batch and real-time transactions

Batch And Real-Time Transactions Guidelines for HMSA EDI Partners Batch And Real-Time Transactions should adhere to the guidelines given in the today’s post. HMSA will respond to a batch request within eight hours. If the request is for non-HMSA requests (ie, BlueCard or FEP) the transaction must be routed to another entity outside of HMSA and may Read More →

hmsa edi mapping

HMSA EDI Mapping Guidelines (File, Functional Group, Transaction Set, and Claim Rejection) HMSA EDI Mapping Guidelines are given for business partners transmitting electronic transactions to HMSA. HMSA EDI Mapping Guidelines cover the following points – File, Functional Group, Transaction Set, and Claim Rejection. A file level reject occurs when an error is detected in the interchange control header Read More →

Submitting Electronic Transactions

Submitting Electronic Transactions to HMSA (General requirements) Submitting Electronic Transactions to HMSA partners should remember that  each transmission to HMSA should have a unique Interchange Control Number (ISA13). HMSA will use this number to determine if it is a duplicate file. HMSA will only accept one interchange (ISA/IEA) per input file from a submitter. There Read More →

HMSA EDI Center

HMSA EDI Center File Name Standard Descriptions HMSA EDI Center File Name Standard Descriptions are given in the blog for providers that submit claims electriically via EDI to HMSA EDI Center. It is strongly recommended that any provider submitting claims electronically, make the appropriate arrangements to ensure the security of the claims data being submitted to Read More →

Transmitting EDI Files

Transmitting EDI Files (HMSA EDI Center) Via SFTP (FTP/SSH) or FTPS (FTP/SSL) Transmitting EDI Files to/from the HMSA EDI Center requires using Tumbleweed SecureTransport which supports standard binary file transfers. Make sure to use the HIPAA X12 formats when transmitting to the HMSA EDI Center. Transmitting EDI Files – Sending via SFTP (FTP/SSH) or FTPS (FTP/SSL) Log into the Tumbleweed Secure Transport server. The system will prompt you Read More →

Sending and Receiving EDI

Sending and Receiving EDI Files To/From HMSA EDI Center Via HTTPS Sending and Receiving EDI Files to/from the HMSA EDI Center requires using Tumbleweed SecureTransport which supports standard binary file transfers. Make sure to use the HIPAA X12 formats when sending and receiving EDI Files to/from the HMSA EDI Center. The file may be compressed using the gzip Read More →

HMSA EDI Center File Transfer

HMSA EDI Center File Transfer Procedures HMSA EDI Center reserves the right to exercise prior approval of EDI submission arrangements from any source. It will be necessary for HMSA to review and approve each provider and for each approved provider to sign an Electronic Trading Partner Agreement. HMSA EDI Center File Transfer Steps (Sending a file to Read More →

HMSA EDI Data Transmission

HMSA EDI Data Transmission and Retrieval Procedures HMSA EDI Data Transmission procedure for asynchronous data communication: The data is generated by the provider or their representative and set up for transfer to HMSA. HMSA maintains a secure FTP option. HMSA’s asynchronous data communication allows computer systems to communicate with a front end computer that is Read More →

Submitting HIPAA EDI Transactions

Submitting HIPAA EDI Transactions – Basic Procedures Submitting HIPAA EDI Transactions rules below are available for providers and their vendors who are interested in submitting HIPAA EDI transactions to HMSA for electronic claims submission, claims status, eligibility and referrals/pre-authorizations. The Electronic Trading Partner Agreement (TPA) must be signed and returned to HMSA before transactions can be submitted. The Read More →

Customized EDI Trainings

Customized EDI Trainings For Your Company Staff Customized EDI Trainings can be developed by experienced EDI Academy instructors for individual companies and groups. We are ready to prepare a customized course aimed at your goals and including your practical suggestions for effective implementation. The EDI Academy provides customized EDI trainings onsite.  The classes are designed to give a Read More →