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The HIPAA Eligibility Transaction System (HETS) Help site is designed, in conjunction with the MCare Help Desk, to provide technical system support to CMS business partners for the initiation, implementation, and operation of Medicare HETS User Interface (UI) and HETS 270/271 - Extranet Transaction Submission. This information is provided to assist external business partners with connectivity, testing, and data exchange with CMS and to keep users informed of any system issues that may arise. Calendar of Scheduled Events There are no scheduled events at this time. Bulletin Board CMS' National Provider Identifier (NPI) Contingency Plan will end on May 23, 2008. As this date approaches, CMS reminds all HETS 270/271 Submitters that once the Contingency Plan ends, all HETS 270 requests must contain an NPI number and an NPI number only. 270 requests that do not comply with this requirement will result in an error as outlined below. Under the current Contingency Plan, CMS is currently in a dual use state and will accept either NPI and/or Legacy Medicare Provider Numbers in HETS 270 requests. If you have never submitted NPI numbers in HETS 270 requests, CMS recommends that you begin testing NPI usage in the near future. If you have any questions about usage of the NPI number in the HETS 270 request, please contact the Help Desk. Medicare Customer Assistance Re: Eligibility (MCARE) Help Desk 1-866-324-7315 - Medicare HETS 270/271 – Information Bulletin – December 7, 2007
The Information Bulletin available from the Downloads section below provides important announcements about several topics relevant to the Medicare HETS 270/271 Eligibility System including - The end date of the HETS new user moratorium
- Revised Trading Partner Agreement
- Termination of HETS broadband and dial-up AGNS connections to the MDCN
- Availability of an Internet based HETS Provider GUI (HPG) application (Clearinghouses Only)
- Strengthening of HETS audit processes
Please carefully review this announcement in its entirety and contact the Help Desk if you have any questions or concerns. If you have questions about any information contained within this bulletin, please contact the Help Desk immediately.
Medicare Customer Assistance Re: Eligibility (MCARE) Help Desk
1-866-324-7315 - Moratorium on new Medicare 270/271 Clearinghouse submitters:
This announcement is for organizations who meet the following criteria: - Your organization acts as a clearinghouse, third party vendor, or billing service on behalf of Medicare providers
- Your organization has applied for access to the Medicare 270/271 Eligibility system
- Your organization has been verified as an entitled user of the Medicare 270/271 Eligibility system
- Your organization has not completed implementation/testing of the Medicare 270/271 Eligibility system
Any clearinghouse that did not complete implementation and testing and move to production by October 2, 2006 will not be granted access to the production environment of the 270/271 transaction. This moratorium will be in effect until further notice. If you have any questions, please contact the MCARE Help Desk immediately. Medicare Customer Assistance Re: Eligibility (MCARE) Help Desk
1-866-324-7315 - Regularly Scheduled System Unavailability
Every Sunday from 10:00 P.M. until Monday 3:00 A.M. Eastern, there is a regularly scheduled maintenance period to include routine server rebooting. During this period, the system is unavailable and transactions will not be processed. Please plan accordingly.
If you have any questions or comments, please contact the Help Desk.
Contact HETS Help For help with the submission of 270/271 transactions: 1-866-324-7315 For help with the submission of transactions through the Provider Internet Portal: 1-866-440-3805 Hours of Operation: Mon-Fri 7 A.M. to 9 P.M. EST Frequently Asked Questions To see a list of Frequently Asked Questions, please click on the "Questions" Link on the toolbar at the top of the page. Be sure to use "HETSHelp" as your Search Term; this will ensure that only FAQs that are relevant to this site will be returned. If you do not find an answer to your question, you can enter questions directly through the same link. Once you submit a question, an answer will be e-mailed to you as soon as possible and posted to the questions list for the mutual benefit of other users. Urgent questions, however, should always be directed to the Help Desk via the contact numbers provided above.
Page Last Modified: 04/29/2008 12:18:57 PM
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