NY Medicaid  
home | self help | glossary | site map

  Current eMedNY News and Issues

There are no current issues



  Archived eMedNY News and Issues

eMedNYHIPAASupport > eMedNYHIPAASupport What's New

eMedNYHIPAASupport What's New


Status Date Page/Document Description
New 9/13/2024 Edit/Error Knowledge Base (EEKB) Search Tool

20 eMedNY edits have had their X12 code values updated:

eMedNY Edit NumberX12 Code Update
01264, 02305Update RARC from N216 to N424
01302Update RARC from N216 TO N79
02154Update RARC from N52 TO N424
02157, 02158, 02159, 02160, 02161, 02162, 02163, 02164, 02165, 02166, 02223, 02287, 02290Update RARC from NONE TO N892
00224, 00233, 00234Update CSC from 468 TO 785

NOTE: Acronyms (RARC - Remittance Advice Remark Code, found on the 835), (CSC - Claim Status Code, found on the 277)

Changed 9/3/2024 FAQs for eMedNY HIPAA Support

A New FAQ for Dental Billing has been added
Changed 8/26/2024 User Guides

The following Web Services Guide has been updated:
New 8/8/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One new edit has been added to the EEKB Search Tool:

02360 State Reviewer Paid Lines - Manual Review
Changed 8/1/2024 User Guides

The following Web Services Guide has been updated:
Changed 8/1/2024 Sample Files

All of the MCE 834 CG Sample Files have been updated.
New 7/23/2024 Edit/Error Knowledge Base (EEKB) Search Tool

Four (4) new edits have been added to the EEKB Search Tool:

02350 Funding Not Available For Social Care Network Claim
02355 Category Of Service (COS) Invalid For Coordinated Specialty Care (CSC) Rate Code
02356 Coordinated Specialty Care (CSC) Date Of Service Not Last Day Of Month
02359 Matching Zip/Location Code Not Found For School Based Mental Health Claim
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.
035-5:42:28 PM
DOH NY Medicaid NYRx

Copyright © 2024 DOH. All Rights Reserved.

This website is provided as a service for providers and the general public, as part of the offerings of the electronic Medicaid system of New York State. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. The site is updated regularly to meet the ever-growing needs of the New York State provider community. If you need help finding what you're looking for, please visit our Site Map, use the search above, or you can contact us directly for assistance.

   home
glossary
privacy policy
site map
self help
contact us

epaces login
exchange login
Web Portal