Office Ally OA Processing Application User Guide

FA'AALIGA FA'AALIGA
E fa'atagaina le fa'aalia, tufatufaina ma le kopiina o lenei ta'iala, peita'i, suiga i mea o lo'o maua i totonu o lenei ta'iala e mafai ona tupu i so'o se taimi e aunoa ma se fa'aaliga. O le fa'amoemoe ma le fa'aogaina o lenei ta'iala o le tu'uina atu lea o fa'amatalaga e fa'atatau i le Health Care Claim: Institutional (837I).
Office Ally, Inc. ole a ta'ua ole OA ile ta'iala atoa.
UPU TOMUA
O lenei Companion Document i le ASC X12N Implementation Guides ma isi mea sese o loʻo faʻaaogaina i lalo o le HIPAA e faʻamalamalama ma faʻamaoti ai faʻamatalaga faʻamatalaga pe a fesuiaʻi faʻamatalaga faʻaeletoroni soifua maloloina ma OA. O felauaiga e fa'atatau i lenei pepa fa'asoa, fa'aoga fa'atasi ma le X12N Implementation Guides, o lo'o tausisia uma le X12 syntax ma na ta'iala.
O lenei Companion Guide ua fa'amoemoe e fa'ailoa atu fa'amatalaga o lo'o i totonu o le auivi o le ASC X12N Ta'iala Fa'atinoga ua fa'aaogaina mo le fa'aoga i lalo ole HIPAA. O le Companion Guide e le'o fa'amoemoe e tu'uina atu fa'amatalaga i so'o se auala e sili atu nai lo mana'oga po'o le fa'aogaina o fa'amaumauga o lo'o fa'aalia i le Fa'atinoga o Ta'iala.
Companion Guides (CG) e mafai ona aofia ai ituaiga e lua o faʻamaumauga, faʻatonuga mo fesoʻotaʻiga faʻaeletoroni ma le faʻasalalauga faʻasalalau (Fesoʻotaʻiga/Connectivity Instructions) ma faʻamatalaga faaopoopo mo le fatuina o fefaʻatauaiga mo le kamupani faʻasalalau aʻo faʻamautinoa le tausisia o le ASC X12 IG (Transaction Instructions). Po'o le vaega Feso'ota'iga/Feso'ota'iga po'o le vaega o Fa'atonuga o Fefa'atauaiga e tatau ona aofia i totonu o CG uma. O vaega e mafai ona lomia faasalalau o ni pepa eseese pe o se pepa e tasi.
O le vaega Feso'ota'iga/Feso'ota'iga e aofia i le CG pe a mana'o le fa'asalalauga fa'asalalau e tu'uina atu fa'amatalaga e mana'omia e amata ma fa'amautu ai fefa'ataua'iga.
O le vaega o Fa'atonuga o Fefa'atauaiga o lo'o aofia i totonu o le CG pe a mana'o le kamupani fa'asalalau e fa'amanino fa'atonuga a le IG mo le tu'uina atu o fefa'atauaiga fa'aeletoroni fa'apitoa. O le anotusi o Fa'atonuga o Fefa'ataua'iga e fa'atapula'aina e ASCX12 o puletaofia ma fa'amatalaga Fa'aoga talafeagai.

FOLASAGA

1.1 Aotelega
E lagolagoina e lenei pepa Soa le fa'atinoina o se talosaga e fa'agasolo vaega.
Ole a talia e le OA fa'aulufalega o lo'o fa'atulaga sa'o ile X12 faaupuga. O le files e tatau ona tausisia faʻamatalaga o loʻo faʻamatala atu i lenei soa pepa faʻapea foʻi ma le taʻiala o le faʻatinoga o le HIPAA.
O talosaga OA EDI o le a faʻasaʻo mo nei tulaga ma teena files e le o tausisia.
O lenei soa pepa o le a faʻamaonia mea uma e manaʻomia e faʻatautaia ai le EDI mo lenei faʻasalalauga masani. E aofia ai:

Fa'amatalaga ile feso'ota'iga feso'ota'iga
Fa'amatalaga ile auala tu'uina atu
Fa'amatalaga i fefa'atauaiga

1.2 Ovaview
O lenei soa ta'iala e fa'afetaia ai le ASC X12N ta'iala fa'atinoga o lo'o fa'aaogaina nei mai le HIPAA.
O lenei soa ta'iala o le ta'avale lea e fa'aogaina e le OA ma ana pa'aga fefa'ataua'iga e fa'aagavaaina atili ai le ta'iala fa'atinoina o le HIPAA. O lenei soa ta'iala o lo'o ogatasi ma ta'iala fa'atinoina o le HIPAA e tusa ai ma le elemene fa'amaumauga ma fa'ailoga seti tulaga ma mana'oga.
O elemene o faʻamatalaga e manaʻomia ai le maliliega ma le malamalama o le a faʻamaonia i totonu o lenei soa taiala. Ituaiga faʻamatalaga o le a faʻamalamalamaina i totonu o lenei soa o:

Fa'ailoga o le a fa'aogaina mai ta'iala fa'atinoga o le HIPAA e fa'amatala ai nisi elemene fa'amaumauga
Tulaga tulaga ma elemene faʻamaumauga o le a faʻaaogaina e faʻamalieina tulaga pisinisi

Su'ega paaga profile fa'amatalaga mo le fa'amoemoe e fa'amautu po'o ai o lo'o matou fefa'ataua'i mo fa'asalalauga fa'afesuia'i

1.3 Fa'amatalaga
ASC X12 fa'asalalau ta'iala fa'atinoga, ua ta'ua o Type 3 Technical Reports (TR3's), e fa'amatala ai fa'amaumauga o lo'o i totonu ma mana'oga mo le fa'atinoina o le tausiga fa'alesoifua maloloina o seti o fefa'atauaiga a le ASC X12N/005010. O le TR3 lea o loʻo faʻasino i totonu o lenei taʻiala:

Talosaga mo le Soifua Maloloina: Ofisa – 8371 (005010X223A2)

O le TR3 e mafai ona fa'atau mai e ala ile Washington Publishing Company (WPC) ile http://www.wpc:-edi.com
1.4 Faamatalaga Faaopoopo
Fa'amatalaga Fa'amatalaga Fa'aeletonika (EDI) o le fa'afesuia'iga fa'akomepiuta-i-komepiuta o fa'amatalaga pisinisi fa'atulagaina i le va o pa'aga fefa'ataua'iga. Ole faiga komepiuta e fa'atupuina fefa'atauaiga e tatau ona tu'uina atu fa'amatalaga atoatoa ma sa'o a'o le faiga e maua ai fefa'atauaiga e tatau ona mafai ona fa'amatala ma fa'aogaina fa'amatalaga ile ASC X12N, e aunoa ma se fa'alavelave a tagata.
O fefaʻatauaiga e tatau ona lafo i se faʻatulagaga faʻapitoa e mafai ai e le matou komepiuta komepiuta ona faʻaliliu faʻamatalaga. E lagolagoina e le OA fefaʻatauaiga masani na faʻaaogaina mai le HIPAA. OA o lo'o fa'atumauina le aufaigaluega fa'apitoa mo le fa'amoemoe e fa'agaoioia ma fa'agaioi fa'asalalauga X12 EDI ma ana pa'aga fefa'ataua'iga.
O le sini a le OA e fa'avae mafutaga fa'a paaga fefa'ataua'iga ma fa'atautaia le EDI e fa'afeagai ma fa'amatalaga pepa e tafe i so'o se taimi ma so'o se mea e mafai ai.

AMATA

I le Office Ally, matou te malamalama i le taua o le i ai o se faiga fa'aoga faigofie, lelei, ma fa'afaigofie mo lau fa'atinoga. E te mauaina totogi e oo atu i le 4 taimi sili atu pe a e tuʻuina atu faʻaeletoroni ma iloa i totonu o itula pe a tupu se faʻafitauli i se tasi o au tagi.
Faamanuiaga a le Ofisa Ally:

Tuuina atu Talosaga Fa'aeletonika i le faitau afe o Totogi mo le Saolotoga
Leai ni Konekarate e sainia
Fa'atonu ma Toleniga
Fesoasoani 24/7 Tagata Fa'atau
Leai ni pepa EOB! Fautuaga Fa'aliliuina Fa'aeletonika (ERA) e avanoa mo tagata totogi filifilia
Fa'aoga lau Polokalama Fa'ata'ita'i Fa'ata'ita'i o iai e tu'uina atu ai tagi fa'aeletonika

Lipoti Aotelega Auiliili
Fa'asa'oga Talosaga i luga ole laiga
Lipoti o Fa'amaumauga (fa'amaumauga o tagi fa'asolopito)

O lo'o maua se fa'aaliga vitio i le Ofisa o Auaunaga a le Ofisa Ally iinei: Fa'atomuaga o Auaunaga
2.1 Lesitalaina o Tagata e tuuina atu
E tatau ona lesitala i latou e tu'uina atu (Fa'aola/Biller/etc.) ma le Ofisa Ally ina ia mafai ai ona tu'uina atu tagi i luga ole laiga. E mafai ona e lesitala e ala i le fa'afeso'ota'i le OA's Enrollment Department ile 360-975-7000 Filifiliga 3, pe ala i le amataina o le resitalaina i luga ole laiga HERE.
E mafai ona maua se lisi siaki resitala i le itulau e sosoo ai.

OA Resitala Siaki I ist.

mae'a Faamauina i luga ole laiga (pe vala'au le OA's Enrollment Dept @ 360-975-7000 Filifiliga 3)

Saini le OA Pepa Fa'atagaina
Review, saini, ma faleoloa OA Office-Ally-BAA-4893-3763-3822-6-Final.pdf (officeally.com) mo au faamaumauga
Maua le OA ua tofia Igoa Fa'aoga ma upu fa'aagaoioia so'oga
Fa'atulaga se a'oa'oga FREE (pe a mana'omia)
Review taiala soa a le OA
Review OA Ofisa Ally Avanoa Totogi e fa'amautu le ID Pager fa'apea fo'i ma mana'oga e lesitala ai EDI

Fa'auma su'ega ma toeview lipoti tali (na'o mana'omia mo tagata e tu'uina atu polokalame a le vaega lona tolu)
Amata le tu'uina atu o fa'amatalaga o le gaosiga!

FILE TU'UINA ATU

3.1 Taliaina File Fa'atulagaga
E mafai e le Ofisa Ally ona talia ma fa'agasolo mea nei file ituaiga:

HCFA, CMS1500, UB92, ma le UB04 Ata Files
ANSI X12 8371, 837P, ma le 837D files
HCFA NSF Files HCFA Tab Fa'atapula'aina Files (O le faʻatulagaga e tatau ona matua tausisi i faʻamatalaga OA. Faʻafesoʻotaʻi le Lagolago mo faʻamatalaga.)

3.2 Taliaina File Fa'aopoopoga
E faapena foi, e mafai e le Ofisa Ally ona talia files o loʻo i ai soʻo se mea o loʻo i lalo file fa'aopoopoga o igoa:

Txt	Dat	Sipi	Ecs	Viw
Hcf	O Lst	Ls	Pm	I fafo
Clm	837	Nsf	Pmg	Cnx
Pgp	Fil	Csv	Mpn	laupepa

3.3 File Suiga Fa'atulagaina
E taua le fa'aauau pea ona e lafo atu file fa'atulagaina pe a tu'uina atu talosaga files i le Ofisa Ally. Afai o lau file suiga fa'atulagaina ona o fa'afouga faiga, komepiuta fou, po'o filifiliga fomu eseese, le file e mafai ona toilalo.
Afai e te manaʻomia le faʻafouina o le file fa'asologa o lo'o lafo ile Office Ally, fa'amolemole fa'afeso'ota'i le OA ile 360-975-7000 Filifiliga 1 ma fa'ailoa i le Sui o Auaunaga Fa'atau e tatau ona e maua lau file fa'afou fou.

TOFOTOGA MA LE TOFI

Ina ia mautinoa le sologa lelei o le suiga i le tu'uina atu fa'aeletoroni e ala i le Office Ally, e fautuaina e fa'amae'a su'ega mo tagata e tu'uina atu polokalame fa'a-tolu.
E le o avanoa le su'ega Fa'ai'u i le Fa'ai'uga mo tagata totogi uma (ma e na'o le talosaga a le tagata totogi e fa'amae'aina); peita'i, e mafai ona e su'e sa'o i taimi uma e te mana'o ai ile OA.
E fautuaina e fai se su'ega file e aofia ai le 5-100 tagi e tu'uina atu mo su'ega. O tagi e tatau ona aofia ai le tele o tagi, fa'amaumauga mo ituaiga tulaga eseese po'o fa'aaliga e sili ona e feagai ma le tele o taimi (Ta'avale Falema'i, NDC, Falema'i, Falema'i, ma isi).
A uma lau su'ega file ua mae'a ona tu'uina atu ma fa'agasolo, o le Ofisa Ally e toe fa'afo'i mai se lipoti e fa'ailoa ai tagi na pasia su'ega ma mea e ono le manuia.
4.1 Su'ega File Fa'aigoaina Manaoga
O le upu OATEST (upu e tasi uma) e tatau ona aofia ai le suʻega file igoa ina ia mafai e le Ofisa Ally ona iloa o se suega file. Afai o le file e le o iai le upu autu e manaʻomia (OATEST), le file o le a fa'agasolo i totonu o la tatou siosiomaga gaosiga e tusa lava pe fa'atulaga le ISA15 i le 'T'. Lalo o exampsu'ega talia ma le le taliaina file igoa:
TAGATA: XXXXXX.OATEST.XXXXXX.837
TAGATA: OATEST XXXXXX_XXXX.txt
LE AFIA: 0A_TESTXXXX>C
LE TAGATA: SU'E XXXXXX_XXXX.837
Su'ega filee mafai ona tu'uina atu e ala i file lafo po'o fa'asalalauga SFTP. Pe a tuʻuina atu suʻega files e ala i le SFTP, e tatau fo'i ona fa'aaofia i totonu o le file igoa (ie 837P/8371/837D).

FA'AMATALAGA SO'OTA'IGA

O le Ofisa Ally e ofoina atu le lua file auala fa'afesuia'i mo tu'ufa'atasiga tu'uina atu:

SFTP (Saogalemu File Transfer Protocol)
Office Ally's Secure Webnofoaga

5.1 SFTP — Saogalemu File Fa'aliliuga Polokalama
Seti Faatonuga
Ina ia talosagaina se feso'ota'iga SFTP, lafo atu fa'amatalaga nei ile imeli ile Sipporteofficeallu.com:

Office Ally Username
Igoa fa'afeso'ota'i
Fa'afeso'ota'i Imeli
Igoa Polokalama (pe a maua)
Ituaiga Talosaga Tuuina Atu (HCFA/UB/ADA)
Maua lipoti 999/277CA? (Ioe pe Leai)

Fa'aaliga: Afai e te filifilia 'Leai', na'o le Office Ally proprietary text reports o le a toe faafoi mai.
Fa'amatalaga Feso'ota'i
URL tuatusi: ftp10officeally.com
Taulaga 22
SSH/SFTP Enabled (Afai e talosagaina e Cache SSH i le taimi e saini ai, kiliki 'Ioe')
Files uploaded to Office Ally e ala i le SFTP e tatau ona tuʻu i totonu o le "inbound" faila mo le gaioiga. SFTP uma i fafo files (e aofia ai le 835's) mai le Office Ally o le a avanoa mo le toe maua mai i totonu o le pusa "fafo".
SFTP File Fa'aigoaina Manaoga
Talosaga uma i totonu files tu'uina atu e ala i le SFTP e tatau ona i ai se tasi o upu autu nei i le file igoa e iloa ai le ituaiga o tagi o lo'o tu'uina atu: 837P, 8371, po'o le 837D
Mo example, pe a tuʻuina atu se talosaga gaosiga file o lo'o iai fa'amatalaga fa'apitoa: drsmith_8371_claimfile_10222022.837
5.2 Ofisa Ally Secure Webnofoaga
Mulimuli i laasaga o loʻo i lalo e lafo ai se tagi file fa'aoga le saogalemu a le Ofisa Ally webnofoaga.

Ulufale i totonu www.officeally.com
Fa'ae'e i luga o le "Upload Claims"
Kiliki e lafo i luga le file fa'atatau i lau ituaiga tagi (fa'atusa. “Upload Professional (UB/8371) File”)

Kiliki "Filifili File”
Su'e mo lau file ma kiliki "Tatala"
Kiliki "Upload"

I luga ole laiga, o le ae mauaina se itulau faʻamaoniga o le lafoina ma lau FilelD numera.
O lipoti tali o le a maua i totonu ole 6 i le 12 itula ile "Download File Aotelega” vaega o le webnofoaga.

FA'AMATALAGA FESOASOANI

6.1 Auaunaga Fa'atau

Aso avanoa:	Aso Gafua i le Aso Faraile
Taimi avanoa:	6:00am i le 5:00pm PST
Telefoni:	360.975.7000 Filifiliga 1
imeli:	support@officeally.com
Fax:	360.896-2151
Tala'aga Ola:	https://support.officeally.com/

6.2 Lagolago Fa'ainisinia

Aso avanoa:	Aso Gafua i le Aso Faraile
Taimi avanoa:	6:00am i le 5:00pm PST
Telefoni:	360.975.7000 Filifiliga 2
imeli:	support@officeally.com
Tala'aga Ola:	https://support.officeally.com/

6.3 Fesoasoani mo le Fa'amauina

Aso avanoa:	Aso Gafua i le Aso Faraile
Taimi avanoa:	6:00am i le 5:00pm PST
Telefoni:	360.975.7000 Filifiliga 3
imeli:	support@officeally.com
Fax:	360.314.2184
Tala'aga Ola:	https://support.officeally.com/

6.4 Aoaoga

Fa'atulagaina:	360.975.7000 Filifiliga 5
Vitio A'oa'oga:	https://cms.officeally.com/Pages/ResourceCenter/Webinars.aspx

VAEGA PULE/EFESI

O lenei vaega o loʻo faʻamatalaina ai le faʻaogaina e le OA o le fefaʻatauaʻiga (ISA) ma le vaega faʻatino (vaega faʻatonutonu GS. Manatua o talosaga i le Office Ally e faʻatapulaʻa i le tasi fefaʻatauaʻiga (ISA) ma le tasi vaega galue (GS) i le tasi file. Files e mafai ona aofia ai le 5000 seti fefaʻatauaiga (ST).
7.1 ISA-IEA

Elemene Fa'amatalaga	Fa'amatalaga	Tulaga Fa'aaogaina	Fa'amatalaga
ISA01	Fa'atagaga Fa'atagaga	0
ISA02	Tulafono Fa'atagaina
ISA03	Fa'ailoga Puipuiga	0
I SA04	Fa'amatalaga Puipuiga
ISA05	Tulaga Fa'ailoga	30 poʻo ZZ
ISA06	ID Sender		Fa'ailoa ID o lau filifiliga. Tax ID e sili ona taatele.
ISA07	Fa'ailoga Fa'ailoga	30 poʻo ZZ
ISA08	Receiver ID	330897513	ID Lafoga a Office Ally
ISA11	Toe Tuutuueseese	A	Po'o se vavaega o lau filifiliga
ISA15	Fa'ailoga Fa'aoga	P	Gaosiga File Mo suʻega, lafo le "OATEST" i le fileigoa.

7.2 GS-GE

Elemene Fa'amatalaga	Fa'amatalaga	Tulaga Fa'aaogaina	Fa'amatalaga
GS01	Faiga ID Code
G502	Laiti a Tagata e auina atu		Lafoai code e te filifilia. Lafoga ID e sili ona taatele.
GS03	Code a le tagata e mauaina	OA po'o le 330897513
GS08	Fa'amatalaga Fa'asalalau Alamanuia ID Code	005010X223A2	Fa'alapotopotoga

TULAFONO MA TAPUA A LE OFISA FA'AMATALAGA PISISI

O mea nei file fa'amatalaga o lo'o maua mai le 837 X12 Fa'atinoina Taiala. O le fa'amoemoe o le tu'uina atu lea o ta'iala i fa'amaufa'ailoga fa'apitoa ma vaega e taua i le fa'agaioiina o tagi i luga ole laiga. E le o se taiala atoatoa lea; o lo'o maua se ta'iala atoa mo le fa'atau mai le Washington Publishing Company.

Fa'amatalaga Auina atu Ta'amilosaga 1000A— NM1
O le fa'amoemoe o lenei vaega o le tu'uina atu lea o le igoa o le tagata po'o le fa'alapotopotoga o lo'o tu'uina atu le file
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	41
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	1 po o le 2	1 = Tagata 2 = E le o se Tagata
NM103	Fa'alapotopotoga (po'o le fa'ai'uga) Igoa	1/35
NM104	Fa'aulufale Igoa	1/35		Tulaga; Fa'atoa mana'omia pe afai NM102 = 1
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	46
NM109	Faailoga Faailoga	2/80		Fa'ailoa ID o lau filifiliga (Tax ID e taatele)

Receiver Information Ta'amilosaga 10008 — NM 1
O le fa'amoemoe o lenei vaega o le tu'uina atu lea o le igoa o le fa'alapotopotoga o lo'o e tu'uina atu i ai
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	40
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	2
NM103	Igoa o le Faalapotopotoga	1/35	SOIFUA FAI
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	46
NM109	Faailoga Faailoga	2/80	330897513	OA Tax ID

Fa'amatalaga a le Fa'amatalaga Tausi Loop 2010AA— NM1, N3, N4, REF
O le fa'amoemoe o lenei vaega o le tu'uina atu lea o le igoa, tuatusi, NPI, ma Tax ID mo le kamupani e tu'uina atu pili
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	85
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	2	2 = E le o se Tagata
NM103	Fa'alapotopotoga (po'o le Igoa) Igoa	1/60
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	XX
NM109	Faailoga Faailoga	2/80		Numera NPI 10-numera
N301	Tulaga Auala e tuuina atu pili	1/55		Manaomia le tuatusi fa'aletino. Aua le auina atu le Pusa meli.
N401	A'ai o lo'o tu'uina atu pili	2/30
N402	Setete e tuuina atu pili	2/2
N403	Fa'atupe Fa'atonu Zip	3/15
REAM	Fa'asinomaga Fa'ailoa Agava'a	2/3	El	El= ID lafoga
REF02	Fa'asinomaga Fa'asinomaga	1/50		9-numera ID Lafoga

Fa'amatalaga a le Tagata Fa'aasisi (Inisiua). Loop 2010BA – NM1, N3, N4, DMG
O le fa'amoemoe o lenei vaega o le tu'uina atu lea o le igoa, tuatusi, ID sui, DOB, ma le itupa o le tagata fai saofaga (inisiua)
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	IL
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	1
NM103	Igoa Mulimuli	1/60
NM104	Suafa Uluai Igoa	1/35
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	MI
NM109	Faailoga Faailoga	2/80		Numera ID ole Sui Usufono
N301	Tulaga Auala a le Tagata Fa'asalalau	1/55
N401	Aai o le au fai saofaga	2/30

N402	Malo o le lesitala	2/2
N403	Tagata fa'asoa Zip	3/15
DMG01	Aso Taimi Vaitaimi Fa'atulagaina Fa'ailoga	2/3	8
DMG02	Aso Fanau a le Tagata Fa'asalalau	1/35		YYYYMMDD faatulagaga
DMG03	Tagata lesitala Itupa	1/1	F, M, poʻo U F = Fafine	M = Male U = Le iloa

Fa'amatalaga Totogi Loop 201088 — NM1
O le fa'amoemoega o lenei vaega o le tu'uina atu lea o le igoa o le tagata totogi ma le ID e tatau ona tu'uina atu i ai le tagi (tagata totogi fa'amoemoe) Fa'amolemole fa'aoga le ID tagata totogi o lo'o lisiina ile Ofisa Ally Payer List e fa'amautinoa ai le auala sa'o.
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	PR
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	2
NM103	Igoa o le Tagata Totogi Fa'asinomaga	1/35
Nm108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	PI
Nm1O9	5-Numera ID Totogi	2/80		Fa'aoga se ID totogi o lo'o lisiina ile lisi ole Ofisa Ally Payer.

Fa'amatalaga o Ma'i (Tulaga) Loop 2010CA— NM1, N3, N4, DMG
O le fa'amoemoe o lenei vaega o le tu'uina atu lea o le igoa o le ma'i - pe a ese mai le tagata fai saofaga (fa'alagolago)
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	QC
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	1
NM103	Igoa Igoa o le Ma'i	1/60
NM104	Igoa Muamua o le gasegase	1/35
N301	Tulaga o le Auala o Pati	1/55
N401	Aai Onosa'i	2/30
N402	Malo o ma'i	2/2
N403	Ma'i Zip	3/15
DMG01	Aso Taimi Vaitaimi Fa'atulagaina Fa'ailoga	2/3	D8
DMG02	Aso Fanau mai ma'i	1/35		YYYYMMDD faatulagaga
DMG03	Onosa'i Itupa	1/1	F, M, poʻo U	F = Fafine M = Male U = Le iloa

Auai i Fa'amatalaga Fa'asoa Ta'amilosaga 2310A— NM1
O le fa'amoemoega o lenei vaega o le tu'uina atu lea o le igoa ma le NPI o le tagata e nafa ma le tausiga fa'afoma'i a le ma'i.
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	71
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	1	1 = Tagata
NM103	Auai Igoa Igoa	1/60
NM104	Uluai Igoa	1/35
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	XX
NM109	Faailoga Faailoga	2/80		10-numera NPI numera

Fa'amatalaga Fa'atonu Fa'agaioiga (Tulaga) Loop 23108 — NM1
O le fa'amoemoega o lenei vaega o le tu'uina atu lea o le igoa ma le NPI o le tagata e nafa ma le fa'atinoina o le taotoga o le ma'i.
Tulaga	Fa'amatalaga	Min/Max	Taua	Fa'amatalaga
NM101	Fa'asinomaga Fa'asinomaga	2/3	72
NM102	Fa'ailoga Tulaga Fa'alapotopotoga	1/1	1	1 = Tagata
NM103	Auai Igoa Igoa	1/60
NM104	Uluai Igoa	1/35
NM108	Fa'ailoga Fa'ailoga Fa'ailoga	1/2	XX
NM109	Faailoga Faailoga	2/80		10-numera NPI numera

FA'AILOGA MA LIPOTI

O le Ofisa Ally e toe fa'afo'i tali nei ma ituaiga lipoti. E pei ona taʻua, o tali 999 ma 277CA e naʻo le tuʻuina atu mo le tagi files tu'uina atu e ala i le SFTP. Va'ai ile Fa'aopoopoga A mo se lisi o file fa'aigoaina feagaiga e feso'ota'i ma tali ta'itasi.
9.1 999 Fa'atino Fa'afetai
O le EDI X12 999 Implementation Acknowledgment pepa o loʻo faʻaaogaina i le soifua maloloina e tuʻuina atu ai faʻamaoniga o se file na maua. O le 999 fa'ailoa e toe fa'afo'i atu i le tagata na tu'uina atu mo na'o le tagi files tu'uina atu e ala i le SFTP.
9.2 277CA Talosaga Talitonu File Aotelega
Le faʻamoemoe o le EDI X12 277CA File Aotelega o le lipoti lea pe ua teena pe leai foi se tagi e le Ofisa Ally. Na'o tagi e talia o le a lafo i le tagata totogi mo le fa'agaioia. Ole X12 lea ua fa'atulagaina file lea e tutusa ma le tusitusiga ua faatulagaina File Aotelega Lipoti.
9.3 277CA Talosaga Fa'ailoa Tulaga EDI
O le fa'amoemoega o le EDI X12 277CA EDI Tulaga lipoti o le fa'ailoa atu lea pe leai se tagi ua talia pe teena e le tagata totogi. Ole X12 lea ua fa'atulagaina file lea e tutusa ma le tusitusiga ua fa'atulagaina EDI Tulaga Lipoti
9.4 File Aotelega Lipoti
O le File Aotelega Lipoti ose tusitusiga (.txt) fa'atulagaina file lea e fa'ailoa mai ai pe talia pe teena e le Ofisa Ally tagi. O tagi ua talia o le a lafo i le tagata totogi mo le fa'agaioia. Va'ai ile Fa'aopoopoga B mo file fa'atulagaga fa'atulagaina.
9.5 Lipoti Tulaga EDI
O le EDI Tulaga Lipoti o se tusitusiga (.txt) fa'atulagaina file lea e fa'aaogaina e fa'ailoa ai le tulaga o se tagi pe a uma ona tu'uina atu i le pager mo le fa'agaioia. O tali o tagi na maua mai se pager o le a tu'uina atu ia te oe ile tulaga ole EDI Tulaga Lipoti. Va'ai ile Fa'aopoopoga C mo file fa'atulagaga fa'atulagaina.
I le faaopoopo atu i nei lipoti tusitusia, e mafai ona e talosaga e maua foi se Lipoti Tulaga CSV EDI. Le Custom CSV EDI Tulaga Lipoti o lo'o iai tagi o lo'o aofia i le EDI Tulaga Lipoti tusitusiga file, fa'atasi ai ma so'o se fa'aopoopoina o fa'amatalaga fa'amatalaga o tagi e te filifilia.
Mo fa'amatalaga faaopoopo ma/po'o le talosagaina o lenei filifiliga, fa'amolemole fa'afeso'ota'i le Customer Support.
9.6 835 Fautuaga Fa'aliliuina Fa'aeletonika
O le a toe faafoi e le Ofisa Ally le EDI X12 835 files, faʻapea foʻi ma se faʻasologa o tusitusiga o le faʻaulu file. Va'ai ile Fa'aopoopoga D mo file fa'atulagaga fa'atulagaina.

FAAOPOOPOGA A – TALI A LE OFISA FILE FA'IGOA FEAGAIGA

Ofisa Ally Lipoti ma File Fa'aigoaina Fonotaga
File Aotelega — Fa'apolofesa*	FS_HCFA_FILEID_IN_C.txt
File Aotelega — Fa'alapotopotoga*	FILEID_UBSUMMARY_YYYYMMDD.txt
Tulaga EDI*	FILEID_EDI_STATUS_YYYYMMDD.txt
X12 999**	FILEID_Tuuina atuFileIgoa_999.999
X12 277CA – Tomai (File Aotelega)**	USERNAME_FILEID_HCFA_277ca_YYYYMMDD.txt
X12 277CA – Fa'alapotopotoga (File Aotelega)**	USERNAME_FILEID_UB_277ca_YYYYMMDD.txt
X12 277CA – Tomai Faapitoa (Tulaga EDI)**	FILEID_EDI_STATUS_HCFA_YYYYMMDD.277
X12 277CA – Fa'alapotopotoga (Tulaga EDI)**	FILEID_EDI_STATUS_UB_YYYYMMDD.277
X12 835 & ERA (TXT)**	FILEID_ERA_STATUS_5010_YYYYMMDD.zip (e iai le 835 ma le TXT) FILEID_ERA_835_5010_YYYYMMDD.835 FILEID_ERA_STATUS_5010_YYYYMMDD.txt

* Va'ai i Fa'aopoopoga B e o'o i le D mo File fa'atulagaga fa'atulagaina
**999/277CA fa'agaioiga lipoti e tatau ona talosagaina ma e na'o avanoa mo files tu'uina atu e ala i le SFTP

FAAOPOOPOGA B – FILE AOTELEGA – FA'AIGA

Lalo o examples a le Faalapotopotoga File Aotelega Lipoti:
Talosaga uma i le File Na talia e le Ofisa Ally

O Nisi Talosaga i le File Na Talia ae o nisi na teena (sese) e le Ofisa Ally

Lalo o le file faʻamatalaga faʻatulagaina mo vaega taʻitasi e mafai ona aofia i totonu o le File Aotelega.

FILE AOTELEGA FAAMATALAGA
Field Igoa Amata Posi ole Umi ole fanua
TALI#	1	6
TULAGA	10	3
TALI ID	17	8
PULE NUM	27	14
FOFOGA FETALAI	42	15
ID O MA'I	57	14
MA'I (L, F)	72	20
TOTOGI AOFA	95	12
MAI LE ASO	109	10
PILI LAFOGA	124	10
NPI / PIN	136	11
TOTOGI	148	5
Faʻasologa sese	156	50

FA'AMATALAGA FA'alua
Field Igoa Amata Posi ole Umi ole fanua
Fa'amatalaga	1	182
OA Talosaga ID	35	8
OA File Igoa		55
Aso Fa'agasolo	–	–
PULE NUM		–

Fa'amatalaga: 1. “-” e fa'ailoa mai o le tulaga amata ma le umi e ono fesuisuia'i ona o le umi ole OA file igoa 2. E fa'agata fa'ailoga koma ma fetaui ma le aotelega o mea sese i le ulutala. 3. Afai o le ACCNT# (CLM01) e >14 numera, o le PHYS.ID, PAYER, ma ERRORS amata tulaga o le a fetuunai.

FAAOPOOPOI C – LIPOTI TULAGA EDI

Lenei tusitusiga fa'atulagaina lipoti e tutusa ma le File Aotelega Lipoti; ae ui i lea, o le EDI Status Lipoti o loʻo i ai faʻamatalaga tulaga na lafoina i le Office Ally mai le tagata totogi. So'o se fe'au e maua e le OA mai le tagata totogi o le a tu'uina atu ia te oe i le tulaga o le EDI Tulaga Lipoti.
Le EDI Tulaga Lipoti o le a aliali mai ma foliga tutusa ma le example faʻaalia i lalo.

Fa'aaliga: I le ED! Tulaga Lipoti, afai e tele tali e toe fo'i mai mo le tagi lava e tasi (i le taimi e tasi), e te va'ai i le tele o laina o lo'o i ai le tulaga mo se tagi e tasi.
Lalo o le file fa'amatalaga fa'atulagaina mo le EDI Tulaga Lipoti.

EDI Tulaga Lipoti Fa'amatalaga Fa'amaumauga
Igoa fanua	Amata Pos	Umi ole fanua
File ID	5	9
Talosaga ID	15	10
Pat. Acct #	27	14
Onosa'i	42	20
Aofaiga	62	9
Fa'ata'ita'iga D	74	10
ID lafoga	85	10
Tagata totogi	96	5
Totogi Fa'agasologa Dt	106	10
Totogi Ref ID	123	15
Tulaga	143	8
Savali Tali a le Totogi	153	255

FAAOPOOPOGA D – ERA/835 LIPOTI TULAGA
O lo'o tu'uina mai e le Office Ally se tusitusiga e mafai ona faitau (.TXT) o le EDI X12 835 file, peiampo loʻo faʻaalia i lalo:

Fa'amatalaga o Fefa'ataua'iga Fa'ata'ita'i Fa'asoa Fa'atatau i Ta'iala Fa'atinoga Fa'avae i luga ole X12
Faiga 005010X223A2
Toe iloilo 01/25/2023

Pepa / Punaoa

Office Ally OA Processing Application [pdf] Taiala mo Tagata Fa'aoga
OA Processing Application, OA, Processing Application, Application

Fa'asinomaga

Tusi Taiala

OA Processing Application