[EXPIRED] gPM™: Waystar: Service Disruption for Eligibility Transactions — Wednesday, January 29, 2025

We are writing to make you aware that EDIinsight® by Waystar informed us that it experienced a service disruption for eligibility transactions yesterday, Wednesday, January 29, 2025 from 11:30 AM CT to 1:54 PM CT.  During this disruption, any eligibility requests submitted between these times remained in a “New” status and were not sent to payers, resulting in no eligibility…

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Waystar: Payer ID Update: Tricare East (TREST)

Today, Monday, December 30, 2024, EDIinsight® by Waystar notified us of important changes related to the T-5 TRICARE East Region: New TRICARE East regional contracts will go into effect soon: The Department of Defense (DoD) recently awarded the T-5 TRICARE East Region contract to Humana Government Business (HGB). Furthermore, PGBA will soon replace Wisconsin Physicians Service (WPS) Military Veterans Health…

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Waystar: Erroneous Claim Rejections — Medicaid Ohio (SKOH0) and Affiliated Payers

Waystar has made us aware that on Tuesday, May 2, 2023, Ohio Medicaid Enterprise System (OMES) EDI implemented a change which caused claims to erroneously reject for E181 — Invalid affiliation between Rendering and Billing provider. Impacted claims would have produced an 824 transaction and HTML report with a reject code of E181.  The issue was caught immediately and reversed…

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USPS Postage Pricing Change: Patient Statements and Paper Claims

Dear Valued Clients: As you may already be aware, the United States Postal Service (USPS) has announced a $0.03 rate increase on postage.  In response to the USPS increase, clearinghouse costs for Patient Statements and Paper Claims will accordingly increase $0.03. Effective Friday, October 1, 2021, the new pricing will be $0.74 per first page of Patient Statements, and $0.58…

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