WCIS eNews No. 132
March 22, 2017

837 File Size Issue and Proposal to Change 824 File Structure –
WCIS Medical Bill Payment Data Reporting

 

WCIS would like to remind Trading Partners to limit the ST- SE in a single 837 file to a maximum of 2,000 to avoid delays of acknowledgments. Recently, WCIS received a file with 18,000 ST-SE for the same insurer in the same 837 file yet each ST-SE only contained one bill. This is equivalent to sending an 18,000-page book with every page enclosed in a separate envelope.

If WCIS receives files exceeding this limit, they will be removed from the queue and processed separately but only on weekends. Should Trading Partners want to report a backlog of unreported data, they can e-mail their EDI contact to arrange special processing.

Also, in response to Trading Partners requests, the WCIS is proposing a change to the WCIS-generated 824 structure that is posted on the IAIABC website for the EDI community to comment. Visit http://www.iaiabc.org/iaiabc/default.asp under:  Connect-> online communities -> EDI General Interest - Post titled, “California 824 structural change.”

WCIS trading partner contacts:

Johnny Lee
email: jblee@dir.ca.gov
phone: 510-286-6772
Trading partner letters A, C, G, I-L, S-V, Z

Elisema Cantu
email: ecantu@dir.ca.gov
phone: 510-286-6763
Trading partner letters B, D-F, H, M-R, W-Y

Antoinette Esqueda
email: aesqueda@dir.ca.gov
phone: 510-286-6773
Medical reports technical contact


Contents of this bulletin do not change existing regulatory requirements; they provide additional or revised detail about the technical implementation of those requirements. All technical changes will subsequently be reflected in other WCIS documentation. Any bulletin can be forwarded as needed, but should be forwarded in its entirety and without modification. If you have received a forwarded copy of this bulletin and are concerned about its authenticity, you can view this and previous bulletins on our WCIS web site: www.dwc.ca.gov/wcis.htm.

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