Problem with BC BS of SC
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Problem with BC BS of SC
However, with using the Outbound MS 19 5010 Claims - Standard Guide, the guide is placing my TP number in the ISA04 segment, even though I have the ISA04 field empty when configuring the receiving in RM. This is clearly a flaw with the Guide.
I am not sure if the guide has to be revised with some SQL language that if ISA04 is blank, then the ISA04 should be blank.
Also, the file rejected on a TA1 (not a 999), but when running reports in RM it could not read the TA1 report for some reason.
Thanks,
Steve
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- Gavin Walker
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Re: Problem with BC BS of SC
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Re: Problem with BC BS of SC
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Re: Problem with BC BS of SC
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Re: Problem with BC BS of SC
Medical Billing Professionals
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- Posts: 312
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Re: Problem with BC BS of SC
If not string.isnullorempty( :Header_Receiver_InterchangeAuthorization ) then
Result = :Header_Receiver_InterchangeAuthorization
Else
If LEFT(UCASE( REPLACE(:Header_Receiver_Name, CHR(32),"")),11) = "RELAYHEALTH" Then
Result = "CYCTRANS"
End IF
End If
Medical Billing Professionals
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Re: Problem with BC BS of SC
Just checking back to see if there can be a fix for this problem with the ISA04. It appears there is a flaw with the logic for the standard 5010 guide.
Thanks,
Steve
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Re: Problem with BC BS of SC
I can't duplicate your issue. I entered 00 in ISA03 and left ISA04 blank.
When I generate claims and go to Tech View and click the Raw Text tab, this is what I get on the ISA segment:
ISA*00* *00* *ZZ*2XHT*ZZ*
What are you getting?
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Re: Problem with BC BS of SC
Is there a way for me to take the IGuide you are using and import it and see if it works (that might indicate if something is corrupted with my IGuide--the standard one)?
Otherwise, I guess I can manually delete the ISA04 each time...but do I leave a space in between the 00* and the *ZZ?
Steve
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Re: Problem with BC BS of SC
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Re: Problem with BC BS of SC
ISA*03*CGW0445PA2*00*CGW0445PA2*ZZ*CGW0445PA2*30*570287419*170321*0241*^*00501*000000001*0*P*:
So, RM is populating the ISA04 field even though I have it blank in the setup for the receiver, which is why I think something might be wrong with the logic in the IGuide.
Steve
Medical Billing Professionals
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Re: Problem with BC BS of SC
If not string.isnullorempty( :Header_Receiver_InterchangeAuthorization ) then
Result = :Header_Receiver_InterchangeAuthorization
Else
If LEFT(UCASE( REPLACE(:Header_Receiver_Name, CHR(32),"")),11) = "RELAYHEALTH" Then
Result = "CYCTRANS"
End IF
End If
Medical Billing Professionals
- Gavin Walker
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Re: Problem with BC BS of SC
This here should be the correction:
If not string.isnullorempty(:Header_Receiver_InterchangeSecurity) then
Result = :Header_Receiver_InterchangeSecurity
Else
If LEFT(UCASE( REPLACE(:Header_Receiver_Name, CHR(32),"")),11) = "RELAYHEALTH" Then
Result = "CYCTRANS"
End IF
End If
Keep in mind, the next time eMDs pushes a new mapping for the Standard iGuide, your changes will be wiped unless you copy off the iGuide under a new name.
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Re: Problem with BC BS of SC
Steve
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