J5 MAC Part A Providers serving beneficiaries in Iowa, Kansas, Missouri and Nebraska

Direct Data Entry (DDE) FAQs

  1. What information is needed to submit a roster bill through Direct Data Entry (DDE)?
  2. What information is needed to reset my DDE password?
  3. Who do I contact to obtain additional IDs?
  4. Who do I contact if I have questions about PC-ACE PRO32 enrollment, electronic submission, downloading software or retrieving RA's to our mailbox within 30 days of processed date?
  5. When entering or adjusting a claim, do I need to change my Type of Bill (TOB)?
  6. How can I determine if a claim is suppressed or did not post to the Common Working File (CWF)?
  7. What processed claims can providers adjust on DDE?
  8. What fields are required for adjustments?
  9. What are the new changes on page 2 for DDE?
  10. How do I add more than 2 modifiers?
  11. What is the NPI (National Provider Identification) field on HIQA?
  12. Where are therapy caps located on HIQA?
  13. What are the telephone numbers for Part A and Part B Customer Service?
  14. What is the mailing address to send a request for additional Logon ID(s)?
  15. How long does it take to have my Logon ID reactivated?
  16. How do I get set up to use the DDE System?
  17. Who should I contact to have my password reset?
  18. When I access the DDE system, I still receive the validation screen when using my User ID beginning with (IA) or (MO). Is this the correct User ID?
  19. Who do I contact regarding an Electronic Remittance Advice (RA)?
  20. If an employee terminates their employment, can I assign their ID to another employee?
  21. I forgot my Logon ID, what should I do?
  22. Why do I need to have my Logon ID reactivated?
  23. I am having trouble navigating in the DDE system, who do I call?
  24. I am having a problem using ELGA when trying to check eligibility information on the Common Working File (CWF), what should I do?
  25. I have submitted a batch of claims electronically, but I don't see anything on the DDE system, who do I call for help?
  26. When I log on to the DDE system, I receive an error message; "Unavailable try back later," when selecting an application such as MO/IA/KS/NE FISS Prod.


  1. What information is needed to submit a roster bill through Direct Data Entry (DDE)?
    Change Request 4242, implemented 07/03/06, indicated that the following data elements are to be present when billing Inpatient Part B services (TOBs 12x and 22x) effective October 1, 2005. These data elements are mandated by the Health Insurance Portability and Accountability Act (HIPAA).
    1. Admission date
    2. Admission type
    3. Admission diagnosis
    4. Patient's status code
    5. Admission source code
    You will need to access MAP1681 for roster bill entry. Enter the Date of Service, Type of Bill, Revenue Code, Healthcare Common Procedure Code System (HCPCS), and Charges per Beneficiary then press the Enter key, which will provide you with access to enter data in the new fields.


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  2. What information is needed to reset my DDE password?
    If you are having difficulty connecting to your network and you do not know which company you connect to, such as VisionShare (612-460-4310) or IVANS (866-503-9670, please contact your corporate office for assistance.

    When calling the DDE help desk at WPS Medicare, please be specific with the ID you would like reset. Please use zero for the number and O for the letter when giving us the ID. Also state any messages you are receiving such as "Invalid Signon Attempt- Contact Security," "M179 Security Information invalid, APR is not available," "suspended," "revoked," and "log in already signed on."

    Your password must contain exactly 8 characters, in the following format: three letters followed by two numbers followed by three letters. All letters should be lower case. Do not try to use the same letter 6 times or repeat the same three letters on both sides of the password

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    Examples:
    abc12def - valid password
    aaa12aaa - invalid password
    abc12abc - invalid password

    FORMAT in changing passwords
    LOGON-ID:
    PASSWORD:
    NEW PASSWORD:

    When you are changing a password, make sure you hit the Enter key after typing in the logon ID and password, even though the cursor will drop down to the New Password line automatically. After you have received a message at the bottom of the screen stating that the password has expired, you should type your new password on the New Password line and press Enter. You will then have a message at the bottom of the screen to type in your new password again and hit Enter. Once you have done this, your password should be changed.

    If you are receiving a message saying you are already signed on, please make sure you are properly logging off by typing LOGOFF on the selection line and pressing the Enter key. Resetting the password will not correct the problem.

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  3. Who do I contact to obtain additional IDs?
    You should contact the Systems Department at 866-518-3295, Option 2.


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  4. Who do I contact if I have questions about PC-ACE PRO32 enrollment, electronic submission, downloading software or retrieving RA's to our mailbox within 30 days of processed date?
    You should contact the Electronic Data Interchange (EDI) department at 866-503-9670.


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  5. When entering or adjusting a claim, do I need to change my Type of Bill (TOB)?
    When necessary yes, typing over the TOB field will change the type of bill. Adjustments TOBs must end in a 7 (xx7). Each sub-menu automatically defaults to TOB 13x, 11x or 21x respectively.


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  6. How can I determine if a claim is suppressed or did not post to the Common Working File (CWF)?
    You can determine this by checking the following fields:
    1. Menu 01 (inquiries), Sub menu 12 (claims)
    2. Type in Medicare number and select your claim
    3. Page 2, then F2,
    4. "X" in the "TPE-TO-TPE" field
    5. "Y" in the SV field on page 1


    A suppressed claim will be in status location TB9997 and have the X in the "TPE-TO-TPE" field or a "Y" in the SV field (page 1 of claim, the very upper right corner, underneath the page number).

    A claim that did not post to CWF will be in PB9997 and have the X in the "TPE-TO-TPE" field.


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  7. What processed claims can providers adjust on DDE?
    1. Paid claims in status location PB9997
    2. Rejected claims in RB9997 that do not have an X in the "TPE-TO-TPE" field.
    3. MSP paid or rejected claims (PB9997 or RB9997)


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  8. What fields are required for adjustments?
    When entering an adjustment on the DDE system you will need the following:
    1. Page 1 condition code (D0- E0). The description of these codes can be found in the DDE manual screen print on page 299.
    2. Adjustment Reason code (above Doctor's last name) on page 3. You can find this on SC 16. Hit Enter twice or under Inquires (01) sub menu 16.
    3. MSP rejected claims. Please change the status location from a "P" to an "R".


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  9. What are the new changes on page 2 for DDE?
    Deleting a line:
    • Place a "D" on the first digit of the revenue code.
    • Press Home key (cursor must be under page #).
    • Press Enter key. (This entire line will be deleted.)

    Adding a line:

    • The new line must be added below your total charges.
    • The lines will be sorted in numerical order by pressing the home key and enter.


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  10. How do I add more than 2 modifiers?
    Adding modifiers on claims entry:
    1. Go to page 2
    2. F11
    3. Manually place your cursor next to the existing modifiers to add the additional modifier (s)
    4. F6 to scroll down
    5. F10 to return to your previous page

    Adding modifiers on claim corrections or adjustments:

    1. Delete the entire line
    2. Add a new line and follow the steps under claim entry above to add the additional modifier(s)


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  11. What is the NPI (National Provider Identification) field on HIQA?
    This field is not currently being used, as NPI has not been implemented yet.

    When entering information on HIQA use the Tab key to skip this field. DO NOT use the Enter or down arrow key. If you do not use the Tab key, you will receive a message stating your NPI cannot be identified.


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  12. Where are therapy caps located on HIQA?
    Therapy caps are located on the third paragraph on the first page. See below for an example. "PT TBM 1740.00" means "physical therapy to be met" and the amount is what is remaining for that Medicare beneficiary to use toward the CAP. This example shows the Medicare beneficiary has not utilized any physical therapy yet, so the full $1740.00 is available.

    PART A YR BLD 3 PT TBM 1740.00 OT TBM 1740.00
    CATASTROPHIC A: DED-TBM BLOOD CO-SNF FULL-SNF DOEBA DOLBA DED-APL
    YEAR 89 0056000 03 008 142 000000 000000 0000000


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  13. What are the telephone numbers for Part A and Part B Customer Service?
    Part A Customer Service can be reached at 866-518-3285
    Part B Customer Service can be reached at 866-503-3807


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  14. What is the mailing address to send a request for additional Logon ID(s)?
    The mailing address for the DDE Systems Department is:
    WPS Medicare Part A
    P.O. Box 8799
    Madison WI 53708-8799


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  15. How long does it take to have my Logon ID reactivated?
    This process can take up to 10 business days to complete. A DDE Systems Analyst will contact you with the temporary password.


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  16. How do I get set up to use the DDE System?
    First you want to contact one of our vendors; either IVANS or VisionShare for connectivity. Then visit our DDE information page in a Self-Service area and to obtain a DDE Request Form. You can access Self-Service from top navigation drop down menu. Please indicate on the form either New DDE Access for IVANS or New DDE Access VisionShare. The request should be sent to:
    WPS Medicare Part A
    P.O. Box 8799
    Madison WI 53708-8799


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  17. Who should I contact to have my password reset?
    Contact the DDE Claims Department at 1-866-518-3251.


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  18. When I access the DDE system, I still receive the validation screen when using my User ID beginning with (IA) or (MO). Is this the correct User ID?
    No. You will need to contact your connectivity vendor for further instructions.


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  19. Who do I contact regarding an Electronic Remittance Advice (RA)?
    Contact the EDI Department at 1-866-503-9670.


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  20. If an employee terminates their employment, can I assign their ID to another employee?
    No. When an employee terminates their employment, you will need to send a request to deactivate the ID for the termed employee


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  21. I forgot my Logon ID, what should I do?
    Contact the DDE Systems Department at 1-866-518-3295 for further assistance.


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  22. Why do I need to have my Logon ID reactivated?
    You must log on to the DDE System every 15 to 20 days to avoid having your password reactivated.


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  23. I am having trouble navigating in the DDE system, who do I call?
    Contact the DDE Claims Department at 1-866-518-3251.


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  24. I am having a problem using ELGA when trying to check eligibility information on the Common Working File (CWF), what should I do?
    You can use the transaction code of HIQA.


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  25. I have submitted a batch of claims electronically, but I don't see anything on the DDE system, who do I call for help?
    The correct area to call would be EDI Department at 1-866-503-9670.


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  26. When I log on to the DDE system, I receive an error message; "Unavailable try back later," when selecting an application such as MO/IA/KS/NE FISS Prod.
    To correct this error, enter the command of *ic,'*multi' at the bottom of the screen in the selection field. Then select the Enter key, and log off. You should now be able to access FISS. If, not contact either the DDE Systems Department at 1-866-518-3295 or DDE Claims Remote Department at 1-866-518-3251 for assistance.*Please review the screen below.


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    Page Last Updated: Friday, 06-Nov-2009 14:05:03 CST