HNS

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 HNS you need to complete the following tasks:

Enroll with HNS
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 HNS.

HNS Enrollment

HNS 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

HNS 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 HNS. It does not show any elements that can be left with their default values.

Partner Name and Identifier:
Organization Name	HNS
Identifier Qualifier	Federal Tax ID [30]
Identifier Value	561971088
ETIN	561971088
Application Code	561971088
Site Name and Identifiers
Organization Name	Site name is used automatically and it cannot be changed here
Identifier Qualifier	Federal Tax ID [30]
Identifier Value	Your Federal Tax ID
ETIN	Your Federal Tax ID
Application Code	Your Federal Tax ID
Transaction Options
ERA 835 File Naming	Dynamic
ERA 835 File Name Mask	*.txt
Registered Payers
Payer Name	HNS requires the payer name to match one of the following: BCBS \| CIGNA \| MEDCOST \| PPC
Primary Identifier	561971088 or Payer Specific ID (ask HNS for explanation)
Secondary ID Qualifier	Not used
Secondary Identifier	Not used
Claim Filing Indicator	Selected 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	HNS

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
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 The default taxonomy code for the chiropractic specialty is 111N00000X Other codes are available at http://www.wpc-edi.com/codes/taxonomy

Upload and Download File Location Configuration

HNS provides a web site called “HNS Connect” that is used to upload claim files and download ERA files. Please contact HNS for more information on how to use this web site.

When uploading claims to HNS, pick the files from the path specified below (replace “servername” with the actual server name). You may need to delete or archive submitted clam files after uploading to prevent user errors and duplicate file submission.

\\yourservername\CTData\EDI\HNS\OUT

When downloading ERA files, save them to the path specified below (replace “servername” with the actual server name):

\\yourservername\CTData\EDI\HNS\IN

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