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Upcoming Release Features and Modifications - Coming July 2, 2019

  • Parsing logic changes to accommodate specialist copay designation in Aetna eligibility responses.  
  • Parsing logic changes to accommodate specialist copay designation in Aetna Medicare eligibility responses.




Highlight From Latest Release - June 19, 2019

  • Clearwave can now send demographic updates to Nextech.


EDI Changes May and June 2019

June 2019

EDI-1758 John Hopkins Medicine- Deactivate Payer

EDI-1759 Health Partners- Deactivate Payer

 Group Health Coop of Eau Clair-  New URL- https://group-health.com/providers  The site now requires an email address as the username. Per Shane with Change- Via Email on 6/12/19. Service Order#8004819623



May 2019

EDI-1751 Virginia Premiere- deactivate payer 

EDI-1743 PHCS Savility- deactivate payer

EDI-1744- Martins Point- deactivate payer (temporary) 

EDI-1745 Priority Partners- deactivate payer 

EDI-1750 Aetna has recently made some changes to their 271 logic returning "Consultation" vs "Specialist" causing Clearwave to not be able to parse out the specialist copay unless client manually submits STC 3. A blast went out to client regarding this on 5/21/19





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