|
|
Following are the Step-by-Step instructions you will use every time you bill if
you decided to use this HIPAA compliant form for any Payer.
- Determine which Payers you are going to bill electronically.
- Contact each Payer and get the following information:
2.1) Trading Partner Agreement about Electronic Date Interchange which you have
to review and sign.
2.2) Get necessary data such as a Business EDI ID, Mailbox, etc.
2.3) Find out about the communication protocol used by Payer for exchanging the
EDI transactions and get documentation.
- Setup communication software. You can use TPS communicator or a 3rd party
software.
- Test communication software: make sure that you can send/receive files.
- Enter received information #2.2 into TPS 2000.
- Generate bills for the Payer (Carrier) #1.
- Export bills in TPS 2000 into 837 Professional Claim file and send it.
- Receive 997 Functional Acknowledgment file in communication software and
import it into TPS2000.
- If all bills were rejected make changes to fix the errors. If you have any
problems make contact with Payer EDI department (you can find contact information in
your agreement #2.1 or communication protocol document #2.3 or other source) or
EON support.
|
|