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”.

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.

ClosedWayStar Enrollment

To enroll with WayStar please send inquiries to: insidesales@chirotouch.com

DISCLAIMER:  WayStar configuration requires a minimum ChiroTouch version of 7.2.6.0 for SFTP connection

ClosedWayStar 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
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

ClosedTesting

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.