Thursday, March 20, 2014

Medicare Part A- "Dark Days" for Common Working File Hosts

April 2014 Release "Dark Days" for the Common Working File (CWF) Hosts

For the upcoming April 2014 Release, Change Request (CR) 8382, Common Working File (CWF) Part A Claim Record Expansion, the CWF Hosts will be performing a history conversion. Due to the anticipated duration of this activity, there will be one “gray” day occurring on Thursday, April 3, 2014, and two “dark” days on Friday, April 4, 2014 and Saturday, April 5, 2014.

Below is a list of scheduled events for the release:

  • CWF Hosts will implement the Out of Service Area (OSA) drop for 03/31/14 through 04/04/14.
  • CWF Hosts will not perform any XREF or Health Insurance Correction Record (HICR) transactions from 03/31/14 through 04/06/14. 
  • 04/03/14 will be considered a “Gray” day for the CWF Hosts. This means the CWF online Health Insurance Master Record (HIMR) inquiry and the Beneficiary Data Streamlining (BDS) transaction will be available for all MACs. In addition, CWF Hosts will process In Sector Area (ISA) claims during the day on 04/03/14 and deliver response files back to the MACs in the old format for 04/03/14 night’s processing.
  • CWF Hosts will hold the claims received from MACs on 04/03/14 and 04/04/14. 
  • 04/04/14 and 04/05/14 will be a “Dark” day for CWF Hosts with no on lines available, which means, no access to the HIMR inquiry and BDS transaction. 
  • CWF Host will install the CWF April quarterly release on 04/04/14. 
  • CWF Host will run the CWF SSM conversion and combine the held 04/03/14 and 04/04/14 MAC files on 04/07/14 and will send the combined files to the Fraud Prevention System (FPS) in the new version. 
  • 04/07/14, the on lines are available for CWF Host under the new version. CWF Host will receive responses from the FPS by the afternoon of 04/07/14. The FPS response files will be loaded for CWF ISA processing on the night of 04/07/14. Response files will be sent to MACs in the new version for 04/08/14 night’s processing