added to the EEKB Search Tool:

02342 Billing Provider Category of Service Code Invalid for Claim
02344 A Valid Federal Information Processing Standards (FIPS) Code is Required for the Rate Code Submitted
Changed 2/23/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Six (6) edits have had minor cosmetic changes:

00254, 01164, 02218 clarify acronyms
00528 clarify acronyms - add X12 detail for CTP
00544 clarify acronyms - add X12 detail for LIN
00547 clarify title
Changed 2/23/2023 User Guides

The following Transaction Instruction Guide has been updated:

New 2/1/2023 Edit/Error Knowledge Base (EEKB) Search Tool

Three (3) new edits has been added to the EEKB Search Tool:

02341 Client Residential Address is Not on File
02343 License Plate Number or Driver's License is Invalid
02345 Prior Approval Required for Out-of-State Long Term Care (LTC)
Changed 1/3/2023 User Guides

The following Transaction Instruction Guide has been updated:

Changed 12/27/2022 User Guides

The following Transaction Instruction Guide has been updated:

Changed 12/16/2022 Transaction Instructions

The following Transaction Instruction Guide has been updated:

Changed 11/3/2022 834 FAQs

834 FAQs have been updated.

Changed 9/28/2022 Edit/Error Knowledge Base (EEKB) Search Tool

One (1) Edit has been published with minor updates:

01738 Updated the Cause/Solution. Updated CARC/RARC/Claim Status codes to clarify the reason for claim denial
New 9/28/2022 Edit/Error Knowledge Base (EEKB) Search Tool

One (1) new edits has been added to the EEKB Search Tool:

02340 Payer Adjudication Date Less Than Date of Service
Changed 9/23/2022 User Guides

The following Transaction Instruction Guide has been updated:

Changed 9/9/2022 User Guides

The following Web Services Guide has been updated:

Changed 6/28/2022 Edit/Error Knowledge Base (EEKB) Search Tool

Two (2) Edits have been published with minor updates:

00510 CTHP modified to say "Child/Teen Health Plan (C/THP)" & EPSDT modified to say "Early Periodic Screening Diagnosis and Treatment (EPSDT)"
00511 CHAP modified to "Child/Teen Health Plan (C/THP)"
New 6/28/2022 Edit/Error Knowledge Base (EEKB) Search Tool

Two (2) new edits have been added to the EEKB Search Tool:

02333 Procedure Modifier Limit Exceeded
02334 Billing National Provider ID (NPI) Ineligible for Rate Code
Changed 5/27/2022 Edit/Error Knowledge Base (EEKB) Search Tool
02152 Changed CARC 18 to 272 & RARC N522 to N10
Changed 5/6/2022 Edit/Error Knowledge Base (EEKB) Search Tool
00165 Title correction
01608 Change CARC 252 to 95 & removed RARC N29
02144 Update Cause/Solution
02332 New Edit
90877 Change RARC N29 to N706
91011 Change CARC 252 to 273 & RARC N29 to N43
New 4/28/2022 834 FAQs

NEW 834 FAQs have been added.

Changed 4/26/2022 User Guides

The following Web Services Guide has been updated:

Changed 3/1/2022 Edit/Error Knowledge Base (EEKB) Search Tool

UPDATED: Three (3) Edits have been published with minor updates:

02025 Updated the solution
02280 Changed from RARC M119 to N846
90611 Removed RARC N102
New 12/22/2021 Edit/Error Knowledge Base (EEKB) Search Tool

NEW One new edit has been added to the EEKB Edit/Error Knowledge Base (EEKB) Search Tool:

02330Missing Claim Explanation of Benefits (EOB) Attachment
Changed 12/17/2021 User Guides

The following Web Services Guide has been updated:

New
Changed
10/26/2021 Edit/Error Knowledge Base (EEKB) Search Tool

NEW Two new edits have been added to the EEKB Search Tool:

02281 Client not Eligible for OPWDDCCO/HH Rate Code
02328Fee-For-Service Claim Not Payable for Hospice Client

UPDATE: Edit 00167 has had an update to correct the Cause/Solution

Changed 9/23/2021 Transaction Instructions

The following Transaction Instruction guide has been modified:

New 9/20/2021 Edit/Error Knowledge Base (EEKB) Search Tool

NEW Two new edits have been added to the EEKB Edit/Error Knowledge Base (EEKB) Search Tool:

02325Client is in Medical Indemnity Fund
02327Fee-For-Service Charges Billed Are Included in the OMH (Office of Mental Health) Residential Treatment Facility (RTF) Per-Diem Rate
Changed 8/26/2021 Transaction Instructions

The following Transaction Instruction guide has been modified:

Changed 8/23/2021 User Guides

The following Web Services Guide has been updated:

Changed 6/24/2021 Transaction Instructions

The following Transaction Instruction guide has been modified:

New 6/22/2021 834 FAQs

NEW 834 FAQs have been added.

Changed 6/9/2021 User Guides

The following Web Services Guide has been updated:

New 4/12/2021 834 FAQs

NEW 834 FAQs have been added.

New 4/6/2021 834 FAQs

NEW 834 FAQs have been added.

Changed 3/25/2021 Transaction Instructions

The following Transaction Instruction guide has been modified:

New 3/19/2021 834 FAQs

NEW 834 FAQs have been added.

New 3/16/2021 834 FAQs

NEW 834 FAQs have been added.

New 2/22/2021 834 FAQs

NEW 834 FAQs have been added.

New 2/16/2021 834 FAQs

NEW 834 FAQs have been added.

New 1/12/2021 834 FAQs

NEW 834 FAQs have been added.

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