Wyoming Medicaid EDI Services Drew Ruggiero June 17, 2003 · Enroll through EDI Gateway, Inc. via:! EDI Enrollment Packet – Demographics and contact information – Submission methods

P e o p l e M a k i n g T e c h n o l o g y W o r k TM

Wyoming Medicaid

EDI ServicesDrew Ruggiero June 17, 2003

People Making Technology Work™

Acronym

! ACS EDI Gateway, Inc.! E – Electronic! D – Data! I – Interchange


Purpose

! To provide an overview of ! ACS EDI Gateway, Inc

! Trading Partner Management– Enrollment process – Community outreach– EDI Support Unit


Trading Partner Management

! Enrollment Packets! Enroll through EDI Gateway, Inc. via:

! EDI Enrollment Packet– Demographics and contact information– Submission methods– Transactions– Response Retrieval

! Obtain via:– ACS EDI Support Unit at 800.672.4959, Monday

through Friday, 8 a.m. to 5 p.m. MST– Download from website www.acs-gcro.com



! EDI Provider Enrollment Packet! Individual ! Group



! EDI Submitter Enrollment Packet! Software Vendor! Billing Agent (Tape Intermediary)! Clearinghouse (Tape Intermediary)



! Community Outreach! ACS EDI Gateway Business Analysts

! Training– HIPAA Background– EDI Services– Enrollment– WINASAP2003

! Research Issues– Format/reject related issue



! Community Outreach! Companion Guides

! Data clarification! ASC X12N Transaction Set Implementation Guides

! Testing! Established testing strategy and process! Reduces number of invalid transactions! Mitigates fraud and abuse risk! Approved vendors



! Community Outreach! ACS EDI Gateway Support Unit

! Enrollment Services! Data Exchange Services! Information Services! Technical Support Services ! 800.672.4959, Monday through Friday, 8 a.m. to 5

p.m. MST



! Call ACS EDI Support Unit ! 800.672.4959

! Request ACS EDI Gateway Trading Partner Enrollment Packets

! Verify status of EDI Trading Partner Enrollment Packet

! Request logon information! Verify receipt of electronic claims submission



! Call ACS EDI Support Unit ! 800.672.4959

! Download, install, and train on WINASAP2003 software

! Retrieve electronic responses! Remedy electronic transmission difficulties



! Call Wyoming Provider Inquiry! 800.251.1268

! Billing questions related to policy! Payment related questions! Paper claims processing ! Medicaid program enrollment



This presentation may contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These statements are subject to numerous risks and uncertainties, many of which are outside the Company’s control. As such, no assurance can be given that the actual events and results will not be materially different than the anticipated results described in the forward-looking statements. Factors could cause actual results to differ materially from such forward-looking statements. For a description of these factors, see the Company’s prior filings with the Securities and Exchange Commission, including the most recent Form 10-K. ACS disclaims any intention or obligation to revise any forward-looking statements, whether as a result of new information, future event, or otherwise.

Documents

Wyoming Medicaid EDI Services Drew Ruggiero June 17, 2003 · Enroll through EDI Gateway, Inc. via:! EDI Enrollment Packet – Demographics and contact information – Submission methods