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In order to create 278 response files the program needs to have your company setup with all the required information. This information is used for the 'Sender' information in EDI files.
If you have the feature 'Database' enabled, this information is stored in the CompanySetup Table, if you don't than the information is stored in the Windows registry.
The menu has under the subject 'Setup' the item 'Company Setup'.
Navigating to the company setup
The company setup screen
You can configure the following options:
Read the detailed descriptions further.
| 1. | Once you have finished editing the options, click "Save." |
Company Information
| • | Name — Company name. Obligatory option. |
| • | City — Obligatory option. |
| • | State — Obligatory option. |
| • | ISA Segment Sender Identification — It is the most important option to choose. It identifies your organization for all EDI transactions. Most commonly the Qualifier "ZZ" and a free form ID up to 15 character in length is chosen. Other options include your tax ID and the Dun & Bradstreet ID. |
| • | Qualifier — The ISA Identifier and qualifier are the unique key to the trading partner database file. The ISA identifier can be up to 15 bytes long, the qualifier has to be 2 bytes. Approved qualifiers are: |
| • | 01 — Duns (Dun & Bradstreet) |
| • | 20 — Health Industry Number (HIN) |
| • | 27 — Carrier ID Number (Identification Number as assigned by HCFA) |
| • | 28 — Fiscal Intermediary ID Number (Identification Number as assigned by HCFA) |
| • | 29 — Medicare Provider and Supplier ID Number (Identification Number as assigned by HCFA) |
| • | 30 — U.S. Federal Tax ID Number (Identification Number) |
| • | 33 — NAIC Company Code (National Association of Insurance Commissioners Company Code) |
| • | Application Sender's Code GS_2 — The option represents the program or machine that created the file. Usually the same as the ISA Segment Sender Identification. You can select other ID if you need. Obligatory option. The GS_02 identifier is usually the same as the ISA identifier but you can also choose some other ID. It represents the program or machine that created the file, but the most common is a repetition of the ISA identifier. |
| • | Tax ID — Obligatory option. Also called an Employer Identification Number (EIN). |
| • | Plan ID / Payor ID — Fill in your Payer ID and Plan ID if you have one; this is only important for the 271 and 277 transactions. Optional setting. |
| • | Three letter identifier to prepend to all outgoing EDI files — Optional setting. Makes your files easily identifiable. |
| • | Entity Type Code - This code is only required for the 276/277 transaction in the STC_01-3 element |
EDI version
Specify EDI version:
| • | 4010 if in original otherwise 5010 |
Contact Information
The contact information goes into the PER segment of outgoing transactions:
ISA 14 and 15
| • | EDI files will be — ISA element 14 determines if the resultant file contains test or production data: |
| • | Acknowledgement (TA1) req. — ISA element 15 indicates whether you want a TA1 acknowledgement for files that you send out. |
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