I-OA Icubungula Isicelo
Umhlahlandlela Womsebenzisi

I-OA Icubungula Isicelo

ISITATIMENDE SOKUDULA
Ukudalulwa, ukusabalalisa kanye nokukopishwa kwalo mhlahlandlela kuvunyelwe, nokho, izinguquko ezintweni ezitholakala kulo mhlahlandlela zingenzeka noma nini ngaphandle kwesaziso. Inhloso ehlosiwe kanye nokusetshenziswa kwalo mhlahlandlela ukuhlinzeka ngolwazi mayelana nesimangalo sokunakekelwa kwezempilo: Isikhungo (837I).
I-Office Ally, Inc. izobizwa nge-OA kuwo wonke lo mhlahlandlela.
ISANDULELA
Lo mbhalo Uhambisana Nemihlahlandlela Yokusebenzisa ye-ASC X12N kanye neziphambeko ezihambisanayo ezamukelwa ngaphansi kwe-HIPAA icacisa futhi icacise okuqukethwe kwedatha lapho kuhwetshwa idatha yezempilo ye-elekthronikhi ne-OA. Okudluliswayo okususelwe kulo mbhalo ongumngane, osetshenziswe ngokuhambisana ne-X12N Implementation Guides, kuhambisana nakho kokubili i-syntax ye-X12 kanye naleyo mihlahlandlela.
Lo mhlahlandlela uhloselwe ukudlulisa ulwazi olungaphakathi kohlaka lwe-ASC X12N Implementation Guides eyamukelwe ukusetshenziswa ngaphansi kwe-HIPAA. Umhlahlandlela Ohambisanayo awuhloselwe ukudlulisa ulwazi nganoma iyiphi indlela oludlula izimfuneko noma ukusetshenziswa kwedatha evezwe Kumihlahlandlela Yokusebenzisa.
I-Companion Guides (CG) ingase iqukathe izinhlobo ezimbili zedatha, imiyalelo yokuxhumana ngogesi nenhlangano eshicilelayo (Imiyalo Yezokuxhumana/Yokuxhumana) kanye nolwazi olwengeziwe lokudala ukuthengiselana kwebhizinisi elishicilelayo kuyilapho uqinisekisa ukuthobelana ne-ASC X12 IG ehambisanayo (Imiyalo Yokwenziwayo). Ingxenye Yezokuxhumana/Yokuxhumana noma ingxenye Yemiyalo Yokwenziwayo kufanele ifakwe kuyo yonke i-CG. Izingxenye zingashicilelwa njengemibhalo ehlukene noma njengedokhumenti eyodwa.
Ingxenye Yezokuxhumana/Yokuxhumana ifakiwe ku-CG lapho inhlangano eshicilelayo ifuna ukudlulisa ulwazi oludingekayo ukuze kuqalwe futhi kugcinwe ukushintshana kokuxhumana.
Ingxenye ye-Transaction Instruction ifakiwe ku-CG lapho ibhizinisi elishicilelayo lifuna ukucacisa imiyalelo ye-IG yokuthunyelwa kwemisebenzi ethile ye-elekthronikhi. Okuqukethwe kwengxenye ye-Transaction Instruction kukhawulwe ngamalungelo okukopisha we-ASCX12 kanye nesitatimende Sokusetshenziswa Okufanelekile.

ISINGENISO

1.1 Ububanzi
Le dokhumenti engumngane isekela ukuqaliswa kohlelo lokusebenza lokucubungula iqoqo.
I-OA izokwamukela ukuthunyelwa kwangaphakathi okufomethwe kahle ngemigomo engu-X12. I files kufanele ihambisane nemininingwane eshiwo kulo mbhalo ongumngane kanye nomhlahlandlela wokusebenzisa we-HIPAA ohambisanayo.
Izinhlelo zokusebenza ze-OA EDI zizohlela lezi zimo futhi zenqabe fileezingahambisani.
Le dokhumenti engumngane izocacisa yonke into edingekayo ukuze kwenziwe i-EDI yalokhu kuthengiselana okujwayelekile. Lokhu kuhlanganisa:

• Imininingwane ekusixhumanisi sokuxhumana
• Imininingwane yezindlela zokuhambisa
• Imininingwane yemisebenzi

1.2 Ngaphezuluview
Lo mhlahlandlela ongumngane uncoma umhlahlandlela wokuqalisa we-ASC X12N owamukelwe kwa-HIPAA.
Lo mhlahlandlela uzoba yimoto i-OA eyisebenzisa nabalingani bayo bohwebo ukuze iqhubeke ifanelekela umhlahlandlela wokuqalisa owamukelwa yi-HIPAA. Lo mhlahlandlela uhambisana nomhlahlandlela wokusebenzisa we-HIPAA ohambisanayo ngokwesici sedatha kanye nekhodi ebeka amazinga nezimfuneko.
Izinto zedatha ezidinga ukuvumelana nokuqondana zizocaciswa kulo mhlahlandlela ongumngane. Izinhlobo zolwazi ezizocaciswa ngaphakathi kwalo mlingani yilezi:

• Izimfanelo ezizosetshenziswa kusukela kumhlahlandlela wokuqalisa we-HIPAA ukuchaza izici ezithile zedatha
• Amasegimenti ezimo nezinto zedatha ezizosetshenziselwa ukwanelisa izimo zebhizinisi
• Ukulandelela uzakwethu onguchwepheshefile ulwazi ngenhloso yokuthola ukuthi sihweba ngobani ngama-transmissions ashintshiwe

1.3 Izikhombo
I-ASC X12 ishicilela imihlahlandlela yokusebenzisa, eyaziwa ngokuthi Imibiko Yobuchwepheshe Yohlobo 3 (TR3's), echaza okuqukethwe kwedatha nezimfuneko zokuthobelana zokusetshenziswa kokunakekelwa kwezempilo kwamasethi okwenziwa kwe-ASC X12N/005010. I-TR3 elandelayo ibalulwe kulo mhlahlandlela:

• Isimangalo Sokunakekelwa Kwezempilo: Isikhungo - 8371 (005010X223A2)

I-TR3 ingathengwa nge-Washington Publishing Company (WPC) e- http://www.wpc:-edi.com
1.4 Ulwazi Olwengeziwe
I-Electronic Data Interchange (EDI) iwukushintshana kwekhompuyutha nekhompyutha kwedatha yebhizinisi efomethiwe phakathi kozakwethu bokuhweba. Uhlelo lwekhompiyutha olukhiqiza ukuthengiselana kufanele lunikeze ulwazi oluphelele nolunembile kuyilapho isistimu ethola ukuthengiselana kufanele ikwazi ukuhumusha nokusebenzisa ulwazi ngefomethi ye-ASC X12N, ngaphandle kokungenelela komuntu.
Imisebenzi kufanele ithunyelwe ngefomethi ethile ezovumela uhlelo lwethu lwekhompuyutha ukuhumusha idatha. I-OA isekela ukuthengiselana okujwayelekile okutholwe kwa-HIPAA. I-OA igcina abasebenzi abazinikele ngenjongo yokuvumela nokucubungula ukuthunyelwa kwe-X12 EDI nabalingani bayo bokuhweba.
Kuwumgomo we-OA ukusungula ubudlelwano bozakwethu bokuhweba nokwenza i-EDI ngokuphambene nokugeleza kolwazi lwephepha noma nini nanoma kuphi lapho kunokwenzeka khona.

UKUQALISA

Kwa-Office Ally, siyaqonda ukuthi kubaluleke kangakanani ukuba nenqubo yesimangalo esebenziseka kalula, ephumelelayo, nehlelekile yokusebenza kwakho. Uzothola izinkokhelo ngokushesha okufika izikhathi ezi-4 uma uthumela nge-elekthronikhi futhi wazi emahoreni ambalwa uma kuvela inkinga ngesinye sezimangalo zakho.
Izinzuzo ze-Office Ally:

• Thumela izimangalo nge-elekthronikhi ezinkulungwaneni zabakhokhi MAHHALA
• Azikho Izinkontileka ezizosayinwa
• Ukusetha Nokuqeqeshwa KWAMAHHALA
• Ukwesekwa Kwamakhasimende okungu-24/7 KWAMAHHALA
• Awasekho ama-EOB's wephepha! Iseluleko se-Electronic Remittance (ERA) siyatholakala kubakhokhi abakhethiwe
• Sebenzisa i-Practice Management Software yakho ekhona ukuze uthumele izicelo nge-elekthronikhi
• Imibiko Yesifinyezo Eningiliziwe
• Ukulungiswa kwesimangalo ku-inthanethi
• Ukubikwa kwe-Inventory (uhlu lwezicelo zomlando)

Isethulo sevidiyo se-Office Ally's Service Center siyatholakala lapha: Isingeniso Sesikhungo Sesevisi
2.1 Ukubhalisa Umhambisi
Abahambisi (Umhlinzeki/Umkhokhisi/njll.) kufanele babhalise ne-Office Ally ukuze bathumele izicelo nge-elekthronikhi. Ungabhalisa ngokuthinta uMnyango Wokubhalisa we-OA ku 360-975-7000 Inketho yesi-3, noma ngokuqala ukubhaliswa ku-inthanethi LAPHA.
Uhlu lokuhlola ukubhaliswa lungatholakala ekhasini elilandelayo.

I-OA Registration Check I ist.

1. Qedela Ukubhaliswa ku-inthanethi (noma shayela uMnyango Wokubhalisa we-OA @ 360-975-7000 Inketho 3)
2. Sayina ama-OA Ishidi Lokugunyaza 
3. Review, sayina, futhi ugcine ama-OA I-Office-Ally-BAA-4893-3763-3822-6-Final.pdf (officeally.com) amarekhodi akho
4. Thola i-OA eyabelwe igama lomsebenzisi nesixhumanisi sokwenza kusebenze Iphasiwedi
5. Hlela iseshini yokuqeqesha YAMAHHALA (uma kudingeka)
6. Review Umhlahlandlela ohambisana ne-OA
7. Review Ama-OA I-Office Ally Ally Available Payers ukunquma i-Pager ID kanye nezimfuneko zokubhalisa ze-EDI
8. Qedela ukuhlola futhi kabushaview imibiko yezimpendulo (idingeka kuphela kubahambisi besofthiwe yenkampani yangaphandle)
9. Qala ukuthumela izimangalo zokukhiqiza!

FILE IMIHLAHLANDLELA YOKUFAKA

3.1 Kwamukelwe File Amafomethi
I-Office Ally ingamukela futhi icubungule okulandelayo file izinhlobo:

• I-HCFA, CMS1500, UB92, kanye nesithombe se-UB04 Files
• I-ANSI X12 8371, 837P, kanye ne-837D files
• I-HCFA NSF Files HCFA Tab Delimited Files (Ifomethi kufanele ihambisane ngokuqinile nezicaciso ze-OA. Xhumana Nosekelo ukuze uthole imininingwane.)

3.2 Kwamukelwe File Izandiso
Ngokufanayo, i-Office Ally ingavuma files ananoma yikuphi kwalokhu okungezansi file izandiso zamagama:

I-Txt	Dat	Zip	Ecs	Buka
Hcf	Lst	Ls	Pm	Phuma
Clm	837	Nsf	Pmg	Cnx
Pgp	Fil	csv	Mpn	ithebhu

3.3 File Izinguquko Zefomethi
Kubalulekile ukuthi uqhubeke nokuthumela okufanayo file ifomethi lapho uthumela isimangalo fileku-Office Ally. Uma eyakho file izinguquko zefomethi ngenxa yezibuyekezo zesistimu, amakhompyutha amasha, noma ukukhetha amafomu ahlukile, i file angahluleka.
Uma kufanele ubuyekeze i- file Ifomethi ithunyelwa ku-Office Ally, sicela uxhumane ne-OA kokuthi 360-975-7000 Inketho 1 futhi wazise Omele Isevisi Yekhasimende ukuthi udinga ukuba neyakho file ifomethi ibuyekeziwe.

UKUHLOLA NE-OFFICE ALLY

Ukuqinisekisa inguquko eshelelayo ekuthumeleni nge-elekthronikhi nge-Office Ally, kunconywa ukuthi ukuhlolwa kuqedwe kubo bonke abahambisi besofthiwe bezinkampani zangaphandle.
Ukuhlolwa kokuphela ukuya ekupheleni akutholakali kubo bonke abakhokhi (futhi kuqedwa kuphela ngesicelo sokhokhayo); kodwa-ke, ungahlola kaningi ngendlela ongathanda ngayo nge-OA ngokuqondile.
Kunconywa ukuthi kuhlolwe file eziqukethe 5-100 izicelo zithunyelwe ukuze zihlolwe. Izimangalo zokuhlola kufanele zifake phakathi izimangalo ezihlukahlukene, ukubalwa kwezinhlobo ezahlukene zezimo noma izimo obhekana nazo kakhulu (I-Ambulensi, i-NDC, Isiguli Esilaliswayo, Isiguli Sangaphandle, njll.).
Ngemva kokuhlolwa kwakho file isithunyelwe futhi yacutshungulwa, i-Office Ally ibuyisela umbiko oveza izimangalo eziphumelele ukuhlolwa kanye nalezo okungenzeka zehlulekile.
4.1 Ukuhlolwa File Izimfuneko Zokuqamba
Igama elithi OATEST (wonke igama elilodwa) kumele lifakwe esivivinyweni file igama ukuze i-Office Ally ilibone njengesivivinyo file. Uma i file ayinalo igama elingukhiye elidingekayo (OATEST), i file izocutshungulwa endaweni yethu yokukhiqiza kungakhathaliseki ukuthi i-ISA15 isethwe ku-'T'. Ngezansi kukhona exampizifundo zokuhlolwa okwamukelekayo nokungamukeleki file amagama:
KWAMUKELWE: XXXXXX.OATEST.XXXXXX.837
KWAMUKELWE: OATEST XXXXXX_XXXXX.txt
AKUMUKELEKI: 0A_TESTXXXX>C
AKUMUKELEKI: TEST XXXXXX_XXXXX.837
Isivivinyo files ingathunyelwa nge file layisha noma ukudluliswa kwe-SFTP. Lapho uthumela ukuhlolwa files nge-SFTP, igama elingukhiye lohlobo lwesimangalo kumele nalo lifakwe ku- file igama (okungukuthi 837P/8371/837D).

ULWAZI LOKUXHUMANA

I-Office Ally inikeza ezimbili file izindlela zokushintshanisa abahambisa iqoqo:

• I-SFTP (Secure File Iphrothokholi yokudlulisa)
• I-Office Ally's Secure Webindawo

5.1 SFTP — Vikela File Iphrothokholi Yokudlulisa
Setha Umyalelo
Ukuze ucele uxhumano lwe-SFTP, thumela ulwazi olulandelayo nge-imeyili ku Sipporteofficeallu.com:

• Igama lomsebenzisi le-Office Ally
• igama longaxhumana naye
• I-imeyili Yokuxhumana
• Igama Lesofthiwe (uma likhona)
• Izinhlobo zesimangalo ezithunyelwe (HCFA/UB/ADA)
• Thola imibiko ye-999/277CA? (Yebo noma cha)

Qaphela: Uma ukhetha okuthi 'Cha', kuzobuyiswa imibiko yombhalo wobunikazi be-Office Ally kuphela.
Imininingwane Yokuxhumana
URL Ikheli: ftp10officeally.com
Imbobo 22
I-SSH/SFTP Inikwe amandla (Uma ucelwa ukuthi Ufake Inqolobane ye-SSH phakathi nokungena ngemvume, chofoza okuthi 'Yebo')
Fileelayishwe ku-Office Ally nge-SFTP kufanele ibekwe kufolda "yangaphakathi" ukuze icutshungulwe. Yonke i-SFTP iyaphuma files (kuhlanganise nama-835) avela ku-Office Ally azotholakala ukuze abuyiswe kufolda “ephumayo”.
I-SFTP File Izimfuneko Zokuqamba
Zonke izicelo ezingenayo fileOkuthunyelwe nge-SFTP kufanele kuqukathe igama elingukhiye elilodwa kwalandelayo ku- file igama lokuhlonza uhlobo lwezicelo ezithunyelwayo: 837P, 8371, noma 837D
Okwesiboneloample, lapho uhambisa isimangalo sokukhiqiza file equkethe izimangalo zesikhungo: drsmith_8371_claimfile_10222022.837
5.2 I-Office Ally Secure Webindawo
Landela izinyathelo ezingezansi ukuze ulayishe isimangalo file usebenzisa i-Office Ally's evikelekile webindawo.

1. Ngena ngemvume www.officeally.com
2. Hambisa phezulu kokuthi “Layisha Izimangalo”
3. Chofoza ukuze ulayishe ifayela file ngokusekelwe ohlotsheni lwakho lwesimangalo (okungukuthi. “Layisha I-Professional (UB/8371) File”)
4. Chofoza okuthi “Khetha File”
5. Phequlula okwakho file bese uchofoza okuthi “Vula”
6. Chofoza okuthi “Layisha”

Ngemva kokulayisha, uzothola ikhasi lokuqinisekisa lokulayisha nelakho FileInombolo ye-lD.
Imibiko yezimpendulo izotholakala phakathi kwamahora angu-6 kuya kwangu-12 kokuthi “Landa File Isifinyezo” ingxenye ye- webindawo.

ULWAZI LOKUXHUMANA

6.1 Inkonzo Yamakhasimende

Izinsuku Ezitholakalayo:	NgoMsombuluko kuya kuLwesihlanu
Izikhathi Ezitholakalayo:	Ngo-6:00 ekuseni kuya ku-5:00 ntambama PST
Ucingo:	360.975.7000 Inketho 1
I-imeyili:	support@officeally.com
Ifeksi:	360.896-2151
Ingxoxo ebukhoma:	https://support.officeally.com/

6.2 Ukwesekwa Kwezobuchwepheshe

Izinsuku Ezitholakalayo:	NgoMsombuluko kuya kuLwesihlanu
Izikhathi Ezitholakalayo:	Ngo-6:00 ekuseni kuya ku-5:00 ntambama PST
Ucingo:	360.975.7000 Inketho 2
I-imeyili:	support@officeally.com
Ingxoxo ebukhoma:	https://support.officeally.com/

6.3 Usizo Lokubhalisa

Izinsuku Ezitholakalayo:	NgoMsombuluko kuya kuLwesihlanu
Izikhathi Ezitholakalayo:	Ngo-6:00 ekuseni kuya ku-5:00 ntambama PST
Ucingo:	360.975.7000 Inketho 3
I-imeyili:	support@officeally.com
Ifeksi:	360.314.2184
Ingxoxo ebukhoma:	https://support.officeally.com/

6.4 Ukuqeqeshwa

Ukuhlela:	360.975.7000 Inketho 5
Okokufundisa kwevidiyo:	https://cms.officeally.com/Pages/ResourceCenter/Webinars.aspx

LAWULA IZIGCAWU/IZIMVLOPHU

Lesi sigaba sichaza ukusetshenziswa kwe-OA komehlukanondlela (ISA) kanye neqembu elisebenzayo (amasegimenti okulawula i-GS. Qaphela ukuthi ukuthunyelwa ku-Office Ally kukhawulelwe empambanweni eyodwa (ISA) kanye neqembu elilodwa elisebenzayo (GS) file. Files ingaqukatha kufika ku-5000 amasethi okwenziwayo (ST).
7.1 ISA-IEA

Isici Sedatha	Incazelo	Amanani Asetshenzisiwe	Amazwana
I-ISA01	Ukufaneleka kokugunyazwa	0
I-ISA02	Ikhodi yokugunyaza
I-ISA03	Ukufaneleka kokuphepha	0
I SA04	Ulwazi Lokuphepha
I-ISA05	Ofanele umthumeli	30 noma ZZ
I-ISA06	I-ID yomthumeli		I-ID yomhambisi ozikhethele yona. I-ID yentela ivame kakhulu.
I-ISA07	Ofanele umamukeli	30 noma ZZ
I-ISA08	I-ID yomamukeli	330897513	I-ID Yentela ye-Office Ally
I-ISA11	Isihlukanisi Sokuphindaphinda	A	Noma isihlukanisi ozikhethele sona
I-ISA15	Inkomba Yokusetshenziswa	P	Ukukhiqiza File Ukuze uhlole, thumela okuthi “OATEST” ku- fileigama.

7.2 GS-GE

Isici Sedatha	Incazelo	Amanani Asetshenzisiwe	Amazwana
GS01	Ikhodi ye-ID esebenzayo
G502	Ikhodi yabathumeli		Ikhodi yomhambisi oyikhethayo. I-ID yentela ivame kakhulu.
GS03	Ikhodi yomamukeli	OA noma 330897513
GS08	Ikhodi Yemboni Yokukhishwa Kwenguqulo	005010X223A2	Isikhungo

IHHOVISI IMITHETHO ETHILE YEBHIZINISI KANYE NEMIkhawulo

Okulandelayo file imininingwane ithathwe kumhlahlandlela wokuqalisa we-837 X12. Inhloso ukunikeza isiqondiso kumaluphu athile namasegimenti abalulekile ekucubunguleni izimangalo nge-elekthronikhi. Lokhu akuwona umhlahlandlela ogcwele; umhlahlandlela ogcwele uyatholakala ukuze uthengwe eWashington Publishing Company.

Ulwazi lomhambisi Iluphu 1000A— NM1
Inhloso yale ngxenye ukuhlinzeka igama lomuntu ngamunye noma inhlangano ethumela i- file
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	41
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	1 noma 2	1 = Umuntu 2 = Okungeyena Umuntu
I-NM103	Igama lenhlangano (noma isibongo).	1/35
I-NM104	Igama Lomthumeli	1/35		Isimo; Kudingeka kuphela uma i-NM102 = 1
I-NM108	Okufanelekela Ikhodi Yokuhlonza	1/2	46
I-NM109	Ikhodi Yomazisi	2/80		I-ID yomhambisi oyikhethayo (i-ID yentela ijwayelekile)

Ulwazi Lomamukeli Iluphu 10008 — NM 1
Inhloso yale segimenti ukunikeza igama lenhlangano oyithumelayo
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	40
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	2
I-NM103	Igama lenhlangano	1/35	UMLINGISI WEHHOVISI
I-NM108	Okufanelekela Ikhodi Yokuhlonza	1/2	46
I-NM109	Ikhodi Yomazisi	2/80	330897513	I-ID Yentela ye-OA

Ulwazi Lomhlinzeki Okhokhayo Iluphu 2010AA— NM1, N3, N4, REF
Injongo yale ngxenye iwukunikeza igama, ikheli, i-NPI, ne-ID Yentela kumhlinzeki wokukhokha.
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	85
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	2	2 = Okungeyena Umuntu
I-NM103	Igama lenhlangano (noma isibongo).	1/60
I-NM108	Okufanelekela Ikhodi Yokuhlonza	1/2	XX
I-NM109	Ikhodi Yomazisi	2/80		Inombolo ye-NPI enezinhlamvu ezingu-10
N301	Ikheli Lomgwaqo Lomhlinzeki Wokukhokha	1/55		Ikheli lendawo liyadingeka. Ungathumeli Ibhokisi Leposi.
N401	Idolobha Lomhlinzeki Wokukhokha	2/30
N402	Izwe Lomhlinzeki Wezinkokhelo	2/2
N403	I-Zip Yomhlinzeki Wenkokhelo	3/15
REAM	I-Reference Identification Qualifier	2/3	El	El= I-ID Yentela
REF02	I-Reference Identification	1/50		I-ID Yentela enezinhlamvu ezingu-9

Ulwazi Lobhalisile (Oqinisekisiwe). I-Loop 2010BA – NM1, N3, N4, DMG
Inhloso yale ngxenye ukunikeza y igama, ikheli, i-ID yelungu, i-DOB, nobulili bobhalisile (okuqinisekisiwe)
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	IL
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	1
I-NM103	Isibongo Sobhalisile	1/60
I-NM104	Subscriber Igama lokuqala	1/35
I-NM108	Okufanelekela Ikhodi Yokuhlonza	1/2	MI
I-NM109	Ikhodi Yomazisi	2/80		Inombolo kamazisi yelungu
N301	Ikheli Lomgwaqo Lobhalisile	1/55
N401	Subscriber City	2/30

N402	Isifunda sababhalisile	2/2
N403	I-Zip yababhalisile	3/15
I-DMG01	Ukufaneleka Kwefomethi Yesikhathi Sedethi	2/3	8
I-DMG02	Usuku Lokuzalwa Lobhalisile	1/35		Ifomethi ye-YYYYMMDD
I-DMG03	Ubulili bobhalisile	1/1	F, M, noma U F = Owesifazane	M = Indoda U = Akwaziwa

Ulwazi Lokukhokha Iluphu 201088 - NM1
Injongo yale ngxenye iwukunikeza igama lomkhokhi kanye ne-ID okumele isimangalo sithunyelwe kuyo (umkhokhi indawo) Sicela usebenzise ama-ID okhokhayo asohlwini Lohlu Lwabakhokhi Behhovisi ukuze uqinisekise umzila ofanele.
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	PR
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	2
I-NM103	Igama Lokhokhayo	1/35
Nm108	I-Identification CodeQualifier	1/2	PI
Nm1O9	I-ID Yomkhokhi 5-Digit	2/80		Sebenzisa i-ID yokukhokha esohlwini Lokukhokhela I-Office Ally.

Ulwazi Lwesiguli (Isimo) I-Loop 2010CA— NM1, N3, N4, DMG
Injongo yale ngxenye iwukunikeza igama lesiguli - uma lihlukile kunobhalisile (oncike)
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	QC
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	1
I-NM103	Isibongo Sesiguli	1/60
I-NM104	Igama Lesiguli	1/35
N301	Ikheli Lomgwaqo Lesiguli	1/55
N401	Idolobha Lesiguli	2/30
N402	Isimo Sesiguli	2/2
N403	I-Zip Yesiguli	3/15
I-DMG01	Ukufaneleka Kwefomethi Yesikhathi Sedethi	2/3	D8
I-DMG02	Usuku Lokuzalwa Lwesiguli	1/35		Ifomethi ye-YYYYMMDD
I-DMG03	Ubulili Obubekezelayo	1/1	F, M, noma U	F = Owesifazane M = Indoda U = Akwaziwa

Ukuhambela Ulwazi Lomhlinzeki Iluphu 2310A— NM1
Inhloso yale ngxenye ukuhlinzeka igama kanye ne-NPI yomhlinzeki onesibopho sokunakekelwa kwezokwelapha kwesiguli.
Isikhundla	Incazelo		Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi		2/3	71
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi		1/1	1	1= Umuntu
I-NM103	Ukuhambela Isibongo		1/60
I-NM104	Ukuhambela Igama Lokuqala		1/35
I-NM108	Okufanelekela Ikhodi Yokuhlonza		1/2	XX
I-NM109	Ikhodi Yomazisi		2/80		Inombolo ye-NPI enezinhlamvu ezingu-10

Ulwazi Lomhlinzeki Osebenzayo (Isimo) Iluphu 23108 - NM1
Inhloso yale ngxenye ukuhlinzeka igama kanye ne-NPI yomhlinzeki onesibopho sokuhlinza isiguli.
Isikhundla	Incazelo	Ubuncane/Ubukhulu	Inani	Amazwana
I-NM101	Ikhodi Yesikhombi Sebhizinisi	2/3	72
I-NM102	Ukufaneleka Kohlobo Lwebhizinisi	1/1	1	1= Umuntu
I-NM103	Ukuhambela Isibongo	1/60
I-NM104	Ukuhambela Igama Lokuqala	1/35
I-NM108	Okufanelekela Ikhodi Yokuhlonza	1/2	XX
I-NM109	Ikhodi Yomazisi	2/80		Inombolo ye-NPI enezinhlamvu ezingu-10

AMABONGWA KANYE IMIBIKO

I-Office Ally ibuyisela izimpendulo ezilandelayo nezinhlobo zombiko. Njengoba kuphawuliwe, izimpendulo ze-999 kanye ne-277CA zikhiqizwa kuphela ukuze kufakwe isicelo files ithunyelwe nge-SFTP. Bheka kuSithasiselo A ukuthola uhlu lwa file izimiso zokuqamba ezihambisana nempendulo ngayinye.
9.1 999 Ukwaziswa Kokuqaliswa
I-EDI X12 999 Implementation Acknowledgement document isetshenziswa ekunakekelweni kwezempilo ukunikeza isiqinisekiso sokuthi file yamukelwe. Ukuvuma okungu-999 kubuyiselwa kumhambisi ukuze afake isicelo kuphela files ithunyelwe nge-SFTP.
9.2 277CA Isimangalo Sokuvuma File Isifinyezo
Inhloso ye-EDI X12 277CA File Isifinyezo siwukubika ukuthi isicelo senqatshiwe noma cha noma samukelwe yi-Office Ally. Izimangalo ezamukelwe kuphela ezizothunyelwa kumkhokhi ukuze zicutshungulwe. Lena ifomethi ye-X12 file elilingana nombhalo ofomethiwe File Umbiko Ofingqiwe.
9.3 277CA Isimangalo sokuvuma isimo se-EDI
Inhloso yombiko Wesimo Se-EDI X12 277CA EDI ukudlulisa isimangalo noma cha samukelwe noma sanqatshwa umkhokhi. Lena ifomethi ye-X12 file okulingana nombiko wesimo se-EDI ofomethiwe
9.4 File Umbiko Ofingqiwe
I File Umbiko Ofingqiwe umbhalo (.txt) ofomethiwe file okukhombisa ukuthi izicelo zamukelwe noma zenqatshwa yi-Office Ally. Izimangalo ezamukelwe zizothunyelwa kumkhokhi ukuze zicutshungulwe. Bheka kuSithasiselo B ukuthi file imininingwane yesakhiwo.
9.5 Umbiko Wesimo Se-EDI
Umbiko Wesimo Se-EDI umbhalo (.txt) ofomethiwe file esetshenziselwa ukudlulisa isimo sesimangalo ngemuva kokuthi sithunyelwe kupheyija ukuze sicutshungulwe. Izimpendulo zesimangalo ezitholwe kupheyija zizodluliselwa kuwe ngendlela yombiko wesimo se-EDI. Bheka kuSithasiselo C ukuze file imininingwane yesakhiwo.
Ngokungeziwe kule mibiko yombhalo, ungacela futhi ukuthola umbiko wesimo se-CSV EDI wangokwezifiso. Umbiko Wesimo Se-CSV EDIWE Ngokwezifiso uqukethe izimangalo ezifakwe kumbhalo wombiko wesimo se-EDI file, kanye nanoma yiziphi izici zedatha yesimangalo ezengeziwe ozikhethayo.
Ukuze uthole imininingwane eyengeziwe kanye/noma ukucela le nketho, sicela uxhumane Nokwesekwa Kwamakhasimende.
9.6 835 Izeluleko Zemali Ethunyelwa Ngogesi
I-Office Ally izobuyisela i-EDI X12 835 files, kanye nenguqulo efomethwe yombhalo yokuthunyelwayo file. Bheka kuSithasiselo D ukuze file imininingwane yesakhiwo.

ISITHASISELO A – IMPENDULO YOMLINGANA WEHHOVISI FILE IMIHLANGANO YOKUQINA 

I-Office Ally Reports kanye File Izivumelwano Zokuqanjwa Kwamagama
File Isifinyezo — Uchwepheshe*	FS_HCFA_FILEID_IN_C.txt
File Isifinyezo — Isikhungo*	FILEID_UBSUMMARY_YYYYMMDD.txt
Isimo se-EDI*	FILEID_EDI_STATUS_YYYYMMDD.txt
X12 999**	FILEID_IthunyelweFileIgama_999.999
X12 277CA – Professional (File Isifinyezo)**	USERNAME_FILEID_HCFA_277ca_YYYYMMDD.txt
X12 277CA – Isikhungo (File Isifinyezo)**	USERNAME_FILEID_UB_277ca_YYYYMMDD.txt
X12 277CA – Professional (Isimo se-EDI)**	FILEID_EDI_STATUS_HCFA_YYYYMMDD.277
X12 277CA – Institutional (EDI Status)**	FILEID_EDI_STATUS_UB_YYYYMMDD.277
I-X12 835 ne-ERA (TXT)**	FILEID_ERA_STATUS_5010_YYYYMMDD.zip (iqukethe 835 kanye ne-TXT) FILEID_ERA_835_5010_YYYYMMDD.835 FILEID_ERA_STATUS_5010_YYYYMMDD.txt

*Bheka Izithasiselo B kuya ku-D ukuze uthole File imininingwane yesakhiwo
**Ukwenziwa kusebenze kombiko we-999/277CA kufanele kucelwe futhi kutholakalela kuphela files ithunyelwe nge-SFTP

ISITHASISELO B - FILE ISIFINYEZO – ISIKHUNGO

Ngezansi kukhona exampngaphansi kweSikhungo File Umbiko Ofingqiwe:
Zonke izimangalo ku- File Zamukelwe u-Office Ally

Ezinye izimangalo ku- File Zamukelwa Futhi Abanye Benqatshwa (amaphutha) ngu-Office Ally

Ngezansi kukhona file imininingwane yesakhiwo ngayinye yezigaba ezingase zifakwe ku File Isifinyezo.

FILE IMINININGWANE EFINWE
Igama Lenkundla Qala Ubude Benkundla Ye-Pos
FAKA ISICELO#	1	6
ISIMO	10	3
IBANGA I-ID	17	8
CONTROL NUM	27	14
UMREC	42	15
I-ID YESIGULI	57	14
ISIGULI (L, F)	72	20
INKOKHELO EYONKE	95	12
KUSUKA IDETHI	109	10
UMTHETHOSIVIVINYO we-TAXID	124	10
I-NPI / PIN	136	11
UMKHOKHELI	148	5
IPHUTHA IKHODI	156	50

ULWAZI LOKUPHINDA
Igama Lenkundla Qala Ubude Benkundla Ye-Pos
Ulwazi	1	182
I-ID yesicelo se-OA	35	8
OA File Igama		55
IdethiKucutshungulwe	-	-
CONTROL NUM		-

Amanothi: 1. “-” kubonisa ukuthi indawo yokuqala nobude bungase buhluke ngenxa yobude be-OA file igama 2. Amakhodi ephutha ahlukaniswa ngokhefana futhi ahambisana nesifinyezo sephutha kunhlokweni. 3. Uma i-ACCNT# (CLM01) ingu>amadijithi angu-14, indawo yokuqala ye-PHYS.ID, PAYER, kanye nama-ERRORS izolungiswa.

ISITHASISELO C – UMBIKO WEsimo se-EDI

Lo mbiko ofomethiwe wombhalo uyafana ne File Umbiko Ofingqiwe; Nokho, Umbiko Wesimo Se-EDI uqukethe ulwazi lwesimo oluthunyelwe ku-Office Ally luvela kumkhokhi. Noma yimuphi umlayezo i-OA ewutholayo kumkhokhi uzodluliselwa kuwe ngendlela yombiko wesimo se-EDI.
Umbiko Wesimo Se-EDI uzovela futhi ubukeke ufana nowangaphambiliample eboniswe ngezansi.

Qaphela: Ku-ED! Umbiko Wesimo, uma izimpendulo eziningi zibuya ngesimangalo esifanayo (ngesikhathi esifanayo), uzobona imigqa eminingi equkethe isimo sesimangalo esisodwa.
Ngezansi kukhona file imininingwane yesakhiwo sombiko wesimo se-EDI.

Amarekhodi Wemininingwane Yombiko Wesimo Se-EDI
Igama lenkundla	Qala i-Pos	Ubude bensimu
File ID	5	9
I-ID yesimangalo	15	10
Pat. Umthetho #	27	14
Isiguli	42	20
Inani	62	9
Prakthiza D	74	10
I-ID yentela	85	10
Umkhokhi	96	5
Inqubo Yokukhokha Dt	106	10
I-ID yeRef yokukhokha	123	15
Isimo	143	8
Umlayezo Wokuphendula Okhokhayo	153	255

ISITHASISELO D – ERA/835 STATUS Report
I-Office Ally ihlinzeka ngombhalo ofundekayo (.TXT) wenguqulo ye-EDI X12 835 file, njengobaampokukhonjiswa ngezansi:

Ulwazi Olujwayelekile Lokwenziwa Komhlahlandlela Wokusebenzisana Kubhekiselwa Kumihlahlandlela Yokusebenzisa Ngokusekelwe ku-X12
Inguqulo 005010X223A2
I-01 / 25 / 2023 ebuyekeziwe

Amadokhumenti / Izinsiza

I-Office Ally OA Yokucubungula Isicelo [pdf] Umhlahlandlela Womsebenzisi I-OA Icubungula Isicelo, i-OA, Isicelo Sokucubungula, Isicelo

Izithenjwa

• Imaniwali yosebenzisayo