ATTENTION XANTUS PROVIDERS

BEGINNING 8/1/03, ACS EDI GATEWAY WILL CONTINUE TO ACCEPT CLAIMS FOR XANTUS, HOWEVER CLAIMS WITH DATES OF SERVICES OF 8/1/03 THROUGH 10/14/03 WILL BE REJECTED IN THE ACS CLEARINGHOUSE SYSTEM. PROVIDERS WILL NEED TO MAIL CLAIMS WITH DATES OF SERVICES 8/1/03 THROUGH 10/14/03 ON PAPER TO:

 XANTUS
@ P.O. BOX 20170
NASHVILLE, TN 37202

PLEASE BE ADVISED THAT EFFECTIVE MIDNIGHT, 10/14/03 ACS WILL NO LONGER ACCEPT ELECTRONIC CLAIMS FOR XANTUS AND XANTUS CLAIMS WILL NEED TO BE MAILED ON PAPER TO THE ABOVE ADDRESS. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT TENNCARE @ THE TENNCARE HOTLINE (615) 741-4800 OR TOLL FREE (800) 669-1851 OR VISIT THE TENNCARE WEBSITE @ www.state.tn.us/tenncare.

UB92 Format Manual Version 5.0 - This manual is intended for Billing Services, Clearinghouses and Vendors who are developing claims submission capabilities to send claims to ACS. This manual includes the CCHS Requirements Matrix that details the records and fields required by ACS to process UB92 Claims.

HCFA-1500 NSF Version 3.1 - This manual is intended for Billing Services, Clearinghouses and Vendors who are developing claims submission capabilities to send claims to ACS. This manual includes the CCHS Requirements Matrix that details the records and fields required by ACS to process HCFA-NSF Claims

Note: If you need specifications or testing requirements please contact our EDI Business Analyst Staff at (850) 201-1171.