EDI Connectivity Requirements: Process Flows And Transmission Procedures (WPS Health Solutions) EDI Connectivity ensures the integrity of the electronic transaction process. EDI Connectivity and the Trading Partner Agreement are related to the electronic exchange of information, whether the agreement is an entity or a part of a larger agreement, between each party to the agreement. Trading Partners … Read More →
EDI Testing Requirements (Trading Partners) EDI Testing – WPS Health Solutions follows CMS testing requirements. Main requirements are the following: 25 claim minimum ISA14 Strongly encourage to use a 1 or a TA1 will not generate ISA15 must = T for testing 100% Syntax 95% Medicare business rules Submitter is considered in test until approved … Read More →
EDI Set-Up WPS Trading Partners (Using Third-Party Service) EDI Set-Up WPS Trading Partners requires Internet Aaccess for EDI Set-Up and electronic claims submission. If providers elect to submit/receive transactions electronically using a third party such as a billing agent, a clearinghouse or network services vendor, they are required to have an agreement signed by that … Read More →