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Frequently Asked Questions Electronic Data Interchange - Business-to-Business Testing
Q. When will business-to-business testing begin? A. DHS is currently accepting business-to-business testing for the following transactions:
Third party testing for all 837 transactions is available at no cost to all trading partners completing a trading partner agreement. Q. I sent an email to the DHS.HIPAAtesting@state.or.us yesterday and have not received a response. What is the turn around time on questions?A. DHS has committed to responding to questions via our HIPAA email address within 2-5 business days. Questions are answered in the order they are received based on how technical the question. Back to top Q. I sent a question to the business to business email address and have not received a response. Why? A. The DHS business-to-business email address is not used for question and answers. Please use the DHS.HIPAATesting@state.or.us address. Q. What is DHS' expectation for passing business-to-business testing? A. DHS expects a test file to contain at least 25 claims, but no more than 100 live claims. DHS will run the file through Edifecs and Claredi edits before setting the file up to process in our test environment. If the file passes the structural and data requirements of Edifecs and Claredi, DHS will process the file in our test environment and an error report will be generated. If the file has not exceeded the threshold of any more than 10% error rate, DHS will notify you of a provisional pass status for production. DHS strongly encourages providers to test the coordination of benefit segments. If the 10% rate is exceeded, review the error report for possible modifications. Back to top Q. I am in business-to-business testing and have a question related to the Implementation Guide (IG). Who can I ask at DHS? A. DHS is a health care provider and is under the same federal requirements as set forth by HIPAA. The Implementation Guide (IG) is a document maintained and published by the Washington Publishing Company. We can not advise any health care provider, software vendor or clearinghouse on how to interpret the IG. Q. What type of claims do I test with? Can I use sample/dummy data? How many claims should I put in a test data file? A. DHS requires you to use real, live claims for testing purposes. Test data must not have dates more than 365 days from the original date of service, and you must include 25-100 claims per data file tested. Q. Will the Submitter ID to the payer change? If so when? A. Oregon currently does not issue Submitter IDs. With the new HIPAA regulations, a submitter ID will be issued to you. Back to top |
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