Introducing automatic enrollment requests for failed CMS eligibility checks
Note: This feature was previously called "CMS automatic enrollment." For more information on the name change, see this changelog entry.
The Centers for Medicare and Medicaid Services (CMS) requires that providers complete transaction enrollment to run eligibility checks through Stedi or other clearinghouses.
When an eligibility check to CMS fails with AAA error 41 – meaning the provider isn’t enrolled with CMS for eligibility transactions – Stedi now automatically submits the required transaction enrollment request.
With this change, Stedi customers no longer need to track down and submit missing enrollments when a Medicare eligibility check fails. Stedi now handles that work for you. This reduces your operational overhead and helps ensure future Medicare checks will succeed.
For more information, see the related announcement blog.