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1 | CIF Submission_EDI_Build_8.zip | CIF Submission_EDI_Build_8.xlsx | Fri Oct 19 19:18:14 2018 UTC |
2 | CIF Submission_EDI_Build_8.zip | CIF Submission_EDI_Build_8.xlsx | Thu Nov 15 15:21:45 2018 UTC |
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1 | SHEET: Cov er Page | ||
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3 | Community Care Syste m Enhancem ents Softw are, | ||
4 | CCEDI, | ||
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20 | Submission (End of S print 1, B uild 8, Sp rint 28-31 ), | ||
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22 | Date,10/16 /2018, | ||
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992 | SHEET: Cod e in Fligh t Submissi on | ||
993 | Project De tails, | ||
994 | EPS Number :,Communit y Care Ele ctronic Da ta Interch ange 08-03 -02-10-02- 013 , | ||
995 | Version:,1 .1.16, | ||
996 | Iteration: ,Sprint 28 -31, | ||
997 | Patch Desi gnation: | ||
998 | (if applic able),N/A, | ||
999 | Build Numb er(s): | ||
1000 | (if applic able),Buil d 8, | ||
1001 | Custodial Product? | ||
1002 | (Y/N),N, | ||
1003 | Custodial Product Na me:,N/A, | ||
1004 | Scheduled Project Re lease:,Bui ld 8 Compl etion date : 12/24/20 18, | ||
1005 | Will this product be written e ntirely in MUMPS "M" ? | ||
1006 | (Y/N),N/A, | ||
1007 | Submitter Details, | ||
1008 | Submitter Name:,Sean Lindner, | ||
1009 | Submitter Email Addr ess:, PII , | ||
1010 | Submission Details, | ||
1011 | Last VIP o r PMAS CD/ Milestone: , | ||
1012 | Type of Su bmission:, Document O nly, | ||
1013 | Method of Submission :,Email PII , | ||
1014 | Other Pert inent Subm ission Det ails/Instr uctions fo r submissi on retriev al:,Submit ting docum entation f or end of first spri nt, Build 8 (Sprint 28-31), | ||
1015 | |||
1016 | |||
1017 | SHEET: Use r Stories | ||
1018 | Project Ar ea,Rationa l,Summary, Descriptio n, | ||
1019 | ARS (CM),8 38178,5 IP WCAG 4.1. 2 Name, Ro le, Value, As a user, I want th e name, ro le and val ue of each component to be pro grammatica lly discer nable so t hat my ass istive tec hnology to ol can use that info rmation., | ||
1020 | ARS (CM),8 38174,5 IP WCAG 3.3. 2 Labels o r Instruct ions,As a user, I wa nt labels (which are text or o ther compo nents with a text al ternative) and instr uctions to be clear and tell m e how to f ill out th e content so I can s uccessfull y navigate the page. , | ||
1021 | ARS (CM),8 38173,5 IP WCAG 3.3. 1 Error Id entificati on,As a sc reen reade r user, if an input error is a utomatical ly detecte d, the ite m that is in error i s identifi ed and the error is described to me in t ext so tha t I can un derstand t he error. , | ||
1022 | ARS (CM),8 38172,5 IP WCAG 3.2. 2 On Input ,As a user , I want t o ensure t hat when I change th e setting on a compo nent it do es not ini tiate a ch ange of co ntext so t hat I can decide whe n the chan ge of cont ext should be initia ted., | ||
1023 | ARS (CM),8 38168,5 IP WCAG 2.4. 7 Focus Vi sible,As a keyboard- only user, I want th e programm atic focus to be vis ible on ea ch compone nt so that I can vis ually see which comp onent has focus. , | ||
1024 | ARS (CM),8 38164,5 IP WCAG 2.4. 3 Focus Or der,As a k eyboard-on ly user, I want the focusable components to receiv e focus in an order that prese rves meani ng and ope rability s o that I c an success fully navi gate the p age. , | ||
1025 | ARS (CM),8 38160,5 IP WCAG 2.2. 1 Timing A djustable, As a disab led user, I want to be able to adjust an y time ena bled funct ions or re quest more time if I cannot ad just the f unction so that I ha ve suffici ent time t o complete my task. , | ||
1026 | ARS (CM),8 38158,5 IP WCAG 2.1. 1 Keyboard ,As a pers on who can not use a mouse, I w ant all fu nctionalit y and cont ent to be operable t hrough a k eyboard so that I ca n access a ll the con tent., | ||
1027 | ARS (CM),8 38153,5 IP WCAG 1.4. 1 Use of C olor,As a blind or c olor-blind user, I w ant some o ther means to differ ential con tent and a ction othe r than jus t color so that I ca n understa nd the con tent. , | ||
1028 | ARS (CM),8 38148,5 IP WCAG 1.3. 1 Info and Relations hips,As a screen rea der user, I want the informati on and rel ationships that are implied by visual or audio for matting av ailable in the struc ture of th e page so that I can understan d the rela tionships with my sc reen reade r. , | ||
1029 | ARS (CM),8 24048,STOR Y10.01.04: As the Cl aim Proces sing team, I need to have a re port param eter selec tor so tha t I can in dicate if a report s hall retur n results based on R eceived da te or Serv ice Date f or my sear ch.,STORY1 0.01.04: A s the Clai m Processi ng team, I need to h ave a repo rt paramet er selecto r so that I can indi cate if a report sha ll return results ba sed on Rec eived date or Servic e Date for my search . | ||
1030 | |||
1031 | Acceptance Criteria: Verify th at the ARS Attachmen t Report p rovides th e followin g Date sea rch parame ters: | ||
1032 | "Start Dat e" and" En d Date" da te fields, no longer "Service" | ||
1033 | -D ate fields that allo w user to enter date range | ||
1034 | -S ervice: Re turns any result for a 275 wit h a Servic e Start OR End date that falls within th is range, including the Start and End da te paramet er values | ||
1035 | -D efaulted t o today's date | ||
1036 | -R equired fi elds | ||
1037 | -R adio butto n to indic ate if the date is s earching f or either Received D ate or Ser vice date. The syste m shall on ly allow o ne or the other and default to "Received Date", | ||
1038 | ARS (CM),8 20845,CCNN C-Reroutin g-01.03.02 : FPPS CC NNC Error Report,CCN NC-Rerouti ng-01.03.0 2: As the EDI team, I want to have a cl aim rerout ed to FSC/ CCNNC Clai m Report t hat contai ns details about the status of the claim (en-route , completi on, error) . | ||
1039 | |||
1040 | Acceptance Criteria: Verify t hat a FSC/ CCNNC Clai ms Report shows deta ils about routing st atus of er ror. | ||
1041 | |||
1042 | Verify tha t the HAC to FSC re- routed cla ims report contains values for REFD9 837 Claim Con trol Numbe r; eRepos Claim Key; FPPS Clai m ID; FPPS Implement ation Type Code; Inb ound 837 F ilename; O utbound 83 7 Filename ; FBCS Cla im ID; PCN ; Claim Re ceived Dat e; and Cla im Sent Da te | ||
1043 | |||
1044 | , | ||
1045 | ARS (CM),8 20828,CCNN C-Reroutin g-01.02.06 : Isolate d Re-Route d Claims F ile,CCNNC- Rerouting- 01.02.06: As the EDI team, I n eed to ret rieve spec ific claim s from an existing x 12 837 fil e based on the claim trace num ber so tha t I can is olate rero uted claim data. | ||
1046 | |||
1047 | Acceptance Criteria: Verify t hat an ST/ SE claim d ata set ca n be found using the claim tra ce number. | ||
1048 | , | ||
1049 | ARS (CM),8 20825,CCNN C-Reroutin g-01.02.05 : EDI Gat eway Commu nicate Re- Route FPPS _Owner Loa d,CCNNC-Re routing-01 .02.05: As the EDI t eam, I wan t any inbo und claims identifie d as belon ging to a station in a CCNNC r egion to b e rerouted to CCNNC. | ||
1050 | |||
1051 | Acceptance Criteria: Verify t hat inboun d claims c an be rero uted to CC NNC on a n ightly sch eduled bas is. | ||
1052 | |||
1053 | , | ||
1054 | ARS (CM),8 20824,CCNN C-Reroutin g-01.02.04 : EDI Gate way Commun icate Isol ated Rerou ted 837 Cl aim File t o FSC Erro rs,CCNNC-R erouting-0 1.02.04: As the EDI team, I w ant the ED I Gateway to display errors in an except ions windo w for isol ated re-ro uted 837 c laims to F SC errors. | ||
1055 | |||
1056 | Acceptance Criteria: Verify t hat the is olated re- routed cla ims errors are outpu t to a rep ort. | ||
1057 | , | ||
1058 | ARS (CM),8 20799,STOR Y-01.01.06 : As the C laim Proce ssing team , I want t o be able to check f or repeate d segments in 275s s o that I c an correct the error pertainin g to this 275.,STORY -01.01.06: As the Cl aim Proces sing team, I want to be able t o check fo r repeated segments in 275s so that I ca n correct the error pertaining to this 2 75. | ||
1059 | |||
1060 | Acceptance Criteria: | ||
1061 | Verify tha t the syst em shall c heck for r epeated se gments, on a segment versus se gment basi s, and com pare the s egment to the segmen t directly preceding it. | ||
1062 | Verify tha t if the f irst segme nt loop is missing r equired se gments ass ociated wi th it (TRN , DTP, CAT , EFI, BIN ) and a fo llowing re peated seg ment has t he wrong i dentifier the system shall cor rectly ide ntify thes e as erron eous and n ot accept the attach ment. | ||
1063 | The system shall tra ck and han dle exact duplicate segments c onsistentl y., | ||
1064 | ARS (CM),8 19910,CCNN C-Reroutin g-01.03.01 : FSC CCN NC Reroute d Claims R eport HAC to FSC,CCN NC-Rerouti ng-01.03.0 1: As the EDI team, I want to have a Cla im Reroute d to FSC/C CNNC Claim Report th at contain s details of claims that have been rerou ted and se nt to FSC for proces sing. It w ill be int ernal to H AC for bus iness awar eness. | ||
1065 | |||
1066 | Acceptance Criteria: Verify t hat the HA C to FSC r e-routed c laims repo rt contain s values f or REFD9 8 37 Claim C ontrol Num ber; eRepo s Claim Ke y; FPPS Cl aim ID; FP PS Impleme ntation Ty pe Code; I nbound 837 Filename; Outbound 837 Filena me; FBCS C laim ID; P CN; Claim Received D ate; and C laim Sent Date, | ||
1067 | ARS (CM),8 19909,CCNN C-Reroutin g-01.03: F SC CCNNC R erouted Cl aim Report s,CCNNC-Re routing-01 .03: As th e EDI team , I want t o have a s et of repo rts on FSC claim rer outing act ivity so t hat I can be assured of proper system op eration an d be made aware of i ssues requ iring manu al resolut ions., | ||
1068 | ARS (CM),8 19907,CCNN C-Reroutin g-01.01.02 : FPPS Rer oute Claim Indicator ,CCNNC-Rer outing-01. 01.02: As the EDI te am, I want to indica te to the EDI Gatewa y which cl aims will need to be rerouted to FSC whe n the clai m is assig ned to an FSC Manage d VISN so that the E DI Gateway can prope rly commun icate a re routed cla im to FSC. | ||
1069 | |||
1070 | Acceptance Criteria: Verify t hat FPPS n otifies ED I Gateway of claims which need to be rer outed to F SC. | ||
1071 | |||
1072 | , | ||
1073 | ARS (CM),8 19902,CCNN C-Reroutin g-01.02.03 : EDI Gate way Commun icate Isol ated Rerou ted 837 Cl aim File t o FSC,CCNN C-Reroutin g-01.02.03 : As the E DI team, I want the EDI Gatewa y to commu nicate the isolated X12 837 ba tch of FSC claims to FSC so th at FSC can retrieve and proces s the clai ms. | ||
1074 | |||
1075 | Acceptance Criteria: Verify t hat EDI Ga teway can communicat e an x12 8 37 batch o f rerouted claims to FSC. | ||
1076 | , | ||
1077 | ARS (CM),8 19898,CCNN C-Reroutin g-01.02.02 : EDI Gate way Isolat e Original 837 Claim ,CCNNC-Rer outing-01. 02.02: As the EDI te am, I want the EDI G ateway to create a n ew 837 bat ch file co ntaining o riginal an d unmodifi ed 837 cla im data (S T-SE) so t hat it can communica te a batch of rerout ed claims to FSC. | ||
1078 | |||
1079 | Acceptance Criteria: Verify t hat EDI Ga teway can create an x12 837 ba tch file c ontaining a subset o f 837 clai ms which h ave been r erouted to FSC and a re located in an x12 837 batch . | ||
1080 | , | ||
1081 | ARS (CM),8 19872,CCNN C-Reroutin g-01.02.01 : EDI Gate way Find O riginal 83 7 Batch,CC NNC-Rerout ing-01.02. 01: As the EDI team, I want th e EDI Gate way to ret rieve the original b atch file containing an 837 re routed to FSC so tha t the EDI Gateway ca n reroute a specific claim fro m a claim batch to F SC in a co rrespondin g 837. | ||
1082 | |||
1083 | Acceptance Criteria: Verify t hat EDI Ga teway can find the o riginal X1 2 837 batc h file con taining a specific c laim using claim dat a in E_Rep ository. | ||
1084 | , | ||
1085 | ARS (CM),8 18106,STOR Y-22.01.03 : Nightly Batch Matc hing,STORY -22.01.03: As the VA OCC, I wa nt a batch service t hat review s a collec tion of at tachments matching a set of cr iteria, so that I ca n attempt to match c laims atta chments st ored in AR S. | ||
1086 | |||
1087 | Acceptance Criteria: Verify th at the ARS batch pro cess can r eview a li st of atta chment rec ords match ing criter ia supplie d in the r equest. | ||
1088 | |||
1089 | Verify thi s is a nig htly proce ss to revi ew the unm atched att achments. | ||
1090 | |||
1091 | Upon 10 da ys of no m atching, t he system is to gene rate an em ail alerti ng the lis ted email group of t he lack of a match. | ||
1092 | |||
1093 | Verify tha t this and other ema il address es are ass igned in a n external propertie s file and consisten tly deploy ed from th e code bas e, not the database. (This is going to i nclude mod ifying 2-3 different scheduled tasks run ning on th e database side and moving the m into the Java code base.) | ||
1094 | |||
1095 | NOTES: | ||
1096 | -w e are hand ling 275 | ||
1097 | -F ROM DATABA SE email f or status to abandon (both 277 )Developer Tasks: ( 3 days) (p eer review 1 day) | ||
1098 | -B E - batch process to review li st of atta chment rec ords - | ||
1099 | -B E - nightl y process to review unmatched attachment s - | ||
1100 | -B E - genera te email a lerting th e listed e mail group of lack o f match | ||
1101 | -B E - assign email in an externa l property file and send from backend (2 75) | ||
1102 | -B E - assign other ema il address es in an e xternal pr operty fil e and send from back end (277) | ||
1103 | -D B - remove email fun ctionality from DB | ||
1104 | -J Unit | ||
1105 | -U pdate inst all guide and instal l scripts | ||
1106 | -c reate remo ve script for UAT/SQ A to remov e trigger, | ||
1107 | ARS (CM),8 02978,STOR Y11.02.05: As the Cl aim Proces sing team, I need to be able t o request a JPG, GIF , or BMP a ttachment be formatt ed into PD F so that I can easi ly upload the file i nto the Vi stA Imagin g software .,STORY11. 02.05: As the Claim Processing team, I n eed to be able to re quest a JP G, GIF, or BMP attac hment be f ormatted i nto PDF so that I ca n easily u pload the file into the VistA Imaging so ftware. | ||
1108 | |||
1109 | Acceptance Criteria: Verify th at ARS pro vides a wa y to conve rt a JPG, GIF, or BM P attachme nt into th e PDF file format., | ||
1110 | ARS (CM),7 91128,AET- 03.02.03: As the EDI team, I w ant to hav e AET stor e the 278- Transactio ns data so that Tran saction in formation will be av ailable fo r referenc e in the d atabase.,A ET-03.02.0 3: As the EDI team, I want to have AET s tore the 2 78-Transac tions data so that T ransaction informati on will be available for refer ence in th e database . | ||
1111 | |||
1112 | Acceptance Criteria: Verify th at the con tents of t he X217 27 8 are stor ed in the database. | ||
1113 | |||
1114 | TransHeade r Table•1 | ||
1115 | |||
1116 | •TransHead erID | ||
1117 | •AuthInfoQ ual | ||
1118 | •AuthInfo | ||
1119 | •SecInfoQu al | ||
1120 | •SecInfo | ||
1121 | •Interchan geSendQual | ||
1122 | •Interchan geSenderID | ||
1123 | •Interchan geRecQual | ||
1124 | •Interchan geReceiver ID | ||
1125 | •Interchan geDate | ||
1126 | •Interchan geTime | ||
1127 | •Interchan geCtrlVers ion | ||
1128 | •Interchan geCtrlNum | ||
1129 | •AckReques ted | ||
1130 | •Interchan geUseIndic ator | ||
1131 | •Functiona lGroupsInc luded | ||
1132 | •DateCreat ed | ||
1133 | •DateModif ied | ||
1134 | •UserCreat ed | ||
1135 | •UserModif ied | ||
1136 | |||
1137 | TransGroup Table•2 | ||
1138 | |||
1139 | •TransGrou pID | ||
1140 | •TransHead erID | ||
1141 | •FuncIDCod e | ||
1142 | •AppSender Code | ||
1143 | •AppReceiv erCode | ||
1144 | •CreateDat e | ||
1145 | •CreateTim e | ||
1146 | •ControlNu m | ||
1147 | •RespAgenc yCode | ||
1148 | •VersionRe leaseCode | ||
1149 | •Functiona lGroupsInc luded | ||
1150 | •DateCreat ed | ||
1151 | •DateModif ied | ||
1152 | •UserCreat ed | ||
1153 | •UserModif ied | ||
1154 | |||
1155 | 278-Transa ctions•3 | ||
1156 | |||
1157 | •278Transa ctionID | ||
1158 | •Identifie rCode | ||
1159 | •CtrlNum | ||
1160 | •ImpConven tion | ||
1161 | •PurposeCo de | ||
1162 | •Submitted TransID | ||
1163 | •CreationD ate | ||
1164 | •CreationT ime | ||
1165 | •TransType Code | ||
1166 | •UMOrginiz ationID | ||
1167 | •Requester ID | ||
1168 | •Requester ProviderID | ||
1169 | •Subscirbe rID | ||
1170 | •Subscribe rBirthDate | ||
1171 | •Dependent ID | ||
1172 | •Dependent BirthDate | ||
1173 | •ServicePr oviderID | ||
1174 | •InclSegme nts | ||
1175 | •DateCreat ed | ||
1176 | •DateModif ied | ||
1177 | •UserCreat ed | ||
1178 | •UserModif ied | ||
1179 | |||
1180 | Subscriber TraceNumbe rs•4 | ||
1181 | |||
1182 | •Subscribe rTraceNumb erID | ||
1183 | •278Transa ctionID | ||
1184 | •TraceNumb er | ||
1185 | •Assigning EntityIden tifier | ||
1186 | •RefID | ||
1187 | •DateCreat ed | ||
1188 | •DateModif ied | ||
1189 | •UserCreat ed | ||
1190 | •UserModif ied | ||
1191 | |||
1192 | DependentT raceNumber s•5 | ||
1193 | |||
1194 | •Dependent TraceNumbe rID | ||
1195 | •278Transa ctionID | ||
1196 | •TraceNumb er | ||
1197 | •Assigning EntityIden tifier | ||
1198 | •RefID | ||
1199 | •DateCreat ed | ||
1200 | •DateModif ied | ||
1201 | •UserCreat ed | ||
1202 | •UserModif ied | ||
1203 | |||
1204 | PatientEve nt•6 | ||
1205 | |||
1206 | •PatientEv entID | ||
1207 | •ServicesR eviewInfoI D | ||
1208 | •ReviewAct ionCode | ||
1209 | •PreviousA uthNum | ||
1210 | •PreviousA dminRefNum | ||
1211 | •AccidentD ate | ||
1212 | •EventDate | ||
1213 | •Admission Date | ||
1214 | •Discharge Date | ||
1215 | •Certifica tionIssueD ate | ||
1216 | •CertExpir ationDate | ||
1217 | •CertEffec tiveDate | ||
1218 | •ReviewReq uestDate | ||
1219 | •Diagnosis TypeCode | ||
1220 | •Diagnosis Code | ||
1221 | •DateCreat ed | ||
1222 | •DateModif ied | ||
1223 | •UserCreat ed | ||
1224 | •UserModif ied | ||
1225 | |||
1226 | PatientEve ntTracking Numbers•7 | ||
1227 | |||
1228 | •PatientEv entTrackin gNumbers | ||
1229 | •PatientEv entID | ||
1230 | •TraceNumb er | ||
1231 | •Assigning EntityIden tifier | ||
1232 | •RefID | ||
1233 | •DateCreat ed | ||
1234 | •DateModif ied | ||
1235 | •UserCreat ed | ||
1236 | •UserModif ied | ||
1237 | |||
1238 | ServicesRe viewInform ation•8 | ||
1239 | |||
1240 | •ServicesR eviewInfoI D | ||
1241 | •CategoryC ode | ||
1242 | •Certifica tionTypeCo de | ||
1243 | •ServiceTy peCode | ||
1244 | •ServiceFa cilityCode | ||
1245 | •ServiceFa cilityQual ifier | ||
1246 | •DateCreat ed | ||
1247 | •DateModif ied | ||
1248 | •UserCreat ed | ||
1249 | •UserModif ied | ||
1250 | |||
1251 | ServicesRe view•9 | ||
1252 | |||
1253 | •ServicesR eviewID | ||
1254 | •CategoryC ode | ||
1255 | •Certifica tionTypeCo de | ||
1256 | •ServiceTy peCode | ||
1257 | •ServiceFa cilityCode | ||
1258 | •ServiceFa cilityQual ifier | ||
1259 | •DateCreat ed | ||
1260 | •DateModif ied | ||
1261 | •UserCreat ed | ||
1262 | •UserModif ied | ||
1263 | |||
1264 | EventProvi ders•10 | ||
1265 | |||
1266 | •EventProv idersID | ||
1267 | •PatientEv entID | ||
1268 | •ProviderI D | ||
1269 | •DateCreat ed | ||
1270 | •DateModif ied | ||
1271 | •UserCreat ed | ||
1272 | •UserModif ied | ||
1273 | |||
1274 | 278Service Detail•11 | ||
1275 | |||
1276 | •278Servic eDetailID | ||
1277 | •278Transa ctionID | ||
1278 | •RequestCa tegoryCode | ||
1279 | •Certifica tionTypeCo de | ||
1280 | •ServiceTy peCode | ||
1281 | •FacilityT ypeCode | ||
1282 | •FacilityC odeQualifi er | ||
1283 | •ActionCod e | ||
1284 | •PreviousA uthNum | ||
1285 | •AdminRefN um | ||
1286 | •ServiceDa te | ||
1287 | •CertIssue Date | ||
1288 | •CertExpir ationDate | ||
1289 | •CertEffec tiveDate | ||
1290 | •DateCreat ed | ||
1291 | •DateModif ied | ||
1292 | •UserCreat ed | ||
1293 | •UserModif ied | ||
1294 | |||
1295 | ServiceTra ceNumbers• 12 | ||
1296 | |||
1297 | •ServiceTr aceNumerID | ||
1298 | •278Servic eDetailID | ||
1299 | •TraceNumb er | ||
1300 | •Assigning EntityIden tifier | ||
1301 | •RefID | ||
1302 | •DateCreat ed | ||
1303 | •DateModif ied | ||
1304 | •UserCreat ed | ||
1305 | •UserModif ied | ||
1306 | |||
1307 | 278Profess ionalServi ce•13 | ||
1308 | |||
1309 | •278Profes sionalServ iceID | ||
1310 | •278Servic eDetailID | ||
1311 | •ProductSe rviceQuali fier | ||
1312 | •Procedure Code | ||
1313 | •ProductSe rviceID | ||
1314 | •Measureme ntCode | ||
1315 | •ServiceUn itCount | ||
1316 | •DateCreat ed | ||
1317 | •DateModif ied | ||
1318 | •UserCreat ed | ||
1319 | •UserModif ied | ||
1320 | |||
1321 | 278Institu tionalServ ice•14 | ||
1322 | |||
1323 | •278Instit utionalSer viceID | ||
1324 | •278Servic eDetailID | ||
1325 | •ServiceLi ne Service Qualifier | ||
1326 | •Procedure Code | ||
1327 | •ProductSe rviceID | ||
1328 | •Measureme ntCode | ||
1329 | •ServiceUn itCount | ||
1330 | •DateCreat ed | ||
1331 | •DateModif ied | ||
1332 | •UserCreat ed | ||
1333 | •UserModif ied | ||
1334 | |||
1335 | 278DentalS ervice•15 | ||
1336 | |||
1337 | •278Profes sionalServ iceID | ||
1338 | •278Servic eDetailID | ||
1339 | •ProductSe rviceQuali fier | ||
1340 | •Procedure Code | ||
1341 | •ProductSe rviceID | ||
1342 | •Measureme ntCode | ||
1343 | •ServiceUn itCount | ||
1344 | •DateCreat ed | ||
1345 | •DateModif ied | ||
1346 | •UserCreat ed | ||
1347 | •UserModif ied | ||
1348 | |||
1349 | Entity•16 | ||
1350 | |||
1351 | •EntityID | ||
1352 | •EntityIde ntifierCod e | ||
1353 | •TypeID | ||
1354 | •LastOrgNa me | ||
1355 | •FirstName | ||
1356 | •MiddleNam e | ||
1357 | •Suffix | ||
1358 | •Identific ationCodeQ ual | ||
1359 | •Identific ationCode | ||
1360 | •DateCreat ed | ||
1361 | •DateModif ied | ||
1362 | •UserCreat ed | ||
1363 | •UserModif ied | ||
1364 | |||
1365 | EntityAddr ess•17 | ||
1366 | |||
1367 | •EntityAdd ressID | ||
1368 | •EntityID | ||
1369 | •Address1 | ||
1370 | •Address2 | ||
1371 | •City | ||
1372 | •State | ||
1373 | •ZIP | ||
1374 | •CountryCo de | ||
1375 | •CountrySu bCode | ||
1376 | •DateCreat ed | ||
1377 | •DateModif ied | ||
1378 | •UserCreat ed | ||
1379 | •UserModif ied | ||
1380 | |||
1381 | EntityRefe rence•18 | ||
1382 | |||
1383 | •EntityRef ID | ||
1384 | •RefIDQual ifier | ||
1385 | •RefID | ||
1386 | •Descripti on | ||
1387 | •DateCreat ed | ||
1388 | •DateModif ied | ||
1389 | •UserCreat ed | ||
1390 | •UserModif ied | ||
1391 | |||
1392 | EntityProv iderInfo•1 9 | ||
1393 | |||
1394 | •EntityPro viderInfoI D | ||
1395 | •EntityID | ||
1396 | •ProviderC ode | ||
1397 | •RefIDQual ifier | ||
1398 | •RefIdenti fication | ||
1399 | •DateCreat ed | ||
1400 | •DateModif ied | ||
1401 | •UserCreat ed | ||
1402 | •UserModif ied | ||
1403 | |||
1404 | EntityCont act•20 | ||
1405 | |||
1406 | •EntityCon tactID | ||
1407 | •EntityID | ||
1408 | •Name | ||
1409 | |||
1410 | •Fax | ||
1411 | •Telephone | ||
1412 | •Ext | ||
1413 | •Url | ||
1414 | •DateCreat ed | ||
1415 | •DateModif ied | ||
1416 | •UserCreat ed | ||
1417 | •UserModif ied, | ||
1418 | ARS (CM),7 89123,AET- 03.01.04: ingest the HL Loop 2 000B segme nts of the X217 278 files,AET- 03.01.04: As the EDI team, I w ant to hav e AET inge st the HL Loop 2000B segments of the X21 7 278 file s into the system so that auth orization informatio n will be available for refere nce in the system. | ||
1419 | |||
1420 | Acceptance Criteria: Verify th at the con tents of t he HL Loop 2000B are ingested in the sys tem., | ||
1421 | ARS (CM),7 89115,AET- 03.01.02: Ingest the HL 2000A and the 20 10A NM1 se gments of the X217 2 78 files,A ET-03.01.0 2: As the EDI team, I want to have AET i ngest the HL 2000A ( Utilizatio n Manageme nt Organiz ation) and 2010A NM1 segments of the X2 17 278 fil es into th e system s o that inf ormation w ill be ava ilable for reference in the sy stem. | ||
1422 | |||
1423 | |||
1424 | Acceptance Criteria: | ||
1425 | Verify tha t the cont ents of th e X217 278 HL 2000A (Utilizati on Managem ent Organi zation) ar e ingested | ||
1426 | Verify tha t the cont ents of th e X217 278 2010A NM1 are inges ted in the system. | ||
1427 | |||
1428 | |||
1429 | Scope: | ||
1430 | just the 2 000A +2010 A Loop | ||
1431 | |||
1432 | Info: | ||
1433 | sent over SOAP call (not using rest), SO AP setup i s handled with anoth er story | ||
1434 | |||
1435 | Data: | ||
1436 | will requi re test da ta - we do have test data, get from BA | ||
1437 | |||
1438 | Demo: | ||
1439 | ingest fil e, store i n object, show objec t as demo result | ||
1440 | |||
1441 | Test: | ||
1442 | SOAP Tests | ||
1443 | Junit | ||
1444 | |||
1445 | Concerns: | ||
1446 | writing an d setting up SOAP se rvices | ||
1447 | |||
1448 | Reference: | ||
1449 | Specs, | ||
1450 | ARS (CM),7 86212,AET- 03.01.01: ingest the ST/BHT se gments of the X217 2 78 files,A ET-03.01.0 1: As the EDI team, I want to have AET i ngest the ST/BHT seg ments of t he X217 27 8 files in to the sys tem so tha t header i nformation will be a vailable f or referen ce in the system. | ||
1451 | |||
1452 | Acceptance Criteria: | ||
1453 | Verify tha t the cont ents of th e X217 278 ST/BHT ar e ingested in the sy stem. | ||
1454 | |||
1455 | Scope: | ||
1456 | This is ju st header | ||
1457 | |||
1458 | |||
1459 | Info: | ||
1460 | ST and BHT are separ ate segmen ts | ||
1461 | sent over SOAP call (not using rest), SO AP setup i s handled with anoth er story | ||
1462 | |||
1463 | Data: | ||
1464 | will requi re test da ta - we do have test data, get from BA | ||
1465 | |||
1466 | Demo: | ||
1467 | ingest fil e, store i n object, show objec t as demo result | ||
1468 | |||
1469 | Test: | ||
1470 | SOAP Tests | ||
1471 | Junit | ||
1472 | |||
1473 | Concerns: | ||
1474 | writing an d setting up SOAP se rvices | ||
1475 | |||
1476 | Reference: | ||
1477 | Specs, | ||
1478 | EDI_Gatewa y (CM),847 638,5010Re p-01.01.59 : 837 Loop 2420B (P) in E_Repo s,5010Rep- 01.01.59: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420B (Pur chased Ser vice Provi der Name - Repeated) segments of the 837 (Professi onal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1479 | |||
1480 | Verify tha t the cont ents of th e Loop 242 0B (Purcha sed Servic e Provider Name - NM 1, REF - O f All Repe ats of 240 0) from a Profession al Claim a re stored in the E_R epository database., | ||
1481 | EDI_Gatewa y (CM),847 633,5010Re p-01.01.58 : 837 Loop 2420A (P) (D) in E_ Repos,5010 Rep-01.01. 58: As the EDI team, I want to have Heal thShare re cord the L oop 2420A (Rendering Provider Name - Rep eated) seg ments of t he 837 (Pr ofessional and Denta l) files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1482 | |||
1483 | Verify tha t the cont ents of th e Loop 242 0A (Render ing Provid er Name - NM1, PRV, REF - Of A ll Repeats of 2400) from a Pro fessional or Dental Claim are stored in the E_Repo sitory dat abase., | ||
1484 | EDI_Gatewa y (CM),847 632,5010Re p-01.01.57 : 837 Loop 2400 (P) in E_Repos ,5010Rep-0 1.01.57: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 400 (Servi ce Line Nu mber - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1485 | |||
1486 | Verify tha t the cont ents of th e Loop 240 0 (Service Line Numb er - LX, S V1, SV5, P WK (Line S upplementa l Info), P WK (Durabl e Medical Equipment) , CR1, CR3 , CRC (Amb ulance Cer tificate), CRC (Hosp ice Employ ee Ind), C RC (Condit ion Indica tor/Durabl e Medical Equipment) , DTP (Ser vice Date) , DTP (Pre scription Date), DTP (Certific ation Revi sion), DTP (Begin Th erapy), DT P (Last Ce rtificatio n), DTP (L ast Seen), DTP (Test Date), DT P (Shipped Date), DT P (Last X- Ray), DTP (Initial T reatment), QTY (Ambu lance Pati ent Count) , QTY (Obs tetric Ane sthesia Un its), MEA, CN1, REF (Repriced Line Ref N um), REF ( Adjusted R epriced Li ne Ref Num ), REF (Pr ior Author ization), REF (Line Control Nu m), REF (M ammography Certifica tion Num), REF (CLIA ), REF (Im munization Num), REF (Referral Num), AMT (Sales Ta x), AMT (P ostage Cla imed), K3, NTE (Line Note), NT E (Third P arty Notes ), PS1, HC P - Of Al l Repeats of 2300) f rom a Prof essional C laim are s tored in t he E_Repos itory data base., | ||
1487 | EDI_Gatewa y (CM),847 631,5010Re p-01.01.56 : 837 Loop 2330G (P) in E_Repo s,5010Rep- 01.01.56: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330G (Oth er Payer B illing Pro vider - Re peated) se gments of the 837 (P rofessiona l) files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1488 | |||
1489 | Verify tha t the cont ents of th e Loop 233 0G (Other Payer Bill ing Provid er - NM1, REF - Of A ll Repeats of 2320) from a Pro fessional Claim are stored in the E_Repo sitory dat abase. | ||
1490 | , | ||
1491 | EDI_Gatewa y (CM),847 625,5010Re p-01.01.55 : 837 Loop 2330F (I) in E_Repo s,5010Rep- 01.01.55: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330F (Oth er Payer S upervising Provider - Repeated ) segments of the 83 7 (Profess ional) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1492 | |||
1493 | Verify tha t the cont ents of th e Loop 233 0F (Other Payer Supe rvising Pr ovider - N M1, REF - Of All Rep eats of 23 20) from a Professio nal Claim are stored in the E_ Repository database. , | ||
1494 | EDI_Gatewa y (CM),847 622,5010Re p-01.01.69 : 837 Loop 2310C (D) in E_Repo s,5010Rep- 01.01.69: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310C (Ser vice Facil ity Locati on - Repea ted) segme nts of the 837 (Dent al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1495 | |||
1496 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10C (Servi ce Facilit y Location - NM1, N3 , N4, REF - Of All R epeats of 2300) from a Profess ional Clai m are stor ed in the E_Reposito ry databas e., | ||
1497 | EDI_Gatewa y (CM),847 619,5010Re p-01.01.54 : 837 Loop 2330E (P) in E_Repo s,5010Rep- 01.01.54: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330E (Oth er Payer S ervice Fac ility Loca tion - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1498 | |||
1499 | Verify tha t the cont ents of th e Loop 233 0E (Other Payer Serv ice Facili ty Locatio n - NM1, R EF - Of Al l Repeats of 2320) f rom a Prof essional C laim are s tored in t he E_Repos itory data base., | ||
1500 | EDI_Gatewa y (CM),847 617,5010Re p-01.01.68 : 837 Loop 2310A (D) in E_Repo s,5010Rep- 01.01.68: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310A Refe rring Prov ider Name - Repeated ) segments of the 83 7 (Dental) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1501 | |||
1502 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10A (Atten ding Provi der - NM1, PRV, REF - Of All R epeats of 2300) from an Dental Claim are stored in the E_Rep ository da tabase., | ||
1503 | EDI_Gatewa y (CM),847 614,5010Re p-01.01.67 : 837 Loop 2300 (D) in E_Repos ,5010Rep-0 1.01.67: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 300 (Claim Informati on - Repea ted) segme nts of the 837 (Dent al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1504 | |||
1505 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 00 (Claim Informatio n - CLM, D TP (Accide nt), DTP ( Appliance Placement) , DTP (Ser vice Date) , DTP (Rep ricer Rece ived Date) , DN1, DN2 , PWK, CN1 , AMT, REF (Predeter mination I dentificat ion), REF (Service A uthorizati on), REF ( Payer Clai m Control Number), R EF (Referr al Num), R EF (Prior Auth), REF (Repriced Claim Num ), REF (Ad justed Rep riced Clai m Num), RE F (Claim I d for Tran s Intermed iaries), K 3, NTE, HI , HCP - Of All Repea ts of 2000 C) from a Dental Cla im are sto red in the E_Reposit ory databa se., | ||
1506 | EDI_Gatewa y (CM),847 612,5010Re p-01.01.66 : 837 Loop 2440 (P) in E_Repos ,5010Rep-0 1.01.66: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 440 (Form Identifica tion Code - Repeated ) segments of the 83 7 (Profess ional) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1507 | |||
1508 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 40 (Form I dentificat ion Code - LQ, FRM - Of All Re peats of 2 400) from an Profess ional Clai m are stor ed in the E_Reposito ry databas e., | ||
1509 | EDI_Gatewa y (CM),847 611,5010Re p-01.01.53 : 837 Loop 2330D (P) (D) in E_ Repos,5010 Rep-01.01. 53: As the EDI team, I want to have Heal thShare re cord the L oop 2330D (Other Pay er Renderi ng Provide r - Repeat ed) segmen ts of the 837 (Insti tutional o r Dental) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1510 | |||
1511 | Verify tha t the cont ents of th e Loop 233 0D (Other Payer Rend ering Prov ider - NM1 , REF - Of All Repea ts of 2320 ) from a P rofessiona l or Denta l Claim ar e stored i n the E_Re pository d atabase., | ||
1512 | EDI_Gatewa y (CM),847 605,5010Re p-01.01.52 : 837 Loop 2330C (P) (D) in E_ Repos,5010 Rep-01.01. 52: As the EDI team, I want to have Heal thShare re cord the L oop 2330C (Other Pay er Referri ng Provide r - Repeat ed) segmen ts of the 837 (Profe ssional or Dental) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1513 | |||
1514 | Verify tha t the cont ents of th e Loop 233 0C (Other Payer Refe rring Prov ider - NM1 , REF - Of All Repea ts of 2320 ) from a P rofessiona l or Denta l Claim ar e stored i n the E_Re pository d atabase., | ||
1515 | EDI_Gatewa y (CM),847 604,5010Re p-01.01.51 : 837 Loop 2320 (P) in E_Repos ,5010Rep-0 1.01.51: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 320 (Other Subscribe r Informat ion - Repe ated) segm ents of th e 837 (Pro fessional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1516 | |||
1517 | Verify tha t the cont ents of th e Loop 232 0 (Other S ubscriber Informatio n - SBR, C AS, AMT (C OB Payer P aid), AMT (Total Non -Covered), AMT (Rema ining Pati ent Liabil ity), OI, MOA - Of A ll Repeats of 2300) from a Pro fessional Claim are stored in the E_Repo sitory dat abase. | ||
1518 | , | ||
1519 | EDI_Gatewa y (CM),847 601,5010Re p-01.01.65 : 837 Loop 2420H (P) in E_Repo s,5010Rep- 01.01.65: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420H (Amb ulance Dro p-Off Loca tion - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1520 | |||
1521 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20H (Ambul ance Drop- Off Locati on - NM1, N3, N4 - O f All Repe ats of 240 0) from an Professio nal Claim are stored in the E_ Repository database. , | ||
1522 | EDI_Gatewa y (CM),847 600,5010Re p-01.01.50 : 837 Loop 2310F (P) in E_Repo s,5010Rep- 01.01.50: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310F (Amb ulance Dro p-Off Loca tion - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1523 | |||
1524 | Verify tha t the cont ents of th e Loop 231 0F (Ambula nce Drop-O ff Locatio n - NM1, N 3, N4 - Of All Repea ts of 2300 ) from an Profession al Claim a re stored in the E_R epository database., | ||
1525 | EDI_Gatewa y (CM),847 593,5010Re p-01.01.49 : 837 Loop 2310E (P) in E_Repo s,5010Rep- 01.01.49: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310E (Amb ulance Pic k-Up Locat ion - Repe ated) segm ents of th e 837 (Pro fessional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1526 | |||
1527 | Verify tha t the cont ents of th e Loop 231 0E (Ambula nce Pick-U p Location - NM1, N3 , N4 - Of All Repeat s of 2300) from a Pr ofessional Claim are stored in the E_Rep ository da tabase., | ||
1528 | EDI_Gatewa y (CM),847 555,5010Re p-01.01.48 : 837 Loop 2310D (P) in E_Repo s,5010Rep- 01.01.48: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310D (Sup ervising P rovider - Repeated) segments o f the 837 (Professio nal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1529 | |||
1530 | Verify tha t the cont ents of th e Loop 231 0D (Superv ising Prov ider - NM1 , REF - Of All Repea ts of 2300 ) from a P rofessiona l Claim ar e stored i n the E_Re pository d atabase., | ||
1531 | EDI_Gatewa y (CM),847 554,5010Re p-01.01.47 : 837 Loop 2310C (P) in E_Repo s,5010Rep- 01.01.47: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310C (Ser vice Facil ity Locati on - Repea ted) segme nts of the 837 (Prof essional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1532 | |||
1533 | Verify tha t the cont ents of th e Loop 231 0C (Servic e Facility Location - NM1, N3, N4, REF, PER - Of A ll Repeats of 2300) from a Pro fessional Claim are stored in the E_Repo sitory dat abase., | ||
1534 | EDI_Gatewa y (CM),847 553,5010Re p-01.01.46 : 837 Loop 2310B (P) (D) in E_ Repos,5010 Rep-01.01. 46: As the EDI team, I want to have Heal thShare re cord the L oop 2310B (Rendering Provider Name - Rep eated) seg ments of t he 837 (In stitutiona l and Dent al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1535 | |||
1536 | Verify tha t the cont ents of th e Loop 231 0B (Render ing Provid er Name - NM1, PRV, REF - Of A ll Repeats of 2300) from a Pro fessional or Dental Claim are stored in the E_Repo sitory dat abase., | ||
1537 | EDI_Gatewa y (CM),847 551,5010Re p-01.01.45 : 837 Loop 2310A (P) in E_Repo s,5010Rep- 01.01.45: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310A Refe rring Prov ider Name - Repeated ) segments of the 83 7 (Profess ional) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1538 | |||
1539 | Verify tha t the cont ents of th e Loop 231 0A (Attend ing Provid er - NM1, REF - Of A ll Repeats of 2300) from an Pr ofessional Claim are stored in the E_Rep ository da tabase., | ||
1540 | EDI_Gatewa y (CM),847 550,5010Re p-01.01.64 : 837 Loop 2420G (P) in E_Repo s,5010Rep- 01.01.64: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420G (Amb ulance Pic k-Up Locat ion - Repe ated) segm ents of th e 837 (Pro fessional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1541 | |||
1542 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20G (Ambul ance Pick- Up Locatio n - NM1, N 3, N4 - Of All Repea ts of 2400 ) from an Profession al Claim a re stored in the E_R epository database., | ||
1543 | EDI_Gatewa y (CM),847 548,5010Re p-01.01.44 : 837 Loop 2300 (P) in E_Repos ,5010Rep-0 1.01.44: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 300 (Claim Informati on - Repea ted) segme nts of the 837 (Prof essional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1544 | |||
1545 | Verify tha t the cont ents of th e Loop 230 0 (Claim I nformation - CLM, DT P (Onset o f Illness) , DTP (Ini tial Treat ment Date) , DTP (Las t Seen Dat e), DTP (A cute Manif estation), DTP (Acci dent), DTP (Last Men strual Per iod), DTP (Last X-Ra y), DTP (H earing and Vision Pr escription ), DTP (Di sability), DTP (Last Worked), DTP (Autho rized to W ork), DTP (Admission ), DTP (Di scharge), DTP (Assum ed and Rel inquished Care), DTP (Property and Casua lty First Contact), DTP (Repri cer Receiv ed), PWK, CN1 (Contr act), AMT, REF (Serv ice Author ization), REF (Manda tory Medic are Crosso ver), REF (Mammograp hy Cert Nu m), REF (R eferral Nu m), REF (P rior Autho rization), REF (Paye r Claim Co ntrol Numb er), REF ( CLIA), REF (Repriced Claim Num ), REF (Ad justed Rep riced Clai m Number), REF (Inve stigationa l Device E xemption N umber), RE F (Claim I dentifier for Transm ission Int ermediarie s), REF (M edical Rec ord Num), REF (Demo Project Id ), REF (Ca re Plan Ov ersight), K3, NTE, C R1, CR2, C RC (Ambula nce Certif ication), CRC (Patie nt Conditi on Informa tion Visio n), CRC (H omebound I ndicator), CRC (EPSD T Referral ), HI (Hea lth Care D iagnosis C ode), HI ( Anesthesia Related P rocedure), HI (Condi tion Infor mation), H CP - Of Al l Repeats of 2000C) from an Pr ofessional Claim are stored in the E_Rep ository da tabase., | ||
1546 | EDI_Gatewa y (CM),847 547,5010Re p-01.01.63 : 837 Loop 2420F (P) in E_Repo s,5010Rep- 01.01.63: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420F (Ref erring Pro vider Name - Repeate d) segment s of the 8 37 (Profes sional) fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1547 | |||
1548 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20F (Refer ring Provi der Name - NM1, REF - Of All R epeats of 2400) from an Profes sional Cla im are sto red in the E_Reposit ory databa se., | ||
1549 | EDI_Gatewa y (CM),847 545,5010Re p-01.01.43 : 837 Loop 2010CA (P ) in E_Rep os,5010Rep -01.01.43: As the ED I team, I want to ha ve HealthS hare recor d the Loop 2010CA (P atient Nam e - Repeat ed) segmen ts of the 837 (Profe ssional) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1550 | |||
1551 | Verify tha t the cont ents of th e Loop 201 0CA (Patie nt Name - NM1, N3, N 4, DMG, RE F, PER - O f All Repe ats of 200 0C) from a Professio nal Claim are stored in the E_ Repository database. , | ||
1552 | EDI_Gatewa y (CM),847 544,5010Re p-01.01.42 : 837 Loop 2010BA (P ) in E_Rep os,5010Rep -01.01.42: As the ED I team, I want to ha ve HealthS hare recor d the Loop 2010BA (S ubscriber Name - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1553 | |||
1554 | Verify tha t the cont ents of th e Loop 201 0BA (Subsc riber Name - NM1, N3 , N4, DMG, REF (Seco ndary), RE F (Prop an d Cas), PE R - Of All Repeats o f 2000B) f rom a Prof essional C laim are s tored in t he E_Repos itory data base., | ||
1555 | EDI_Gatewa y (CM),847 542,5010Re p-01.01.41 : 837 Loop 2000B (P) in E_Repo s,5010Rep- 01.01.41: As the EDI team, I w ant to hav e HealthSh are record the Loop 2000B (Sub scriber - Repeated) segments o f the 837 (Professio nal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1556 | |||
1557 | Verify tha t the cont ents of th e Loop 200 0B (Subscr iber - HL, SBR, PAT - Of All R epeats) fr om a Profe ssional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1558 | EDI_Gatewa y (CM),847 541,5010Re p-01.01.62 : 837 Loop 2420E (P) in E_Repo s,5010Rep- 01.01.62: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420E (Ord ering Prov ider Name - Repeated ) segments of the 83 7 (Profess ional) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1559 | |||
1560 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20E (Order ing Provid er Name - NM1, N3, N 4, REF, PE R - Of All Repeats o f 2400) fr om an Prof essional C laim are s tored in t he E_Repos itory data base., | ||
1561 | EDI_Gatewa y (CM),847 540,5010Re p-01.01.61 : 837 Loop 2420D (P) in E_Repo s,5010Rep- 01.01.61: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420D (Sup ervising P rovider Na me - Repea ted) segme nts of the 837 (Prof essional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1562 | |||
1563 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20D (Super vising Pro vider Name - NM1, RE F - Of All Repeats o f 2400) fr om an Prof essional C laim are s tored in t he E_Repos itory data base., | ||
1564 | EDI_Gatewa y (CM),847 539,5010Re p-01.01.40 : 837 Loop 2010AA (P ) (D) in E_Repos,50 10Rep-01.0 1.40: As t he EDI tea m, I want to have He althShare record the Loop 2010 AA (Billin g Provider Name) seg ments of t he 837 (Pr ofessional or Dental ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1565 | |||
1566 | Verify tha t the cont ents of th e Loop 201 0AA (Billi ng Provide r Name - N M1, N3, N4 , REF (TIN ), REF (UP IN/License ), PER - O f All Repe ats of 200 0A) from a Professio nal or Den tal Claim are stored in the E_ Repository database. , | ||
1567 | EDI_Gatewa y (CM),847 538,5010Re p-01.01.60 : 837 Loop 2420C (P) in E_Repo s,5010Rep- 01.01.60: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420C (Ser vice Facil ity Locati on - Repea ted) segme nts of the 837 (Prof essional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1568 | |||
1569 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20C (Servi ce Facilit y Location - NM1, N3 , N4, REF - Of All R epeats of 2400) from a Profess ional Clai m are stor ed in the E_Reposito ry databas e., | ||
1570 | EDI_Gatewa y (CM),847 537,5010Re p-01.01.39 : 837 Loop 2430 in E _Repos,501 0Rep-01.01 .39: As th e EDI team , I want t o have Hea lthShare r ecord the Loop 2430 (Line Adju dication I nformation - Repeate d) segment s of the 8 37 files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1571 | |||
1572 | Verify tha t the cont ents of th e Loop 243 0 (Line Ad judication Informati on - SVD, CAS, DTP, AMT - Of A ll Repeats of 2400) are stored in the E_ Repository database. , | ||
1573 | EDI_Gatewa y (CM),847 528,5010Re p-01.01.38 : 837 Loop 2420D (I) in E_Repo s,5010Rep- 01.01.38: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420D (Ref erring Pro vider Name - Repeate d) segment s of the 8 37 (Instit utional) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1574 | |||
1575 | Verify tha t the cont ents of th e Loop 242 0D (Referr ing Provid er Name - NM1, REF - Of All Re peats of 2 400) from an Institu tional Cla im are sto red in the E_Reposit ory databa se., | ||
1576 | EDI_Gatewa y (CM),847 527,5010Re p-01.01.37 : 837 Loop 2420C (I) in E_Repo s,5010Rep- 01.01.37: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420C (Ren dering Pro vider Name - Repeate d) segment s of the 8 37 (Instit utional) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1577 | |||
1578 | Verify tha t the cont ents of th e Loop 242 0C (Render ing Provid er Name - NM1, REF - Of All Re peats of 2 400) from an Institu tional Cla im are sto red in the E_Reposit ory databa se., | ||
1579 | EDI_Gatewa y (CM),847 526,5010Re p-01.01.36 : 837 Loop 2420B (I) in E_Repo s,5010Rep- 01.01.36: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420B (Oth er Operati ng Physici an Name - Repeated) segments o f the 837 (Instituti onal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1580 | |||
1581 | Verify tha t the cont ents of th e Loop 242 0B (Other Operating Physician Name - NM1 , REF - Of All Repea ts of 2400 ) from an Institutio nal Claim are stored in the E_ Repository database. , | ||
1582 | EDI_Gatewa y (CM),847 525,5010Re p-01.01.81 : 837 Loop 2420D (D) in E_Repo s,5010Rep- 01.01.81: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420D (Ser vice Facil ity Locati on - Repea ted) segme nts of the 837 (Dent al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1583 | |||
1584 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20D (Servi ce Facilit y Location - NM1, N3 , N4, REF - Of All R epeats of 2400) from a Dental Claim are stored in the E_Repo sitory dat abase., | ||
1585 | EDI_Gatewa y (CM),847 524,5010Re p-01.01.80 : 837 Loop 2420C (D) in E_Repo s,5010Rep- 01.01.80: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420C (Sup ervising P rovider Na me - Repea ted) segme nts of the 837 (Dent al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1586 | |||
1587 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20C (Super vising Pro vider Name - NM1, RE F - Of All Repeats o f 2400) fr om a Denta l Claim ar e stored i n the E_Re pository d atabase., | ||
1588 | EDI_Gatewa y (CM),847 522,5010Re p-01.01.35 : 837 Loop 2420A (I) in E_Repo s,5010Rep- 01.01.35: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420A (Ope rating Phy sician Nam e - Repeat ed) segmen ts of the 837 (Insti tutional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1589 | |||
1590 | Verify tha t the cont ents of th e Loop 242 0A (Operat ing Physic ian Name - NM1, REF - Of All R epeats of 2400) from an Instit utional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1591 | EDI_Gatewa y (CM),847 521,5010Re p-01.01.79 : 837 Loop 2420B (D) in E_Repo s,5010Rep- 01.01.79: As the EDI team, I w ant to hav e HealthSh are record the Loop 2420B (Ass istant Sur geon Name - Repeated ) segments of the 83 7 (Dental) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1592 | |||
1593 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 20B (Assis tant Surge on Name - NM1, PRV, REF - Of A ll Repeats of 2400) from a Den tal Claim are stored in the E_ Repository database. , | ||
1594 | EDI_Gatewa y (CM),847 519,5010Re p-01.01.34 : 837 Loop 2410 (I) (P) in E_R epos,5010R ep-01.01.3 4: As the EDI team, I want to have Healt hShare rec ord the Lo op 2410 (D rug Identi fication - Repeated) segments of the 837 (Institut ional and Profession al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1595 | |||
1596 | Verify tha t the cont ents of th e Loop 241 0 (Drug Id entificati on - LIN, CTP, REF - Of All Re peats of 2 400) of In stitutiona l and Prof essional C laims) are stored in the E_Rep ository da tabase., | ||
1597 | EDI_Gatewa y (CM),847 518,5010Re p-01.01.78 : 837 Loop 2400 (D) in E_Repos ,5010Rep-0 1.01.78: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 400 (Servi ce Line Nu mber - Rep eated) seg ments of t he 837 (De ntal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1598 | |||
1599 | Acceptance Criteria: Verify th at the con tents of t he Loop 24 00 (Servic e Line Num ber - LX, SV3, TOO, DTP (Servi ce Date), DTP (Prior Placement ), DTP (Ap pliance Pl acement), DTP (Repla cement), D TP (Treatm ent Start) , DTP (Tre atment Com pletion), CN1, REF ( Service Pr edetermina tion), REF (Prior Au th), REF ( Line Contr ol Num), R EF (Repric ed Claim N um), REF ( Adjusted R epriced Cl aim Num), REF (Refer ral Num), AMT, K3, H CP - Of A ll Repeats of 2300) from a Den tal Claim are stored in the E_ Repository database. , | ||
1600 | EDI_Gatewa y (CM),847 515,5010Re p-01.01.77 : 837 Loop 2330H (D) in E_Repo s,5010Rep- 01.01.77: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330H (Oth er Payer A ssistant S urgeon - R epeated) s egments of the 837 ( Dental) fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1601 | |||
1602 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30H (Other Payer Ass istant Sur geon - NM1 , REF - Of All Repea ts of 2320 ) from a D ental Clai m are stor ed in the E_Reposito ry databas e., | ||
1603 | EDI_Gatewa y (CM),847 514,5010Re p-01.01.33 : 837 Loop 2400 (I) in E_Repos ,5010Rep-0 1.01.33: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 400 (Servi ce Line Nu mber - Rep eated) seg ments of t he 837 (In stitutiona l) files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1604 | |||
1605 | Verify tha t the cont ents of th e Loop 240 0 (Service Line Numb er - LX, S V2, PWK, D TP, REF (C ontrol Num ), REF (Re priced Lin e Item Num ), REF (Ad justed Rep riced Line Item Num) , AMT (Ser vice Tax), AMT (Faci lity Tax), NTE, HCP - Of All R epeats of 2300) from an Instit utional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1606 | EDI_Gatewa y (CM),847 512,5010Re p-01.01.76 : 837 Loop 2330G (D) in E_Repo s,5010Rep- 01.01.76: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330G (Oth er Payer S ervice Fac ility Loca tion - Rep eated) seg ments of t he 837 (De ntal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1607 | |||
1608 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30G (Other Payer Ser vice Facil ity Locati on - NM1, REF - Of A ll Repeats of 2320) from a Den tal Claim are stored in the E_ Repository database. , | ||
1609 | EDI_Gatewa y (CM),847 511,5010Re p-01.01.32 : 837 Loop 2330I (I) in E_Repo s,5010Rep- 01.01.32: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330I (Oth er Payer B illing Pro vider - Re peated) se gments of the 837 (I nstitution al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1610 | |||
1611 | Verify tha t the cont ents of th e Loop 233 0I (Other Payer Bill ing Provid er - NM1, REF - Of A ll Repeats of 2320) from an In stitutiona l Claim ar e stored i n the E_Re pository d atabase., | ||
1612 | EDI_Gatewa y (CM),847 510,5010Re p-01.01.75 : 837 Loop 2330F (D) in E_Repo s,5010Rep- 01.01.75: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330F (Oth er Payer B illing Pro vider - Re peated) se gments of the 837 (D ental) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1613 | |||
1614 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30F (Other Payer Bil ling Provi der - NM1, REF - Of All Repeat s of 2320) from a De ntal Claim are store d in the E _Repositor y database , | ||
1615 | EDI_Gatewa y (CM),847 507,5010Re p-01.01.31 : 837 Loop 2330H (I) in E_Repo s,5010Rep- 01.01.31: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330H (Oth er Payer R eferring P rovider - Repeated) segments o f the 837 (Instituti onal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1616 | |||
1617 | Verify tha t the cont ents of th e Loop 233 0H (Other Payer Refe rring Prov ider - NM1 , REF - Of All Repea ts of 2320 ) from an Institutio nal Claim are stored in the E_ Repository database. , | ||
1618 | EDI_Gatewa y (CM),847 506,5010Re p-01.01.74 : 837 Loop 2330E (D) in E_Repo s,5010Rep- 01.01.74: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330E (Oth er Payer S upervising Provider - Repeated ) segments of the 83 7 (Dental) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1619 | |||
1620 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30E (Other Payer Sup ervising P rovider - NM1, REF - Of All Re peats of 2 320) from a Dental C laim are s tored in t he E_Repos itory data base., | ||
1621 | EDI_Gatewa y (CM),847 504,5010Re p-01.01.30 : 837 Loop 2330G (I) in E_Repo s,5010Rep- 01.01.30: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330G (Oth er Payer R endering P rovider Na me - Repea ted) segme nts of the 837 (Inst itutional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1622 | |||
1623 | Verify tha t the cont ents of th e Loop 233 0G (Other Payer Rend ering Prov ider Name - NM1, REF - Of All Repeats of 2320) fro m an Insti tutional C laim are s tored in t he E_Repos itory data base., | ||
1624 | EDI_Gatewa y (CM),847 503,5010Re p-01.01.73 : 837 Loop 2330B (D) in E_Repo s,5010Rep- 01.01.73: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330B (Oth er Payer N ame - Repe ated) segm ents of th e 837 (Den tal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1625 | |||
1626 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30B (Other Payer Nam e - NM1, N 3, N4, DTP , REF (Sec ondary), R EF (Prior Auth), REF (Referral Num), REF (Claim Ad justment), REF (Pred eterminati on Identif ication), REF (Claim Control N um) - Of A ll Repeats of 2320) from a Den tal Claim are stored in the E_ Repository database. , | ||
1627 | EDI_Gatewa y (CM),847 502,5010Re p-01.01.72 : 837 Loop 2320 (D) in E_Repos ,5010Rep-0 1.01.72: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 320 (Other Subscribe r Informat ion - Repe ated) segm ents of th e 837 (Den tal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1628 | |||
1629 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 20 (Other Subscriber Informati on - SBR, CAS, AMT ( COB Payer Paid), AMT (Remainin g Patient Liability) , AMT (Tot al Non-Cov ered), OI, MOA - Of All Repeat s of 2300) from a De ntal Claim are store d in the E _Repositor y database ., | ||
1630 | EDI_Gatewa y (CM),847 501,5010Re p-01.01.29 : 837 Loop 2330F (I) in E_Repo s,5010Rep- 01.01.29: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330F (Oth er Payer S ervice Fac ility - Re peated) se gments of the 837 (I nstitution al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1631 | |||
1632 | Verify tha t the cont ents of th e Loop 233 0F (Other Payer Serv ice Facili ty - NM1, REF - Of A ll Repeats of 2320) from an In stitutiona l Claim ar e stored i n the E_Re pository d atabase., | ||
1633 | EDI_Gatewa y (CM),847 499,5010Re p-01.01.71 : 837 Loop 2310E (D) in E_Repo s,5010Rep- 01.01.71: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310E (Sup ervising P rovider - Repeated) segments o f the 837 (Dental) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1634 | |||
1635 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10E (Super vising Pro vider - NM 1, REF - O f All Repe ats of 230 0) from a Dental Cla im are sto red in the E_Reposit ory databa se., | ||
1636 | EDI_Gatewa y (CM),847 498,5010Re p-01.01.28 : 837 Loop 2330E (I) in E_Repo s,5010Rep- 01.01.28: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330E (Oth er Payer O ther Opera ting Physi cian - Rep eated) seg ments of t he 837 (In stitutiona l) files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1637 | |||
1638 | Verify tha t the cont ents of th e Loop 233 0E (Other Payer Othe r Operatin g Physicia n - NM1, R EF - Of Al l Repeats of 2320) f rom an Ins titutional Claim are stored in the E_Rep ository da tabase., | ||
1639 | EDI_Gatewa y (CM),847 494,5010Re p-01.01.70 : 837 Loop 2310D (D) in E_Repo s,5010Rep- 01.01.70: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310D (Ass istant Sur geon - Rep eated) seg ments of t he 837 (Pr ofessional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1640 | |||
1641 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10D (Assis tant Surge on - NM1, PRV, REF - Of All Re peats of 2 300) from a Professi onal Claim are store d in the E _Repositor y database ., | ||
1642 | EDI_Gatewa y (CM),847 493,5010Re p-01.01.27 : 837 Loop 2330D (I) in E_Repo s,5010Rep- 01.01.27: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330D (Oth er Payer O perating P hysician - Repeated) segments of the 837 (Institut ional) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1643 | |||
1644 | Verify tha t the cont ents of th e Loop 233 0D (Other Payer Oper ating Phys ician - NM 1, REF - O f All Repe ats of 232 0) from an Instituti onal Claim are store d in the E _Repositor y database ., | ||
1645 | EDI_Gatewa y (CM),847 492,5010Re p-01.01.26 : 837 Loop 2330C (I) in E_Repo s,5010Rep- 01.01.26: As the EDI team, I w ant to hav e HealthSh are record the Loop 2330C (Oth er Payer A ttending P rovider - Repeated) segments o f the 837 (Instituti onal) file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1646 | |||
1647 | Verify tha t the cont ents of th e Loop 233 0C (Other Payer Atte nding Prov ider - NM1 , REF - Of All Repea ts of 2320 ) from an Institutio nal Claim are stored in the E_ Repository database. , | ||
1648 | EDI_Gatewa y (CM),847 416,5010Re p-01.01.25 : 837 Loop 2330B (I) (P) in E_ Repos,5010 Rep-01.01. 25: As the EDI team, I want to have Heal thShare re cord the L oop 2330B (Other Pay er Name - Repeated) segments o f the 837 (Instituti onal, Prof essional) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1649 | |||
1650 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30B (Other Payer Nam e - NM1, N 3, N4, DTP , REF (Sec ondary), R EF (Prior Auth), REF (Referral Num), REF (Claim Ad justment), REF (Clai m Control Num) - Of All Repeat s of 2320) from Inst itutional or Profess ional Clai ms are sto red in the E_Reposit ory databa se., | ||
1651 | EDI_Gatewa y (CM),847 415,5010Re p-01.01.24 : 837 Loop 2330A in E_Repos,50 10Rep-01.0 1.24: As t he EDI tea m, I want to have He althShare record the Loop 2330 A (Other S ubscriber Name - Rep eated) seg ments of t he 837 fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1652 | |||
1653 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 30A (Other Subscribe r Name - N M1, N3, N4 , REF - Of All Repea ts of 2320 ) are stor ed in the E_Reposito ry databas e., | ||
1654 | EDI_Gatewa y (CM),847 414,5010Re p-01.01.23 : 837 Loop 2320 (I) in E_Repos ,5010Rep-0 1.01.23: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 320 (Other Subscribe r Informat ion - Repe ated) segm ents of th e 837 (Ins titutional ) files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1655 | |||
1656 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 20 (Other Subscriber Informati on - SBR, CAS, AMT ( COB Payer Paid), AMT (Remainin g Patient Liability) , AMT (COB Non-Cover ed), OI, M IA, MOA - Of All Rep eats of 23 00) from a n Institut ional Clai m are stor ed in the E_Reposito ry databas e., | ||
1657 | EDI_Gatewa y (CM),847 413,5010Re p-01.01.22 : 837 Loop 2310F (I) in E_Repo s,5010Rep- 01.01.22: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310F (Ref erring Pro vider Name - Repeate d) segment s of the 8 37 (Instit utional) f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1658 | |||
1659 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10F (Refer ring Provi der Name - NM1, REF - Of All R epeats of 2300) from an Instit utional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1660 | EDI_Gatewa y (CM),847 412,5010Re p-01.01.21 : 837 Loop 2310E (I) in E_Repo s,5010Rep- 01.01.21: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310E (Ser vice Facil ity Locati on - Repea ted) segme nts of the 837 (Inst itutional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1661 | |||
1662 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10E (Servi ce Facilit y Location - NM1, N3 , N4, REF - Of All R epeats of 2300) from an Instit utional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1663 | EDI_Gatewa y (CM),847 411,5010Re p-01.01.20 : 837 Loop 2310D (I) in E_Repo s,5010Rep- 01.01.20: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310D (Ren dering Pro vider - Re peated) se gments of the 837 (I nstitution al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1664 | |||
1665 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10D (Rende ring Provi der - NM1, REF - Of All Repeat s of 2300) from an I nstitution al Claim a re stored in the E_R epository database., | ||
1666 | EDI_Gatewa y (CM),847 410,5010Re p-01.01.19 : 837 Loop 2310C (I) in E_Repo s,5010Rep- 01.01.19: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310C (Oth er Operati ng Physici an - Repea ted) segme nts of the 837 (Inst itutional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1667 | |||
1668 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10C (Other Operating Physician - NM1, RE F - Of All Repeats o f 2300) fr om an Inst itutional Claim are stored in the E_Repo sitory dat abase., | ||
1669 | EDI_Gatewa y (CM),847 409,5010Re p-01.01.18 : 837 Loop 2310B (I) in E_Repo s,5010Rep- 01.01.18: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310B (Ope rating Phy sician - R epeated) s egments of the 837 ( institutio nal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1670 | |||
1671 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10B (Opera ting Physi cian - NM1 , REF - Of All Repea ts of 2300 ) from an Institutio nal Claim are stored in the E_ Repository database. , | ||
1672 | EDI_Gatewa y (CM),847 407,5010Re p-01.01.17 : 837 Loop 2310A (I) in E_Repo s,5010Rep- 01.01.17: As the EDI team, I w ant to hav e HealthSh are record the Loop 2310A (Att ending Pro vider - Re peated) se gments of the 837 (I nstitution al) files into E_Rep ository so that clai m informat ion will b e availabl e for refe rence in E _Repositor y. | ||
1673 | |||
1674 | Acceptance Criteria: Verify th at the con tents of t he Loop 23 10A (Atten ding Provi der - NM1, PRV, REF - Of All R epeats of 2300) from an Instit utional Cl aim are st ored in th e E_Reposi tory datab ase., | ||
1675 | EDI_Gatewa y (CM),847 406,5010Re p-01.01.16 : 837 Loop 2300 (I) in E_Repos ,5010Rep-0 1.01.16: A s the EDI team, I wa nt to have HealthSha re record the Loop 2 300 (Claim Informati on - Repea ted) segme nts of the 837 (Inst itutional) files int o E_Reposi tory so th at claim i nformation will be a vailable f or referen ce in E_Re pository. | ||
1676 | |||
1677 | Acceptane Criteria: Verify tha t the cont ents of th e Loop 230 0 (Claim I nformation - CLM, DT P (Dischar ge), DTP ( Statement) , DTP (Adm ission), D TP (Repric er Receive d), CL1 (I nstitution al), PWK, CN1 (Contr act), AMT, REF (Serv ice Author ization), REF (Refer ral Num), REF (Prior Auth), RE F (Claim C ontrol Num ), REF (Re priced Cla im Num), R EF (Adjust ed Reprice d Claim Nu m), REF (I nvestigati onal Devic e), REF (C laim Ident ifier for Intermedia ries), REF (Auto Acc ident Stat e), REF (M edical Rec ord Num), REF (Demo Project Id entifier), REF (PRO Approval), K3, NTE ( Claim Node ), NTE (Bi lling Note ), CRC, HI (Principa l Diagnosi s), HI (Ad mitting Di agnosis), HI (Patien ts Reason) , HI (Exte rnal Cause ), HI (DRG ), HI (Oth er Diagnos is), HI (P rincipal P rocedure), HI (Other Procedure ), HI (Occ urrence Sp an), HI (O ccurrence Info), HI (Value), H I (Conditi on), HI (T reatment), HCP - Of All Repeat s of 2000C ) from an Institutio nal Claim are stored in the E_ Repository database. , | ||
1678 | EDI_Gatewa y (CM),847 405,5010Re p-01.01.15 : 837 Loop 2010CA (I ) (D) in E _Repos,501 0Rep-01.01 .15: As th e EDI team , I want t o have Hea lthShare r ecord the Loop 2010C A (Patient Name - Re peated) se gments of the 837 (I nstitution al and Den tal) files into E_Re pository s o that cla im informa tion will be availab le for ref erence in E_Reposito ry. | ||
1679 | |||
1680 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10CA (Pati ent Name - NM1, N3, N4, DMG, R EF - Of Al l Repeats of 2000C) from an In stitutiona l and Dent al Claim a re stored in the E_R epository database., | ||
1681 | EDI_Gatewa y (CM),847 404,5010Re p-01.01.14 : 837 Loop 2000C in E_Repos,50 10Rep-01.0 1.14: As t he EDI tea m, I want to have He althShare record the Loop 2000 C (Patient - Repeate d) segment s of the 8 37 files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1682 | |||
1683 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 00C (Patie nt - HL, P AT - Of Al l Repeats) are store d in the E _Repositor y database ., | ||
1684 | EDI_Gatewa y (CM),847 403,5010Re p-01.01.12 : 837 Loop 2010BA (I ) (D) in E _Repos,501 0Rep-01.01 .12: As th e EDI team , I want t o have Hea lthShare r ecord the Loop 2010B A (Subscri ber Name - Repeated) segments of the 837 (Institut ional or D ental) fil es into E_ Repository so that c laim infor mation wil l be avail able for r eference i n E_Reposi tory. | ||
1685 | |||
1686 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10BA (Subs criber Nam e - NM1, N 3, N4, DMG , REF (Sec ondary), R EF (Prop a nd Cas) - Of All Rep eats of 20 00B) from an Institu tional or Dental Cla im are sto red in the E_Reposit ory databa se., | ||
1687 | EDI_Gatewa y (CM),847 402,5010Re p-01.01.11 : 837 Loop 2000B (I) (D) in E_ Repos,5010 Rep-01.01. 11: As the EDI team, I want to have Heal thShare re cord the L oop 2000B (Subscribe r - Repeat ed) segmen ts of the 837 (Insti tutional o r Dental) files into E_Reposit ory so tha t claim in formation will be av ailable fo r referenc e in E_Rep ository. | ||
1688 | |||
1689 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 00B (Subsc riber - HL , SBR - Of All Repea ts) from a n Institut ional or D ental Clai m are stor ed in the E_Reposito ry databas e., | ||
1690 | EDI_Gatewa y (CM),847 401,5010Re p-01.01.10 : 837 Loop 2010AC in E_Repos,5 010Rep-01. 01.10: As the EDI te am, I want to have H ealthShare record th e Loop 201 0AC (Pay-T o Plan Nam e) segment s of the 8 37 files i nto E_Repo sitory so that claim informati on will be available for refer ence in E_ Repository . | ||
1691 | |||
1692 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10AC (Pay- To Plan Na me - NM1, N3, N4, RE F (Seconda ry), REF ( TIN) - Of All Repeat s of 2000A ) are stor ed in the E_Reposito ry databas e., | ||
1693 | EDI_Gatewa y (CM),847 400,5010Re p-01.01.09 : 837 Loop 2010AB in E_Repos,5 010Rep-01. 01.09: As the EDI te am, I want to have H ealthShare record th e Loop 201 0AB (Pay-T o Address Name) segm ents of th e 837 file s into E_R epository so that cl aim inform ation will be availa ble for re ference in E_Reposit ory. | ||
1694 | |||
1695 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10AB (Pay- To Address Name - NM 1, N3, N4 - Of All R epeats of 2000A) are stored in the E_Rep ository da tabase., | ||
1696 | EDI_Gatewa y (CM),847 399,5010Re p-01.01.08 : 837 Loop 2010AA (I ) in E_Rep os,5010Rep -01.01.08: As the ED I team, I want to ha ve HealthS hare recor d the Loop 2010AA (B illing Pro vider Name ) segments of the 83 7 (Institu tional) fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1697 | |||
1698 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10AA (Bill ing Provid er Name - NM1, N3, N 4, REF, PE R - Of All Repeats o f 2000A) f rom an Ins titutional Claim are stored in the E_Rep ository da tabase., | ||
1699 | EDI_Gatewa y (CM),847 397,5010Re p-01.01.13 : 837 Loop 2010BB in E_Repos,5 010Rep-01. 01.13: As the EDI te am, I want to have H ealthShare record th e Loop 201 0BB (Payer Name - Re peated) se gments of the 837 fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1700 | |||
1701 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 10BB (Paye r Name - N M1, N3, N4 , REF (Sec ondary), R EF (Billin g Provider Secondary ) - Of All Repeats o f 2000B) a re stored in the E_R epository database., | ||
1702 | EDI_Gatewa y (CM),847 233,5010Re p-01.01.07 : 837 Loop 2000A in E_Repos,50 10Rep-01.0 1.07: As t he EDI tea m, I want to have He althShare record the Loop 2000 A (Billing Provider - Repeated ) segments of the 83 7 files in to E_Repos itory so t hat claim informatio n will be available for refere nce in E_R epository. | ||
1703 | |||
1704 | Acceptance Criteria: Verify th at the con tents of t he Loop 20 00A (Billi ng Provide r - HL, PR V, CUR - O f All Repe ats) are s tored in t he E_Repos itory data base., | ||
1705 | EDI_Gatewa y (CM),847 125,5010Re p-01.01.06 : 837 Loop 1000B in E_Repos,50 10Rep-01.0 1.06: As t he EDI tea m, I want to have He althShare record the Loop 1000 B (Receive r Name) se gments of the 837 fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1706 | |||
1707 | Acceptance Criteria: Verify th at the con tents of t he Loop 10 00B (Recei ver Name - NM1) are stored in the E_Repo sitory dat abase., | ||
1708 | EDI_Gatewa y (CM),847 040,5010Re p-01.01.05 : 837 Loop 1000A in E_Repos,50 10Rep-01.0 1.05: As t he EDI tea m, I want to have He althShare record the Loop 1000 A (Submitt er Name) s egments of the 837 f iles into E_Reposito ry so that claim inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1709 | |||
1710 | Acceptance Criteria: Verify th at the con tents of t he Loop 10 00A (Submi tter Name - NM1 and PER) are s tored in t he E_Repos itory data base., | ||
1711 | EDI_Gatewa y (CM),846 953,5010Re p-01.01.04 : 837 BHT in E_Repos ,5010Rep-0 1.01.04: A s the EDI team, I wa nt to have HealthSha re record the BHT se gments of the 837 fi les into E _Repositor y so that claim info rmation wi ll be avai lable for reference in E_Repos itory. | ||
1712 | |||
1713 | Acceptance Criteria: Verify th at the con tents of t he 837 BHT are store d in the E _Repositor y database ., | ||
1714 | EDI_Gatewa y (CM),846 865,5010Re p-01.01.03 : 837 ST/S E in E_Rep os,5010Rep -01.01.03: As the ED I team, I want to ha ve HealthS hare recor d the ST/S E segments of the 83 7 files in to E_Repos itory so t hat header and trail er informa tion will be availab le for ref erence in E_Reposito ry. | ||
1715 | |||
1716 | Acceptance Criteria: Verify th at the con tents of t he 837 ST/ SE are sto red in the E_Reposit ory databa se., | ||
1717 | EDI_Gatewa y (CM),846 518,5010Re p-01.01.02 : 837 GS/G E in E_Rep os,5010Rep -01.01.02: As the ED I team, I want to ha ve HealthS hare recor d the GS/G E segments of the 83 7 files in to E_Repos itory so t hat header and trail er informa tion will be availab le for ref erence in E_Reposito ry. | ||
1718 | |||
1719 | Acceptance Criteria: Verify th at the con tents of t he 837 GS/ GE are sto red in the E_Reposit ory databa se., | ||
1720 | EDI_Gatewa y (CM),846 160,5010Re p-01.01.01 : 837 ISA/ IEA in E_R epos,5010R ep-01.01.0 1: As the EDI team, I want to have Healt hShare rec ord the IS A/IEA segm ents of th e 837 file s into E_R epository so that he ader and t railer inf ormation w ill be ava ilable for reference in E_Repo sitory. | ||
1721 | |||
1722 | Acceptance Criteria: Verify th at the con tents of t he 837 ISA /IEA are s tored in t he E_Repos itory data base., |
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