Attention: Trading Partners Reminder: Implementation of CAQH CORE Phase III Operating Rules

System changes associated with Phase III of the CAQH CORE standards will be implemented in NCTracks on November 3, 2014. This change will include the following enhancements:

 

  • HIPAA X12 835 and X12 820 transactions through the CAQH CORE infrastructure (SOAP and MIME) will be available.
  • Mailboxes used in SFTP transmissions will be restructured to create sub-folders for the 277P, 820, 834, and 835 X12 transactions, and will include functionality for users to delete files. The SFTP functionality and the X12 transaction structure will not changed.  Any existing 277P, 820, 834, and 835 X12 transaction files from prior check-write cycles will not be moved into sub-folders.
  • The naming convention of files generated for mailboxes will change.
  • NCTracks will generate the 277P, 820, 834, and 835 X12 transactions by provider number (NPI/Atypical ID) rather than by TSN.
  • The process to assign trading partner roles will be completely changed. There will be a new ‘Trading Partner Roles Page’ in the secure Provider Portal for user provisioning associated with CAQH CORE. 
These changes may require technical modifications to Trading Partner systems. For more information regarding the Phase III enhancements, see the September 3 announcement.
To further assist Trading Partners, a draft Connectivity Guide and draft Companion Guides have been posted on the Trading Partner Information page of the NCTracks Provider Portal to assist you with technical modifications to your systems. (Please note that these are draft documents and subject to change.)
 
For questions, contact the NCTracks Call Center at 1-800-688-6696.