Encounter Data System - CSSC Operations

TABLE 9 – EDFES NOTIFICATIONS (CONTINUED)File Type Notification Message Notification Message DescriptionEnd-to-End Testing – File 1End-to-End Testing –Additional File(s)PATIENT CONTROL NUMBER IS MORETHAN 20 CHARACTERS LONG THE TC#WAS TRUNCATEDThe Claim Control Number, includingthe Test Case Number, must notexceed 20 charactersEnd-to-End Testing – File 1End-to-End Testing –Additional File(s)End-to-End Testing – File 1End-to-End Testing –Additional File(s)End-to-End Testing – File 1End-to-End Testing –Additional File(s)FILE CANNOT CONTAIN BOTH UNLINKEDAND LINKED TEST CASESCANNOT SEND LINKED TEST CASESUNTIL ALL UNLINKED TEST CASES HAVEBEEN ACCEPTEDFILE CONTAINS (X) TEST CASE (X)ENCOUNTER(S)ADDITIONAL FILES CANNOT BEVALIDATED UNTIL AN MAO-002 REPORTHAS BEEN RECEIVEDThe test cases from File 1 and File 2cannot be in the same fileThe test cases for File 2 cannot besent before all File 1 test cases areacceptedThe file must contain two (2) of eachtest caseThe MAO-002 report must bereceived before additional files can besubmitted7.0 Permanently Deactivated Front-End EditsSeveral CEM edits that are currently active in the Fee-For-Service CEM edits spreadsheet will bepermanently deactivated in order to ensure syntactically correct encounters pass front-edit editing.Table 10 provides the current EDS front-end edits that will be deactivated. The edit reference columnprovides the exact edit reference that will be deactivated. The edit description column provides theClaim Status Category Code (CSCC), the Claim Status Code (CSC), and the Entity Identifier Code (EIC),when applicable. The notes column provides a description of the edit reason. MAOs and other entitiesshould reference the WPC website at www.wpc-edi.com for a complete listing of all CSCCs and CSCs.TABLE 10 - 837 INSTITUTIONAL PERMANENTLY DEACTIVATED CEM EDITSEdit Reference Edit Description Edit NotesX223.084.2010AA.NM109.040 CSCC A8: “Acknowledgement/rejectedfor relational field in error”CSC 562: “Entity’s National ProviderIdentifier (NPI)”EIC 85: “Billing Provider”Valid NPI Crosswalk must beavailable for this edit.2010AA.NM109 must be a valid NPIon the Crosswalk when evaluatedwith 1000B.NM109.837 Institutional Companion Guide Version 8.0/June 201226