BROYLES Software Inc.

 
 
 
 
 
 
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NEW GUIDE LINES TO HELP US HELP YOU!!

 

IMPORTANT!!!

For the PROVIDER ONE update, go into eclaims choose HELP and choose UPDATES.  This will make the changes to your ANSI format that are required for the PROVIDER ONE transition.

We are aware that Premera plans to cease clearinghouse operations next year and are working to transition our Premera customers to the AVAILITY clearinghouse.  We will let you know when you need to do something.

We are aware of the ANSI X12 5010 format changes, and will be testing later this year.


NSF to ANSI

We are well aware of this transition and are attempting to get it out as quickly as we can.  Below is our status listed by clearinghouse.

If your clearinghouse is:

  • Availity (Regence BlueShield) - Testing is done and distribution is under way.  We will contact you to perform the update prior to the June 1 deadline.  If you do not hear from us, please call and we will get the update to you.
  • Premera Blue Cross - done.
  • BlueCross of Idaho - done.  Please contact us if you have not yet received the update.

Thank you for your patience and understanding during this transition.


Search the NPI Registry Database HERE

Instructions for the new Availity Web Portal are here.


For questions on reports that you received from your clearinghouse, please contact them first to get a clear picture of what the problem is.  Often times errors can be resolved simply by changing a keypunch routine.


The May 23rd deadline for removing legacy numbers is here!  Concerning electronic claims you will need to remove the legacy numbers for Medicare and Regence claims prior to submitting on May 23rd.  Instructions are HERE.


For those experiencing errors with sending Blue Cross of Idaho claims through the Availity Web Portal (formerly THIN) which state that the "SUBMITTER AND SUBID NOT FOUND ON TRADING PARTNER AGREEMENT" you will need to run the following utility.

Click the link and when prompted choose RUN.  This will self extract to your eclaims folder and run the utility.

Click HERE for the Availity/BX Idaho fix.

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THANK YOU FOR YOUR HELP AND PATIENCE

 

 
 
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