Main Office: 844.525.8500
Help Desk: 314.881.5299

Volunteer Form for Limited ICD-10 End to End Testing Available Now

Written by: 
WPS Medicare eNews

Change Request (CR) 8602 was created by CMS to allow for MACs to test with a limited number of providers and clearinghouses to ensure claims with ICD-10 codes can be processed from submission to remittance. You can access CR 8602 on the CMS website.

CMS defines successful end-to-end testing as being able to demonstrate that:

  • Testing entities are able to successfully submit ICD-10 claims to the shared systems,
  • Software changes made to support ICD-10 result in appropriately adjudicated claims based on the pricing data employed for testing purposes; and
  • Remittance advices are produced.

Each MAC has been instructed to select 32 submitters, for each Jurisdiction supported, to participate in the end to end testing. Testers shall be selected randomly from a list of volunteers.

To gather these volunteers, WPS Medicare has posted a link to the volunteer registration form on our website. You can find this link in the Additional Links section of our EDI department web page.

The volunteer form must be completed by March 24, 2014 in order to be considered for this Limited End to End testing.

By April 14, 2014, WPS Medicare shall notify the chosen volunteers they have been selected to test, and provide them with information for the testing, including a testing information sheet, which will include information such as:

  • How to submit test claims (ex. what test indicators should be set)
  • What dates of service may be used for testing.
  • How many claims may be submitted for testing (Test claims volume is limited to a total of 50
  • claims for the entire testing week, submitted in no more than 3 files.)
  • Request for National Provider Identifiers (NPIs) and Health Insurance Claim Numbers (HICNs) that will be used for testing. (no more than 5 NPIs and 10 HICNs per submitter)
  • Notice that if more than 50 claims are submitted, they may not be processed.
  • Notice of potential Protected Health Information (PHI) on test remits not submitted (and instructions to report PHI found to the MAC.)