J12 SIPP I - Cutover Schedule and Impacts
July 7, 2008
The SIPP I MD/DE/DCMA Part B workloads will transition (or cutover) from TrailBlazer to Highmark Medicare Services beginning on Friday, July 11, 2008. During this cutover weekend, Highmark Medicare Services will transition the MD/DE/DCMA Part B operation, pending and in-process workloads (including claims, enrollment applications, appeals, and written inquiries), and records from TrailBlazer to Highmark Medicare Services from Friday, July 11, 2008 through Monday, July 14, 2008.
Regardless of the date of service, all processing and customer services will be handled by Highmark Medicare Services as the J12 MAC based upon the 7/11/2008, cutover date. TrailBlazer will transfer all pending and in-process operations and workloads to Highmark Medicare Services at that time.
The following information is to communicate implementation activities for the cutover weekend of 7/11/2008 – 7/14/2008, including any service interruptions and outages, so that you can properly prepare for it.
“Dark Days” from July 11, 2008 - July 14, 2008
A “dark day” is defined as a day during the regular work week (Monday – Friday) in which the Medicare claims processing system is not available for normal business operations. There is no online access, current claim information cannot be provided (e.g., via IVR or Provider Contact Center), and claims cannot be processed.
In order to complete the transition of the MD/DE/DCMA Part B workload, both TrailBlazer and Highmark Medicare Services will need to observe system “dark days”.
- Friday, July 11, 2008: System Dark Day for TrailBlazer
- Monday, July 14, 2008: System Dark Day for Highmark Medicare Services
EDI Processing Availability From July 10, 2008 - July 14, 2008
TrailBlazer will continue to accept EDI claims until 11:00 p.m. Eastern time on Thursday, July 10, 2008. No MD/DE/DCMA Part B claims will be accepted by TrailBlazer after 11:00 p.m. Eastern time on Thursday, July 10, 2008. Highmark Medicare Services will begin to accept EDI claims from MD/DE/DCMA Part B providers after 4 p.m. Eastern time on Friday, July 11, 2008. This means that EDI claim submission will not be available from 11:00 p.m. Eastern time on Thursday, July 10, 2008, through 4:00 p.m. eastern time on Friday, July 11, 2008.