|Durable Medical Equipment - Notifying CEDI for Registering New PTAN/NSC Numbers|
Durable Medical Equipment - Notifying CEDI for Registering New PTAN/NSC Numbers
If you are a DME Supplier who has received a new Provider Transaction Authentication Number (PTAN)/National Supplier Clearinghouse (NSC) number, you must notify Common Electronic Data Interchange (CEDI) Enrollment of the new PTAN/NSC number and its associated National Provider Identifier (NPI). The new PTAN/NSC number must also be linked to the NPI in the National Plan and Provider Enumeration System (NPPES).
If you do not enroll the new PTAN/NSC number with CEDI and register it with NPPES, claims associated with this new PTAN/NSC number will be rejected.
After March 20, 2009, claims submitted with an NPI linked to a PTAN/NSC not enrolled with CEDI will be returned on the supplier's Electronic Remittance Advice or Standard Paper Remittance with the Reason/Remark Codes to indicate the "Claim service lacks information which is needed for adjudication" and/or "Electronic interchange agreement not on file for provider/submitter."
To resolve DME MAC edit 20011 or Remittance Reason/Remark Codes, suppliers must either:
If you submit claims through a clearinghouse or third party biller, you will need to complete the Supplier Authorization Form as well as the EDI Enrollment Form.
The EDI Enrollment and the Supplier Authorization Forms can be accessed through the CEDI Web site http://www.ngscedi.com/under EDI Enrollment.
CEDI will add your PTAN/NSC and notify you via e-mail when this has been completed. Once your CEDI enrollment has been completed, you can resubmit your claims.