Emdeon

NOTE:
The numbers provided in this configuration guide are subject to change without notice. It is your responsibility to maintain the accuracy of these numbers in your system.

Electronic Document Interchange (EDI) is a way to exchange data using a standard format and communication protocol. ChiroTouch supports a subset of EDI standards for Health Care that is mandated by HIPAA. This standard is created and maintained by the ANSI X12 committee. The current version of ChiroTouch includes support for the 837 (claim) and 835 (remittance advice) EDI transactions. The process of exchanging the EDI documents is called “document trading” and the parties involved in that process are called “trading partners”.

Before you can start trading EDI documents with Emdeon you need to complete the following tasks:

Enroll with Emdeon
Configure ChiroTouch for EDI
Test your configuration and sample data by creating and submitting a small file

These tasks are described in greater detail later on in this document.

NOTE:
Please note that this document should be used as a supplement to the ChiroTouch User's Manual because it describes elements specific to Emdeon.

Emdeon Enrollment

Emdeon Configuration

EDI makes use of several data identifiers that define key entities included on the exchanged documents. These include site, doctors, patients, payers, and trading partners. Using of the identifiers instead of names greatly reduces data entry mistakes and removes naming discrepancies between different organizations. The following section describes all data elements that need to be configured for successful EDI. Please refer to the ChiroTouch Manual for more information on how to use the EDI configuration screens.

Trading Partner Configuration

Emdeon is considered an electronic document trading partner for your organization. A trading partner in ChiroTouch is defined by few data elements that are specified on the Trading Partners screen.

The table below shows all data elements that need to be specified for Emdeon. It does not show any elements that can be left with their default values.

Partner Name and Identifier:
Organization Name	Emdeon
Identifier Qualifier	Mutually Defined [ZZ]
Identifier Value	133052274
ETIN	133052274
Application Code	133052274
Site Name and Identifiers
Organization Name	Site name is used automatically and it cannot be changed here
Identifier Qualifier	Mutually Defined [ZZ]
Identifier Value	223182777
ETIN	223182777
Application Code	223182777
Transaction Options
Usage Indicator	Set to "Test" initially, before creating first test claims file. Set to "Production" after that.
Registered Payers
Primary Identifier	Use Payer ID from the Commercial Payer List available at https://access.emdeon.com/PayerLists/
Secondary ID Qualifier	Blank
Secondary Identifier	Blank
Claim Filing Indicator	Select the value that matches the payer type. It is important to use "Medicare B" for Medicare and "Blue Cross/Blue Shield" for BCBS. Other payers may use "Commercial Insurance" or whatever matches their type. Other payers may use “Commercial Insurance” or whatever matches their type.
Designated Partner	Emdeon

Site Configuration

Your site in many cases will be used as EDI Billing Provider and Pay-To Provider for claims and remits. The table below shows all data elements that need to be specified on the Site screen. It does not show any elements that can be left with their default values.

Billing Name and Address
Name	Your site billing name (same as in ChiroTouch Maintenance)
Address Line 1	Your site billing address line 1 (same as in ChiroTouch Maintenance) Note: PO box is no longer accepted as a valid billing address
Address Line 2	Your site billing address line 2 (same as in ChiroTouch Maintenance)
City, State, and Zip	Your site billing address city, state, and zip code Note: a 9-digit code is required in all provider or facility addresses
NPI (type 2)	A type 2 (organization) NPI assigned to your practice / site
Employer Number / Tax ID	A Tax ID assigned to your practice / site
Taxonomy Code	Leave blank if specified on the Provider (Rendering Info) screen
EDI Administrative Contact
Name	The name of the contact person in your office for EDI transmissions
E-Mail	The e-mail of the contact person in your office for EDI transmissions Use valid e-mail format (ex: john@doe.com)
Phone	The phone of the contact person in your office for EDI transmissions Omit punctuation (ex: 2061231234)
Fax	The fax of the contact person in your office for EDI transmissions Omit punctuation (ex: 2061231234)

Provider Configuration

Each provider that appears on the claim must be configured for EDI using the Providers screen. Other practitioners do not need to be configured. The table below shows common data elements that need to be specified for each provider. It does not show any elements that can be left with their default values.

EDI Rendering Provider
Last Name	Provider last name
First Name	Provider first name
Middle Name	Provider middle name (optional)
Suffix	Provider suffix Omit punctuation (ex: DC)
NPI (type 1)	A type 1 (personal) NPI assigned to the provider
SSN	Social Security Number of the provider
Taxonomy Code	A specialty code. Valid code values are: 111N00000X = Chiropractic 111N10900X = Internist 111NN0400X = Neurology 111NN1001X = Nutrition 111NX0100X = Occupational Medicine 111NX0800X = Orthopedic 111NR0200X = Radiology 111NS0005X = Sports Physician 111NT0100X = Thermography

Upload and Download File Location Configuration

Emdeon exchanges files using Emdeon Office web site.

When uploading claim files, pick them from the path specified below (replace "servername" with the actual server name):

\\yourservername\CTData\EDI\Emdeon\OUT

When downloading ERA (Remits) and report files, place them in path specified below (replace "servername" with the actual server name):

\\yourservername\CTData\EDI\Emdeon\IN

Please ask your IT professional if you don’t know your ChiroTouch server name.