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Third Party(Unsupported) Clearing House

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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ntaylor

(@ntaylor)

Posts: 79

Estimable Member

Topic starter

Hello,
We are currently using CPS12, and we are using a third party, "unsupported" clearing house for transmitting 837 files and receiving 835 files. The vender does not have a plugin for GE, and since they are an "unsupported" clearing house by GE, I'm not getting much help with trying to automate some of the processes.

GE did provide some information on the manual processes for the 837 and 835 files processing.

------------837 Files-------------
For generating the 837 files, we are going to EDI Submission Management, selecting the files we want, and then clicking the Export button and browsing to the location we want the files to generated. Then the files are picked up by the vender.
The problem with using the Export button, is that it does not change the status of the tickets from Batched to Sent. GE just responded and said that since we are not using a plugin, we are having to use the Export feature, and it does not change the ticket status. We would have to change the status manually. At the moment we created a database script to change the status for us, so that we don't have to go update each ticket manually.

-----------835 Files--------------
For processing the 835 files, our vender is dropping the files to a network share. Then we are going into EDI Response Management and selecting File => Import EDI Responses... The next screen asks us to browse to the files we want to Import, then has a field to select Clearinghouse, Date/Time Received, Short Description, Long Description, and option to "Process Immediately" and to "Delete local copy...". We are going Live this week with our new clearing house, so we are still in the process of testing the 835's, but I think once they are imported the rest of the process is what our billing office is used to, where they select which Files the want to Process from the list.

We are curious if anyone else is using a third part/unsupported clearing house with Centricity, and if so, have ya'll been able to automate any of these processes, or have any advise on how to make the process better.

thanks

Posted : November 19, 2015 6:37 am

acantu

(@acantu)

Posts: 722

Prominent Member

Hi Nick,

I think you emailed me a few days ago to see if I can assist you. I had responded back to you but did not hear anything back.

Posted : November 19, 2015 7:25 am

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