Vendors

Vendor FAQs

Last Update October 27, 2004

1. How are my test files reviewed?
   
2. How do I get included in ASK's Vendor Listing?
   
3. Where can I find the X12N 837 V4010 specification and implementation guides?
   
4. What types of editing will be preformed on the ANSI ASC X12N transactions?
   
5. What results and/or reports will trading partners have returned on files for the X12N 837
   
6. Who do I contact if I have questions regarding the ANSI ASC X12N transactions?
   
7. Will additional documentation be available for the ANSI ASC X12N transactions?
   
8. Which transactions will be supported in batch mode and which will be supported in real time?
   
9. How long after I send my claims will I receive a 997 or Claims Confirmation Report?
   
10. How do I get my password unsuspended when logging into the EDI Front End System?
    

1. How are my test files reviewed?
   
   Answer: Vendors and trading partners will perform self-testing. Self-testing will involve the vendor or trading partner submitting a test file and retrieving the response reports on there own. Errors can then be corrected and a test file resent which begins the process again. Vendors and trading partners will be allowed to make the decision as to when they move to production (unless a payer has certain testing requirements to meet). EMS Help Desk staff are always available to answer any questions during the testing process.
   
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2. How do I get included in ASK's Vendor Listing?

   Answer: ASK’s vendor list includes any EDI Vendor who is sending/or receiving any production EDI transactions from ASK.
   
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3. Where can I find the X12N 837 V4010 specification and implementation guides?

   Answer: The Implementation Guides (IG) for all transactions can be downloaded free of charge from the Washington Publishing Companies web site at: http://www.wpc-edi.com/hipaa
   
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4. What types of editing will be preformed on the ANSI ASC X12N transactions?

   Answer: There will be four levels of editing performed by the EDI System on the X12N 837 transaction. These include:
   
   Level 1 – Syntax level editing will perform validation of the format, syntax and structure. This could include element attributes, sequencing, and segment/element usage.
   
   Level 2 – Implementation Guide Editing will validate the contents of elements to insure they match the allowed values in accordance with the IG. This will include any code values expressly stated by the IG with the exception of external code sources such as HCPCS, ICD9-CM, etc.
   
   Level 3 – Common payer specific edits will validate information at a claim level and includes data that is common for any payer.
   
   Level 4 – Payer specific edits requested specifically by a payer.
   
   Other transactions will vary in the level of editing dependent on the payer and the transaction.
   
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5. What results and/or reports will trading partners have returned on files for the X12N 837?
   
   Answer: A transaction acknowledgement report will be produced for every file sent. Syntax and Implementation Guide edit results will be returned on a TA1 and 997. Common payer and payer specific editing will be return on the ASK Claims Confirmation Report.
   
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6. Who do I contact if I have questions regarding the ANSI ASC X12N transactions?
   
   Answer: You should contact the EMS Help Desk at 800-472-6481 Option 1.
   
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7. Will additional documentation be available for the ANSI ASC X12N transactions?
   
   Answer: Companion documents are available on this web site for the various HIPAA mandated transactions. These documents are solely for the purpose of clarification to the implementation guide.
   
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8. Which transactions will be supported in batch mode and which will be supported in real time?
   
   Answer: ASK will support transactions via their EDI System in a batch mode. Work is currently being done with payers to determine if they can support the ANSI ASC X12N 270/271, 276/277 and 278 in a real time mode.
   
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9. How long after I send my claims will I receive a 997 or Claims Confirmation Report?

   Answer: Reports will normally be returned between 2 - 4 hours after claims submission. Producing reports is dependent on the total volume of claims received and can fluctuate greatly. If your reports are not in your mailbox after 4 hours from claim submission you can check the EDI Status line at 800-472-6481 Option 2.
   
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10. How do I get my password unsuspended when logging into the EDI Front End System?
    
    Please contact the EMS Help Desk at 1-800-472-6481 option number 1 to get unsuspended.

    Password Criteria:

    • Must be eight (8) characters in length, no longer or shorter
    • Must include both alpha and numeric characters
    • Can’t be reused for at least six (6) generations
    • Must be changed every 60 days

    Special characters may be used in your password but are not required. If you choose to use special characters in your password, the following is a list of valid characters to use.

    * : “ ; \ @ # $ % ^ & ( ) _ - + = { } [ ] | ‘ < > , . ? / `

    We encourage you to make your passwords as strong as possible.
    
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