ASK
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 ASK you need to complete the following tasks:
- Enroll with ASK
- 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 ASK.
ASK Enrollment
To enroll with ASK, complete the enrollment form at http://www.ask-edi.com/forms.htm
You will need to obtain a Submitter ID (Trading Partner Number).
EDI documentation and manuals: http://www.ask-edi.com/trading_partners/index.htm
Phone: 1-(800) 472-6481
Email: askedi@ask-edi.com
ASK 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
ASK 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 ASK. It does not show any elements that can be left with their default values.
|
Partner Name and Identifier: |
|
|
Organization Name |
ASK |
|
Identifier Qualifier |
Mutually Defined [ZZ] |
|
Identifier Value |
ASK |
|
ETIN |
ASK |
|
Application Code |
One of the following:
Note: You will need to create multiple trading partners in ChiroTouch, if you need to exchange documents with multiple entities from the list above. |
|
Site Name and Identifiers |
|
|
Organization Name |
Site name is used automatically and it cannot be changed here |
|
Identifier Qualifier |
Mutually Defined [ZZ] |
|
Identifier Value |
The Trading Partner Number assigned by ASK |
|
ETIN |
The Trading Partner Number assigned by ASK (same as above) |
|
Application Code |
The Trading Partner Number assigned by ASK (same as above) |
|
Transaction Options |
|
| Usage Indicator | Set to "Test" initially, before creating first test claims file. Set to "Production" after that. |
|
ERA 835 File Name Mask |
835*.* |
|
Registered Payers |
|
|
Primary Identifier |
BCBSKS = 47163 |
|
Secondary ID Qualifier |
Claim Office Number [FY] |
|
Secondary Identifier |
Defined in the same Payer List. It could be blank. |
|
Claim Filing Indicator |
BCBSKS = Blue Cross/Blue Shield [BL] 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. |
|
Designated Partner |
ASK |
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 ChiroTouchMaintenance) |
|
Address Line 1 |
Your site billing address line 1 (same as in ChiroTouchMaintenance) Note: PO box is no longer accepted as a valid billing address |
|
Address Line 2 |
Your site billing address line 2 (same as in ChiroTouchMaintenance) |
|
City, State, and Zip |
Your site billing address city, state, and zip code |
|
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 |
|
EDI Administrative Contact |
|
|
Name |
The name of the contact person in your office for EDI transmissions |
|
|
The e-mail of the contact person in your office for EDI transmissions |
|
Phone |
The phone of the contact person in your office for EDI transmissions |
|
Fax |
The fax of the contact person in your office for EDI transmissions |
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 |
|
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: |
Upload and Download File Location Configuration
ASK exchanges files using secured file transfer protocol (SFTP). This protocol requires 3rd-party FTP software to be installed on the user's computer. Installation and configuration of 3rd-party FTP software is outside of the scope of this guide. Please refer to ASK Telecommunication Manual (http://www.ask-edi.com/pdf-docs/TelecomReq5010.pdf) for more information.
When uploading claim files, pick them from the path specified below (replace "servername" with the actual server name):
\\yourservername\CTData\EDI\ASK\OUT
When downloading ERA files, save them to the path specified below (replace "servername" with the actual server name):
\\yourservername\CTData\EDI\ASK\IN
Please ask your IT professional if you don't know your ChiroTouch server name.
Testing
Each provider is required to test.
It is suggested a minimum of 25, but no more than 50 claims/requests be submitted for each line of business you wish to test.
The preferred communication method is via Internet File Transfer. If you are unable to utilize Internet File Transfer, then Secure FTP or a Network Service vendor are also available. A Telecommunications Manual (http://www.ask-edi.com/HIPAA/user_documentation/Telecommunications.htm) may be downloaded for further information on these options.
IMPORTANT:
You are responsible for downloading the acknowledgements for review. The 999 and 277CA Acknowledgements, for claims, are available for download within 2-4 hours after transmission. The Acknowledgements Manual (http://www.ask-edi.com/HIPAA/user_documentation/ResponseReportsManual.htm) is available to assist you in understanding this information. For any questions regarding testing or acknowledgements, please contact the Help Desk at 1-800-472-6481, opt. 1.