When submitting claims to the Department of Labor through Jopari (PAYER ID: J1438), there are some important steps needed to ensure your bills are processed correctly and ERAs are remitted.
Understanding DOL Claims Setup in NikoHealth
There are some important details to remember when setting up DOL Claims through Jopari within NikoHealth:
Department of Labor requires the Agency Claim Number to be sent and that it is 7-9 digits
Claims that have a PO Box for the billing provider address will be rejected
You must enter your DOL Commercial Provider Identifier assigned to the billing provider (see details below)
Add or Update a Provider Commercial Number
Go to: Management > Corporate Setup > Billing Providers > Select the billing provider
Click on the Option Tab
Select the payer Department of Labor (DOL)
Drop down the selection in the Provider Numbers Field
Select Provider Commercial Number
Enter your identifier in the value input field
Click Add
Save your changes
ERA Enrollment
In order to ensure ERAs (835's) are delivered, please visit OWCP to register.
Add Jopari as your EDI Submitter
OWCP ID for your billing service/clearinghouse is: 700235000
During the OWCP online registration process you’ll be asked for Jopari’s information:
Step 7
Check the box for: Billing Agent/Clearinghouse
Step 8
Enter 700235000 and pick your start/end dates
Step 9
Enter the following:
Contact title: EDI
Last Name: Solutions
First Name: Jopari
Phone Number: 800-630-3060
Address Line 1: 1855 Gateway Boulevard
Address Line 2: Suite 500
City/Town: Concord
State/Province: CA
Zip Code: 94520