OA Processing Application
Wogwiritsa Ntchito

OA Processing Application

ZOWULUTSA
Kuwulula, kugawa ndi kukopera kwa bukhuli ndikololedwa, komabe, kusintha kwa zinthu zomwe zapezeka mu bukhuli zitha kuchitika nthawi iliyonse popanda chidziwitso. Cholinga chake ndi kugwiritsa ntchito bukhuli ndikupereka chidziwitso chokhudzana ndi Health Care Claim: Institutional (837I).
Office Ally, Inc. idzatchedwa OA mu bukhuli.
MAWU OLANKHULIDWA
Izi Companion Document to the ASC X12N Implementation Guides ndi zolakwika zina zomwe zatengedwa pansi pa HIPAA zimamveketsa bwino zomwe zili mu data posinthana ndi OA. Kutumiza kutengera chikalata china ichi, chomwe chimagwiritsidwa ntchito limodzi ndi X12N Implementation Guides, chimagwirizana ndi mawu onse a X12 ndi maupangiri amenewo.
Bukuli la Companion Guide lili ndi cholinga chopereka chidziwitso chomwe chili mkati mwa ASC X12N Implementation Guides yotengedwa kuti igwiritsidwe ntchito pansi pa HIPAA. Buku la Companion Guide silinapangidwe kuti lipereke zidziwitso zomwe mwanjira ina iliyonse zimaposa zofunika kapena kugwiritsa ntchito deta yofotokozedwa mu Maupangiri Othandizira.
Ma Companion Guides (CG) akhoza kukhala ndi mitundu iwiri ya deta, malangizo a mauthenga apakompyuta ndi bungwe lofalitsa (Malangizo / Mauthenga Ogwirizanitsa) ndi zowonjezera zowonjezera pakupanga zochitika za bungwe lofalitsa pamene akuwonetsetsa kuti akutsatira ASC X12 IG (Transaction Instructions). Kaya gawo la Communications/Connectivity kapena Transaction Instruction likuyenera kuphatikizidwa mu CG iliyonse. Zigawozo zikhoza kusindikizidwa ngati zolemba zosiyana kapena ngati chikalata chimodzi.
Chigawo cha Communications/Connectivity chikuphatikizidwa mu CG pamene bungwe lofalitsa likufuna kufotokoza zofunikira kuti ayambe ndi kusunga kusinthana kwa mauthenga.
Chigawo cha Transaction Instruction chimaphatikizidwa mu CG pamene bungwe lofalitsa likufuna kufotokozera malangizo a IG kuti apereke zochitika zinazake zamagetsi. Zomwe zili mu Transaction Instruction ndizochepa ndi zokopera za ASCX12 ndi mawu a Fair Use.

MAU OYAMBA

1.1 Chigawo
Chikalata ichi cha Companion chimathandizira kukhazikitsidwa kwa batch processing application.
OA ivomereza zotumizira zomwe zasinthidwa molondola m'mawu a X12. The files ayenera kutsatira zomwe zafotokozedwa mu chikalata chotsatirachi komanso chiwongolero chotsatira cha HIPAA.
Mapulogalamu a OA EDI asintha pazolinga izi ndikukana filezomwe sizikutsata.
Chikalata chothandizira ichi chifotokoza zonse zomwe zikufunika kuti tipange EDI pazochita zanthawi zonse. Izi zikuphatikizapo:

• Mafotokozedwe pa ulalo wolumikizirana
• Zofotokozera za njira zoperekera
• Tsatanetsatane wa zochitika

1.2 Paview
Buku lothandizirali likuyamikira kalozera wokhazikitsa ASC X12N womwe watengedwa kuchokera ku HIPAA.
Bukuli likhala galimoto yomwe OA imagwiritsa ntchito limodzi ndi ochita nawo malonda kuti akwaniritse bwino lomwe HIPAA yotengera kalozera wokhazikitsidwa. Buku lothandizirali likugwirizana ndi chiwongolero chotsatira cha HIPAA potengera zinthu za data ndi ma code omwe amakhazikitsa miyezo ndi zofunika.
Zinthu za data zomwe zimafunikira kuvomerezana ndi kumvetsetsana zidzafotokozedwa mu bukhuli. Mitundu ya zidziwitso zomwe zidzafotokozedwe bwino m'gululi ndi:

• Ziyeneretso zomwe zidzagwiritsidwe ntchito kuchokera ku maupangiri a HIPAA kuti afotokoze zinthu zina za deta
• Magawo amikhalidwe ndi zinthu zomwe zidzagwiritsidwe ntchito kukwaniritsa bizinesi
• Kutsata profile zidziwitso ndi cholinga chofuna kudziwa yemwe tikugulitsana naye pamayendedwe omwe amasinthidwa

1.3 Maumboni
ASC X12 imasindikiza maupangiri ogwiritsiridwa ntchito, omwe amadziwika kuti Type 3 Technical Reports (TR3's), omwe amatanthauzira zomwe zili mkati mwa data ndi zofunikira zotsatiridwa pokwaniritsa chithandizo chaumoyo cha seti za transaction za ASC X12N/005010. TR3 yotsatira yatchulidwa mu bukhuli:

• Zofuna Zaumoyo: Institutional - 8371 (005010X223A2)

TR3 itha kugulidwa kudzera ku Washington Publishing Company (WPC) pa http://www.wpc:-edi.com
1.4 Zowonjezereka
Electronic Data Interchange (EDI) ndikusinthana kwapakompyuta kupita ku kompyuta kwa data yamabizinesi yopangidwa pakati pa ochita nawo malonda. Makina apakompyuta omwe akupanga zochitikazo ayenera kupereka zidziwitso zonse ndi zolondola pomwe makina omwe amalandira zomwe zachitikazo ayenera kukhala otha kutanthauzira ndikugwiritsa ntchito chidziwitsocho mumtundu wa ASC X12N, popanda kulowererapo kwa anthu.
Zochitazo ziyenera kutumizidwa mwanjira inayake yomwe ingalole pulogalamu yathu yapakompyuta kumasulira zomwe zili. OA imathandizira zochitika zomwe zimatengedwa kuchokera ku HIPAA. OA imakhala ndi antchito odzipereka ndi cholinga chothandizira ndi kukonza ma X12 EDI ndi ma bwenzi ake ogulitsa.
Ndi cholinga cha OA kukhazikitsa maubwenzi ochita malonda ndikuchita EDI mosiyana ndi mauthenga a papepala nthawi iliyonse komanso kulikonse kumene kuli kotheka.

KUYAMBAPO

Ku Office Ally, timamvetsetsa kufunikira kokhala ndi njira yosavuta yogwiritsira ntchito, yothandiza, komanso yowongolera pamachitidwe anu. Mudzalandira malipiro mpaka kanayi mofulumira mukatumiza pakompyuta ndipo dziwani pasanathe maola angapo ngati chimodzi mwazodandaula zanu chikachitika.
Ubwino wa Office Ally:

• Tumizani Zofunsira Pakompyuta kwa Olipira zikwizikwi KWAULERE
• Palibe Mapangano Oti Saina
• Kukhazikitsa Kwaulere ndi Maphunziro
• Thandizo la Makasitomala 24/7 KWAULERE
• Palibenso mapepala a EOB! Electronic Remittance Advice (ERA) ilipo kwa omwe amalipira
• Gwiritsani ntchito Practice Management Software yanu yomwe ilipo kuti mupereke madandaulo pakompyuta
• Malipoti achidule atsatanetsatane
• Kuwongolera Zofuna Paintaneti
• Malipoti a Inventory (zolemba zakale)

Kanema woyambira ku Office Ally's Service Center akupezeka pano: Chiyambi cha Service Center
2.1 Kulembetsa kwa Otumiza
Otumiza (Wopereka / Biller/ etc.) ayenera kulembetsa ndi Office Ally kuti apereke madandaulo pakompyuta. Mutha kulembetsa polumikizana ndi dipatimenti yolembetsa ya OA pa 360-975-7000 Njira 3, kapena poyambitsa kulembetsa pa intaneti PANO.
Mndandanda wa kalembera ungapezeke patsamba lotsatira.

OA Registration Check I is.

1. Malizitsani Kulembetsa pa intaneti (kapena imbani OA's Enrollment Dept @ 360-975-7000 Njira 3)
2. Chizindikiro cha OA Pepala Lovomerezeka 
3. Review, sankhani, ndi kusunga ma OA Office-Ally-BAA-4893-3763-3822-6-Final.pdf (officeally.com) kwa zolemba zanu
4. Landirani dzina la OA lomwe lapatsidwa ndi ulalo wotsegulira mawu achinsinsi
5. Konzani maphunziro a UFULU (ngati pakufunika)
6. Review Wothandizira mnzake wa OA
7. Review OA ndi Olipira Omwe Amapezeka ku Office Ally kuti mudziwe ID ya Pager komanso zofunikira zolembetsa za EDI
8. Kuyesa kwathunthu ndikuyambiransoview malipoti amayankhidwe (zofunikira kwa otumiza mapulogalamu a gulu lachitatu)
9. Yambani kutumiza zofunsira zopanga!

FILE MALANGIZO OPEREKERA

3.1 Adalandiridwa File Mawonekedwe
Office Ally akhoza kuvomereza ndikukonza zotsatirazi file mitundu:

• HCFA, CMS1500, UB92, ndi UB04 Image Files
• ANSI X12 8371, 837P, ndi 837D files
• Mtengo wa HCFA NSF Files HCFA Tab Delimited Files (Mawonekedwe akuyenera kutsata ndondomeko ya OA. Lumikizanani ndi Thandizo kuti mumve zambiri.)

3.2 Adalandiridwa File Zowonjezera
Mofananamo, Office Ally akhoza kuvomereza files omwe ali ndi zina mwa izi pansipa file Zowonjezera mayina:

Ndilembereni	Dat	Zip	Ecs	Mawu
Hcf	Lst	Ls	Pm	Kutuluka
Clm	837	Nsf	Pmg	Cnx
Pgp	Fil	csv	Mpn	tabu

3.3 File Kusintha kwa Mawonekedwe
Ndikofunika kuti mupitirize kutumiza zomwezo file mawonekedwe potumiza zonena fileku Office Ally. Ngati wanu file kusintha kwa mawonekedwe chifukwa cha zosintha zamakina, makompyuta atsopano, kapena masankhidwe amitundu yosiyanasiyana, ma file akhoza kulephera.
Kodi muyenera kusintha a file Kutumizidwa ku Office Ally, chonde lemberani OA pa 360-975-7000 Njira 1 ndikudziwitsa Woimira Makasitomala kuti muyenera kukhala ndi yanu file mtundu wasinthidwa.

KUYESA NDI OFFICE ALLY

Kuti muwonetsetse kuti zinthu zikuyenda bwino potumiza kudzera pakompyuta kudzera pa Office Ally, tikulimbikitsidwa kuti kuyezetsa kumalizidwe kwa onse omwe akutumiza mapulogalamu ena.
Kuyesa-Kumapeto-ku-Mapeto sikupezeka kwa onse olipira (ndipo kumamalizidwa kokha pa pempho la wolipira); komabe, mutha kuyesa pafupipafupi momwe mungafune ndi OA mwachindunji.
Ndi bwino kuti mayeso file zomwe zili ndi zodandaula za 5-100 ziperekedwe kuti ziyesedwe. Zolinga zoyezetsa ziyenera kuphatikizapo zodandaula zosiyanasiyana, zowerengera zamitundu yosiyanasiyana kapena zochitika zomwe mumakumana nazo pafupipafupi (Ambulansi, NDC, Odwala Odwala, Odwala Odwala, etc.).
Pambuyo pa mayeso anu file yatumizidwa ndikukonzedwa, Office Ally ibweza lipoti lozindikiritsa zonena zomwe zidapambana mayeso ndi zomwe mwina zalephera.
4.1 Mayeso File Kutchula Zofunikira
Mawu OATEST (mawu onse amodzi) ayenera kuphatikizidwa ndi mayeso file dzina kuti Office Ally azindikire ngati mayeso file. Ngati ndi file ilibe mawu ofunikira (OATEST), the file idzakonzedwa m'malo athu opanga mosasamala kanthu kuti ISA15 yakhazikitsidwa kukhala 'T'. M'munsimu muli exampza mayeso ovomerezeka komanso osavomerezeka file mayina:
CHOCHOKERA: XXXXXX.OATEST.XXXXXX.837
ZOGWIRITSIDWA: OATEST XXXXXX_XXXXX.txt
ZOSAVUTA: 0A_TESTXXXX>C
ZOSAVUTA: YESANI XXXXXX_XXXXX.837
Yesani files ikhoza kutumizidwa kudzera file kutumiza kapena kutumiza kwa SFTP. Popereka mayeso files kudzera pa SFTP, mawu ofunikira amtunduwu ayeneranso kuphatikizidwa mu file dzina (ie 837P/8371/837D).

ZOKHUDZANA NAZO

Office Ally amapereka ziwiri file njira zosinthira kwa otumiza magulu:

• SFTP (Safe File Transfer Protocol)
• Ofesi Ally Ndi Yotetezeka Webmalo

5.1 SFTP - Otetezeka File Transfer Protocol
Kukhazikitsa Malangizo
Kuti mupemphe kulumikizana ndi SFTP, tumizani izi kudzera pa imelo ku Sipporteofficeallu.com:

• Office Ally Username
• Dzina Lothandizira
• Tumizani Imelo
• Dzina la Mapulogalamu (ngati liripo)
• Mitundu Yofunsira Yotumizidwa (HCFA/UB/ADA)
• Landirani malipoti a 999/277CA? (Inde kapena Ayi)

Zindikirani: Mukasankha 'Ayi', malipoti a Office Ally okha ndi omwe adzabwezedwe.
Tsatanetsatane wa Kulumikizana
URL Adilesi: ftp10officeally.com
Port 22
SSH/SFTP Yathandizidwa (Ngati mufunsidwa kuti musungitse SSH panthawi yolowera, dinani 'Inde')
Filezomwe zidakwezedwa ku Office Ally kudzera pa SFTP ziyenera kuyikidwa mufoda ya "inbound" kuti ikonzedwe. Ma SFTP onse otuluka files (kuphatikiza 835's) kuchokera ku Office Ally ipezeka kuti mutengenso mufoda "yotuluka".
Mtengo wa SFTP File Kutchula Zofunikira
Zofuna zonse zobwera filezomwe zatumizidwa kudzera pa SFTP ziyenera kukhala ndi amodzi mwamawu otsatirawa mu file dzina kuti mudziwe mtundu wa zodandaula zomwe zikuperekedwa: 837P, 8371, kapena 837D
Za example, popereka chigamulo chopanga file zomwe zili ndi zodandaula zapasukulu: drsmith_8371_claimfile_10222022.837
5.2 Office Ally Safe Webmalo
Tsatirani zotsatirazi kuti mukweze zomwe mukufuna file pogwiritsa ntchito chitetezo cha Office Ally webmalo.

1. Lowani www.officeally.com
2. Yendetsani pa "Pangani Zofuna"
3. Dinani kuti kwezani file kutengera mtundu wa zomwe mukufuna (mwachitsanzo, "Lowetsani Katswiri (UB/8371) File”)
4. Dinani "Sankhani File”
5. Sakatulani anu file ndipo dinani "Open"
6. Dinani "Pangani"

Mukatsitsa, mudzalandira tsamba lotsimikizira kukwezedwa ndi yanu FilelD nambala.
Malipoti akuyankhidwa azipezeka mkati mwa maola 6 mpaka 12 mu "Download File Summary” gawo la webmalo.

ZAMBIRI ZAMALUMIKIZIDWE

6.1 Utumiki Wamakasitomala

Masiku Amene Akupezeka:	Lolemba mpaka Lachisanu
Nthawi Zomwe Zilipo:	6:00 am mpaka 5:00 pm PST
Foni:	360.975.7000 Njira 1
Imelo:	support@officeally.com
Fax:	360.896-2151
Live Chat:	https://support.officeally.com/

6.2 Thandizo laukadaulo

Masiku Amene Akupezeka:	Lolemba mpaka Lachisanu
Nthawi Zomwe Zilipo:	6:00 am mpaka 5:00 pm PST
Foni:	360.975.7000 Njira 2
Imelo:	support@officeally.com
Live Chat:	https://support.officeally.com/

6.3 Thandizo Lolembetsa

Masiku Amene Akupezeka:	Lolemba mpaka Lachisanu
Nthawi Zomwe Zilipo:	6:00 am mpaka 5:00 pm PST
Foni:	360.975.7000 Njira 3
Imelo:	support@officeally.com
Fax:	360.314.2184
Live Chat:	https://support.officeally.com/

6.4 Maphunziro

Kukonzekera:	360.975.7000 Njira 5
Maphunziro Akanema:	https://cms.officeally.com/Pages/ResourceCenter/Webinars.aspx

MALANGIZO/MAENVULULUKO

Gawoli likufotokoza momwe OA amagwiritsira ntchito interchange (ISA) ndi gulu logwira ntchito (magawo olamulira a GS. Dziwani kuti zotumiza ku Office Ally zimangotengera kusinthana kumodzi (ISA) ndi gulu limodzi logwira ntchito (GS) file. Files ikhoza kukhala ndi ma 5000 transaction sets (ST).
7.1 ISA-IEA

Data Element	Kufotokozera	Makhalidwe Ogwiritsidwa Ntchito	Ndemanga
ISA01	Authorization Qualifier	0
ISA02	Kodi Authorization
ISA03	Security Qualifier	0
ine SA04	Information Security
ISA05	Woyenerera Sender	30 kapena zz
ISA06	Wotumiza ID		ID yotumiza yomwe mwasankha. ID ya msonkho ndiyofala kwambiri.
ISA07	Woyenerera Wolandira	30 kapena zz
ISA08	ID yolandila	330897513	ID ya msonkho ya Office Ally
ISA11	Wolekanitsa Kubwereza	A	Kapena wolekanitsa kusankha kwanu
ISA15	Kugwiritsa Ntchito Chizindikiro	P	Kupanga File Kuti muyese, tumizani "OATEST" mu filedzina.

7.2 GS-GE

Data Element	Kufotokozera	Makhalidwe Ogwiritsidwa Ntchito	Ndemanga
GS01	Ntchito ID Code
G502	Kodi Senders		Otumiza khodi yomwe mwasankha. ID ya msonkho ndiyofala kwambiri.
GS03	Kodi Receiver	OA kapena 330897513
GS08	Code Release Industry ID	Mtengo wa 005010X223A2	Bungwe

OFFICE ALLY MALAMULO NDI ZOCHITA ZOPHUNZITSA ZOCHITIKA

Zotsatirazi file Zofotokozera zimatengedwa kuchokera ku 837 X12 Implementation Guide. Cholinga chake ndikupereka chitsogozo pa malupu ndi magawo ena omwe ali ofunikira pakukonza zodandaula pakompyuta. Izi si kalozera wathunthu; kalozera wathunthu alipo kuti mugule ku Washington Publishing Company.

Otumiza Zambiri Loop 1000A-NM1
Cholinga cha gawoli ndikupereka dzina la munthu kapena bungwe lomwe likupereka file
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	41
NM102	Entity Type Qualifier	1/1	1 kapena 2	1 = Munthu 2 = Wosakhala Munthu
NM103	Dzina la bungwe (kapena lomaliza).	1/35
NM104	Submitter Dzina Loyamba	1/35		Mkhalidwe; Chofunikira ngati NM102 = 1
NM108	Identification Code Qualifier	1/2	46
NM109	Code Lodziwika	2/80		ID yotumiza yomwe mwasankha (ID ya msonkho ndiyofala)

Information Receiver Lupu 10008 - NM 1
Cholinga cha gawoli ndikupereka dzina la bungwe lomwe mukutumiza
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	40
NM102	Entity Type Qualifier	1/1	2
NM103	Dzina la bungwe	1/35	OFFICE ALLY
NM108	Identification Code Qualifier	1/2	46
NM109	Code Lodziwika	2/80	330897513	OA Tax ID

Zambiri Zopereka Ndalama Lupu 2010AA- NM1, N3, N4, REF
Cholinga cha gawoli ndikupereka dzina, adilesi, NPI, ndi ID ya msonkho kwa omwe amapereka ndalama.
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	85
NM102	Entity Type Qualifier	1/1	2	2 = Wosakhala Munthu
NM103	Dzina la bungwe (kapena lomaliza).	1/60
NM108	Identification Code Qualifier	1/2	XX
NM109	Code Lodziwika	2/80		Nambala 10 ya NPI
N301	Adilesi ya Street Provider	1/55		Adilesi Yapadziko Lonse ikufunika. Osatumiza PO Box.
N401	Billing Provider City	2/30
N402	Billing Provider State	2/2
N403	Billing Provider Zip	3/15
REAM	Reference Identification Qualifier	2/3	El	El= ID ya msonkho
REF02	Chizindikiritso cha Reference	1/50		ID ya Msonkho ya manambala 9

Olembetsa (Inshuwaransi) Zambiri Loop 2010BA - NM1, N3, N4, DMG
Cholinga cha gawoli ndikupereka dzina, adilesi, ID ya membala, DOB, ndi jenda la wolembetsa (wotetezedwa)
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	IL
NM102	Entity Type Qualifier	1/1	1
NM103	Subscriber Dzina Lomaliza	1/60
NM104	Wolembetsa Dzina Loyamba	1/35
NM108	Identification Code Qualifier	1/2	MI
NM109	Code Lodziwika	2/80		Nambala ya ID ya membala
N301	Subscriber Street Address	1/55
N401	Subscriber City	2/30

N402	Subscriber State	2/2
N403	Wolembetsa Zip	3/15
DMG01	Chiyeneretso cha Format ya Nthawi ya Tsiku	2/3	8
DMG02	Olembetsa Tsiku Lobadwa	1/35		YYYYMMDD mtundu
DMG03	Olembetsa Jenda	1/1	F, M, kapena U F = Mkazi	M = Mwamuna U = Zosadziwika

Zambiri Zolipira Lupu 201088 - NM1
Cholinga cha gawoli ndikupereka dzina ndi ID ya wolipirayo kuti pempho liperekedwe kwa (wolipira kopita) Chonde gwiritsani ntchito ma ID olipira omwe alembedwa pa Office Ally Payer List kuti muwonetsetse njira yoyenera.
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	PR
NM102	Entity Type Qualifier	1/1	2
NM103	Dzina Lomwe Amapereka	1/35
Nm108	Chizindikiritso CodeQualifier	1/2	PI
Nm1O9	5-Digit Wolipira ID	2/80		Gwiritsani ntchito ID yolipira yomwe yalembedwa pamndandanda wa Office Ally Payer.

Zambiri za Odwala (Zamkhalidwe) Loop 2010CA- NM1, N3, N4, DMG
Cholinga cha gawoli ndikupereka dzina la wodwalayo - ngati losiyana ndi wolembetsa (wodalira)
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	QC
NM102	Entity Type Qualifier	1/1	1
NM103	Dzina Lodwala	1/60
NM104	Dzina Loyamba la Wodwala	1/35
N301	Adilesi Yamsewu Wodwala	1/55
N401	Wodwala City	2/30
N402	State Wodwala	2/2
N403	Wodwala Zip	3/15
DMG01	Chiyeneretso cha Format ya Nthawi ya Tsiku	2/3	D8
DMG02	Tsiku Lobadwa Lodwala	1/35		YYYYMMDD mtundu
DMG03	Kuleza Mtima	1/1	F, M, kapena U	F = Mkazi M = Mwamuna U = Zosadziwika

Kupezeka pa Information Provider Loop 2310A-NM1
Cholinga cha gawoli ndikupereka dzina ndi NPI ya wothandizira yemwe ali ndi udindo wa chithandizo chamankhwala cha wodwalayo.
Udindo	Kufotokozera		Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier		2/3	71
NM102	Entity Type Qualifier		1/1	1	1 = Munthu
NM103	Kupitako Dzina Lomaliza		1/60
NM104	Kupitako Dzina Loyamba		1/35
NM108	Identification Code Qualifier		1/2	XX
NM109	Code Lodziwika		2/80		Nambala 10 ya NPI

Zambiri Zothandizira Othandizira (Zochitika) Lupu 23108 - NM1
Cholinga cha gawoli ndikupereka dzina ndi NPI ya wothandizira yemwe ali ndi udindo wochita opaleshoni ya wodwalayo.
Udindo	Kufotokozera	Min/Max	Mtengo	Ndemanga
NM101	Khodi ya Identifier	2/3	72
NM102	Entity Type Qualifier	1/1	1	1 = Munthu
NM103	Kupitako Dzina Lomaliza	1/60
NM104	Kupitako Dzina Loyamba	1/35
NM108	Identification Code Qualifier	1/2	XX
NM109	Code Lodziwika	2/80		Nambala 10 ya NPI

KUYAMIKIRA NDI MALIPOTI

Office Ally imabweretsanso mayankho otsatirawa ndi mitundu ya malipoti. Monga tawonera, mayankho a 999 ndi 277CA amangopangidwa kuti adzifunse fileyotumizidwa kudzera pa SFTP. Onani Zowonjezera A kuti mupeze mndandanda wa file kutchula mfundo zogwirizana ndi yankho lililonse.
9.1 999 Kuvomereza Kukwaniritsa
Chikalata cha EDI X12 999 Implementation Acknowledgement chikugwiritsidwa ntchito pazaumoyo kupereka chitsimikizo kuti file analandiridwa. Chivomerezo cha 999 chimabwezeredwa kwa woperekayo kuti angofuna fileyotumizidwa kudzera pa SFTP.
9.2 277CA Kuvomereza Kudandaula File Chidule
Cholinga cha EDI X12 277CA File Mwachidule ndikufotokozera ngati zomwe Office Ally zakana kapena ayi. Zolinga zovomerezeka zokha zidzatumizidwa kwa wolipirayo kuti akakonze. Ichi ndi mawonekedwe a X12 file zomwe ndi zofanana ndi zolemba zomwe zalembedwa File Lipoti Lachidule.
9.3 277CA Kuvomereza Kuvomereza Mkhalidwe wa EDI
Cholinga cha lipoti la EDI X12 277CA EDI Status ndikupereka zomwe wolipirayo wavomereza kapena ayi. Ichi ndi mawonekedwe a X12 file zomwe ndizofanana ndi lipoti la EDI Status Report
9.4 File Lipoti Lachidule
The File Summary Report ndi mawu (.txt) osinthidwa file zomwe zikuwonetsa ngati zonenazo zidavomerezedwa kapena kukanidwa ndi Office Ally. Zovomerezeka zovomerezeka zidzatumizidwa kwa wolipirayo kuti akakonze. Onani Zowonjezera B za file kamangidwe kake.
9.5 EDI Status Report
The EDI Status Report ndi mawu (.txt) olembedwa file chomwe chimagwiritsidwa ntchito kusonyeza momwe chofunira chikatumizidwa kwa pager kuti chikasinthidwe. Mayankho ofunsira omwe alandilidwa kuchokera papeja adzaperekedwa kwa inu ngati lipoti la EDI Status Report. Onani Zowonjezera C za file kamangidwe kake.
Kuphatikiza pa malipoti awa, mutha kupemphanso kuti mulandire Lipoti la Custom CSV EDI Status Report. Lipoti la Custom CSV EDI Status Report lili ndi zodandaula zomwe zili m'mawu a EDI Status Report file, pamodzi ndi zina zilizonse zomwe mwasankha.
Kuti mudziwe zambiri komanso/kapena kupempha njirayi, chonde lemberani Thandizo la Makasitomala.
9.6 835 Electronic Remittance Malangizo
Office Ally ibweza EDI X12 835 files, komanso mtundu wamtundu wa remit file. Onani Zowonjezera D za file kamangidwe kake.

ZOWONJEZERA A – OFFICE ALLY RESPONS FILE KUCHULUKA MISONKHANO 

Office Ally Reports ndi File Mayina a Msonkhano
File Chidule - Katswiri*	FS_HCFA_FILEID_IN_C.txt
File Chidule - Institutional*	FILEID_UBSUMMARY_YYYYMMDD.txt
Mkhalidwe wa EDI*	FILEID_EDI_STATUS_YYYYMMDD.txt
X12 999**	FILEID_SubmittedFileDzina_999.999
X12 277CA - Katswiri (File Mwachidule)**	USERNAME_FILEID_HCFA_277ca_YYYYMMDD.txt
X12 277CA – Institutional (File Mwachidule)**	USERNAME_FILEID_UB_277ca_YYYYMMDD.txt
X12 277CA – Professional (EDI Status)**	FILEID_EDI_STATUS_HCFA_YYYYMMDD.277
X12 277CA – Institutional (EDI Status)**	FILEID_EDI_STATUS_UB_YYYYMMDD.277
X12 835 & ERA (TXT)**	FILEID_ERA_STATUS_5010_YYYYMMDD.zip (ili ndi 835 ndi TXT) FILEID_ERA_835_5010_YYYYMMDD.835 FILEID_ERA_STATUS_5010_YYYYMMDD.txt

* Onani Zowonjezera B mpaka D za File kamangidwe kake
**999/277CA lipoti lotsegula liyenera kufunsidwa ndipo likupezeka kokha fileyotumizidwa kudzera pa SFTP

ZOKHUDZA B - FILE CHIDULE - INSTITUTIONAL

M'munsimu muli exampgawo la Institutional File Lipoti Lachidule:
Zofuna Zonse mu File Adalandiridwa ndi Office Ally

Zofuna zina mu File Adalandiridwa ndipo Ena adakanidwa (olakwitsa) ndi Office Ally

Pansipa pali file tsatanetsatane wagawo lililonse la magawo omwe angaphatikizidwe mu File Chidule.

FILE MFUNDO ZACHIDULE
Dzina Loyamba Pos Munda Wautali
FUNSANI#	1	6
STATUS	10	3
DZIWANI ID	17	8
KULAMULIRA NUM	27	14
MEDICAL REC	42	15
ID YA WOdwala	57	14
WOdwala (L, F)	72	20
ZOLIMBIKITSA ZONSE	95	12
KUYAMBA TSIKU	109	10
BILL TAXID	124	10
NPI / PIN	136	11
WOLIPITSA	148	5
KOLAKULA KODI	156	50

DUPLICATE INFO
Dzina Loyamba Pos Munda Wautali
Zambiri	1	182
ID ya OA	35	8
OA File Dzina		55
DateProcessed	–	–
KULAMULIRA NUM		–

Ndemanga: 1. "-" imasonyeza kuti malo oyambira ndi kutalika kungasiyane chifukwa cha kutalika kwa OA file dzina 2. Makodi olakwika amatsitsidwa koma amafanana ndi chidule cha zolakwika pamutu. 3. Ngati ACCNT# (CLM01) ili >manambala 14, malo oyambira a PHYS.ID, PAYER, ndi ERRORS adzasinthidwa.

ZOWONJEZERA C – LIPOTI LA NTCHITO YA EDI

Lipoti lopangidwa ndi mawu awa likufanana ndi File Lipoti Lachidule; Komabe, lipoti la EDI Status Report lili ndi chidziwitso chotumizidwa ku Office Ally kuchokera kwa omwe amalipira. Uthenga uliwonse wa OA udzalandira kuchokera kwa wolipirayo udzaperekedwa kwa inu ngati lipoti la EDI Status Report.
Lipoti la EDI Status Report liwoneka ndikuwoneka mofanana ndi wakaleampzomwe zikuwonetsedwa pansipa.

Zindikirani: Mu ED! Status Report, ngati mayankhidwe angapo abweranso pachofuna chimodzi (panthawi yomweyo), muwona mizere ingapo yokhala ndi chiwongola dzanja chimodzi.
Pansipa pali file tsatanetsatane wa lipoti la EDI Status Report.

EDI Status Report Detail Records
Dzina lamunda	Yambani Pos	Utali Wamunda
File ID	5	9
Kufuna ID	15	10
Pat. Act #	27	14
Woleza mtima	42	20
Ndalama	62	9
Zochita D	74	10
ID ya msonkho	85	10
Wolipira	96	5
Payer Process Dt	106	10
ID ya Wolipira Ref	123	15
Mkhalidwe	143	8
Mauthenga Oyankhira Olipira	153	255

ZOWONJEZERA D - LIPOTI LA STATUS ERA/835
Office Ally imapereka mtundu wowerengeka (.TXT) wa EDI X12 835 file,kutiampzomwe zikuwonetsedwa pansipa:

Chidziwitso Chotsatira Chotsatira Chotsatira Chotsatira Chotsatira Chimatanthawuza ku Maupangiri Othandizira Kutengera X12
Mtengo wa 005010X223A2
Revised 01 / 25 / 2023

Zolemba / Zothandizira

Office Ally OA Processing Application [pdf] Buku Logwiritsa Ntchito OA Processing Application, OA, Processing Application, Application

Maumboni

• Buku Logwiritsa Ntchito