Tennessee Electronic Claims Parameters
Menu Path: MAINT/System Files/Telecom
Test Transmission <Y/N> -- You are required to send test claims that are examined for proper format, etc., and these will not be processed for payment. These test claims will be scrutinized, and for determination of re-testing or putting on a permanent basis. After successful testing, change from Y(es) to N(o). If set to this field is set to Y, certain parameters are changed in the electronics claim records transmitted so that Medicare/Medicaid recognizes the transmission as test claims. Transmission Type -- CES uses BBS because of the difficulty with Stratus of having to change transmission parameters every month; BBS parameters are fixed and do not change, a more desirable feature. However, CES has tested with Stratus, and Medicare has indicated that only Stratus may be allowed sometime in the future. Phone Numbers -- This is the phone number of the Medicare computer that receive the data transmission, and the number dialed by your MODEM. Note that in the screen there is a comma between the 9 and the phone number. This is required if you dial 9 to get an outside line (the comma pauses after the 9 to receive a dial tone before proceeding with dialing the number). Each comma causes a pause time, two commas will pause twice as long as a single comma. In some cases, several commas may be needed, and that will be dependent upon how long it takes to get an outside line--rarely if ever do you need more than a single comma. MODEM BAUD Rate – either the max for your MODEM or max allowed for Medicare. Modern MODEMs will automatically adjust for maximum speed, so, if you put a high baud rate, the MODEM will adjust. However, some Medicares and some Medicaids will only accept a slow baud rate. In addition, if you have a low quality phone system, you may need to slow down the MODEM for more reliable transmission. MODEM COM Port – depends upon your hardware configuration National Standard Format Submitter ID – assigned by Medicare First Name -- Last Name -- Password – assigned by Medicare |
