WayStar
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”.
- Enroll with WayStar
- Configure ChiroTouch for EDI
- Test your configuration and sample data by creating and submitting a test 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 WayStar.
WayStar Enrollment
To enroll with WayStar please send inquiries to: insidesales@chirotouch.com
WayStar 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
WayStar 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 WayStar. It does not show any elements that can be left with their default values.
Partner Name and Identifier: |
|
Organization Name |
WayStar |
Identifier Qualifier |
Mutually Defined [ZZ] |
Identifier Value |
WayStar |
ETIN |
WayStar |
Application Code |
WayStar |
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 Site ID assigned by WayStar |
ETIN |
The Site ID assigned by WayStar |
Application Code |
The Site ID assigned by WayStar |
Transaction Options |
|
ERA 835 File Naming | Dynamic |
ERA 835 File Name Mask |
*.CPL |
Registered Payers |
|
Primary Identifier | Use Payer ID from https://login.zirmed.com/ui/Payers |
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 |
WayStar |
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 |
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 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 |
NPI (type 1) |
A type 1 (personal) NPI assigned to the provider |
SSN |
Social Security Number of the provider |
Taxonomy Code |
A specialty code Other codes are available at http://www.wpc-edi.com/codes/taxonomy |
Testing
A test claim submission is required. Create and submit one small claim file (30 charges or so) and ask WayStar to review it for correctness before submitting a large number of charges.