Highmark Medicare Services has been conducting due diligence activities to identify differences between our business model and those of your current contractor in order to communicate possible impacts to you. To date, we have identified the following impacts for the NJ Part A providers:
- New PO Box Numbers for use with J12 MAC
- New Telephone Numbers for use with J12 MAC
- New EDI Platform (Stratus)
- New contractor workload ID
- New EDI submitter and logon IDs
- EFT Re-enrollment (CMS-588) required
- New local medical policies for the jurisdiction
- Contracting with a third-party direct data entry (DDE) vendor
- Dark Days expected during cutover
- Payment floor sweeps
- Change to a daily payment cycle
- Multiple 1099s
- Reason Code Changes
- Contractor developed edits for NCDs
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