Medicare X12 Claim Issues

system · January 31, 2013, 6:45pm

hitechelp wrote on Thursday, January 31, 2013:

Our Medicare X12 Claims began falling into a black hole at FCSO after the 4.1.1 upgrade.

We are currently working with FCSO to diagnose the problems. Claims submitted before the upgrade ran clean, were acknowledged and we got paid. Now we get no 277, no reject notices or any other error, and no money!

X12 bugs were mentioned in the list of “improvements” but for us, this was a step backwards.
FCSO is telling us that we now have numbers in the wrong places and we didn’t change anything.

We’ll keep you posted on the progress.

“Dealing with the government is like breeding elephants;
It’s done at a very high level, with a lot of loud thundering and trumpeting and
it takes two years to produce results”

system · January 31, 2013, 7:50pm

hitechelp wrote on Thursday, January 31, 2013:

FCSO is telling us that the block which now contains the TIN (underlined) should have our sender ID
~NM1*41*2*JOANNA VANVLEET, DO, LLC*****46*453558058~
Problem is TIN is in User Data and a change there will affect the field where it is supposed to be.
~REF*EI*453558058~

system · January 31, 2013, 7:54pm

hitechelp wrote on Thursday, January 31, 2013:

I need this fixed yesterday - can I replace a file to get us back to where it worked?

system · January 31, 2013, 8:15pm

yehster wrote on Thursday, January 31, 2013:

There don’t seem to be any obvious changes which would have caused this difference in the X12 generation file.

https://github.com/openemr/openemr/commits/rel-411/library/gen_x12_837.inc.php

There was only one change between patch 8 and 9 that I can see where an XV was change to PI.

https://github.com/openemr/openemr/commit/a3d22d1fd421d58879df7256ebe9263ad859d711#library/gen_x12_837.inc.php

system · January 31, 2013, 8:38pm

robertrambo wrote on Thursday, January 31, 2013:

D if you have a backup why dont you replace your gen_x12 in the library folder to when it used to work probally 2 weeks ago?
Also look at this http://www.x12view.com/ for a nice x12 viewer
Also nucc.org dataset
Do you submit directly to medicare? Or through a clearing house?

system · January 31, 2013, 8:45pm

hitechelp wrote on Thursday, January 31, 2013:

R.
Thanks for the X12 viewer link (that will help)
We submit directly to the East Coast CMS Contractor, First Coast Service Options (FCSO).
Were going to try reverting back to the old gen_x12 file.

system · February 1, 2013, 2:00am

hitechelp wrote on Friday, February 01, 2013:

K
gen_x12 was replaced by the 4.1.1 upgrade we did on January 1st and simply replacing our old file didn’t fly. There must have been other things impacting our X12 setup. We had to rework Loop 1000A to put our submitter ID in place of ETIN so claims would be accepted by FCSO. We are now confident that we have the FCSO x12 issues behind us (for now).

system · February 1, 2013, 3:51am

robertrambo wrote on Friday, February 01, 2013:

Glad to hear it is fixed I Know how that is thanxs for the update

system · February 1, 2013, 5:06pm

robertrambo wrote on Friday, February 01, 2013:

It seems strange do to the fact the x12 standard says the submitter ID should be in ISA string
Keep me updated please!

system · February 1, 2013, 5:21pm

sunsetsystems wrote on Friday, February 01, 2013:

Strongly recommend you get such requirements in writing from them. Actually they should already have something like a “companion guide” to clarify these things. Instructions from a phone tech are often pure garbage and payers have little incentive to improve that.

Rod
www.sunsetsystems.com

system · March 6, 2013, 3:21pm

robertrambo wrote on Wednesday, March 06, 2013:

Is anyone using a x12 parser for the 837P to make the output of the gen_x12 file easier to read?

system · March 6, 2013, 6:05pm

bgregg wrote on Wednesday, March 06, 2013:

Robert,

I use HIPAA Document Viewer by HSU Computing in conjunction with http://support.ezclaim.com/ANSIRef/ANSI837Reference.aspx. Their trial is full-featured.

Brad Gregg
MI-Squared

system · March 7, 2013, 2:56am

juggernautsei wrote on Thursday, March 07, 2013:

Hi,

I have a similar problem. Donna the billing person wrote:

Sherwin,
 
A batch of claims was submitted on Fri & Mon.  Payerpath errored/rejected some Medicare claims stating "invalid or missing NPI data".  Called Payerpath.  They said "no data came to them & loop 2310A was blank".  I verified that the NPI data is in address book & that a referring doctor was listed on the fee sheet.  What can you do to make sure this data transmits to Payerpath?
 
Here's a list of the patients that had claims rejected in Mondays batch:
M SMITH #2475  DOS 2/28  REFERRING DOCTOR= EAST
C SCOTT #1687 DOS 2/27  REFERRING DOCTOR= EAST
I LAWRENCE #807 DOS 2/26  REFERRING DOCTOR= TAYLOR
 
Let me know if there is any other info that is needed to resolve this issue.
*****************
Sherwin,
I discovered today that data in the "referring provider" field in patient demographics is whats being transmitted to payerpath, instead of the "referring doctor" listed in the fee sheet.  I hope this info help you resolve the issue.
 
Thanks
Donna
 
***************

I am in a section of the program I know very little to nothing about but I feel I am about to get a crash course. We did the upgrade to 4.1.1(10) one week ago. Before then everything in billing was fine.

Now I noticed that in the message above someone was talking about Loop 1000A and Donna is talking about a loop 2310A. Where do I find these Loops and how do I get them back on track.

I looked at the gen_x12_837.inc.php file and compared it with the 4.1.0 code and there is only one major difference.

Lines 31- 35 old code
  $out .= "ISA" .
    "*00" .
    "*          " .
    "*00" .
    "*          " .
    "*" . $claim->x12gsisa05() .
    "*" . $claim->x12gssenderid() .
    "*" . $claim->x12gsisa07() .
    "*" . $claim->x12gsreceiverid() .
    "*030911" .
    "*1630"

New Code

  $out .= "ISA" .
    "*" . $claim->x12gsisa01() .
    "*" . $claim->x12gsisa02() .
    "*" . $claim->x12gsisa03() .
    "*" . $claim->x12gsisa04() .
    "*" . $claim->x12gsisa05() .
    "*" . $claim->x12gssenderid() .
    "*" . $claim->x12gsisa07() .
    "*" . $claim->x12gsreceiverid() .
    "*030911" .
    "*1630" .

Any comments on how this plays into the issue stated in the beginning would be greatly appreciated.

Sherwin

system · March 7, 2013, 6:05am

robertrambo wrote on Thursday, March 07, 2013:

I realized a while back that you have to be careful with ezclaim about the diff between 4010 and 5010
You want to get the data set from your clearing house and you insurance company
Yes they are very hard to find and no one wants to help you get them it seem.
Then there is the x12org $300 does anyone have this btw?

	Loop 0000A - INTERCHANGE CONTROL HEADER
	ISA - Interchange Control Header
	ISA01 - Authorization Information Qualifier
	ISA02 - Authorization Information
	ISA03 - Security Information Qualifier
	ISA04 - Password
	ISA05 - ID Qualifer
	ISA06 - Sender ID
	ISA07 - Interchange ID Qualifier
	ISA08 - Interchange Receiver ID #
	ISA09 - Submission Date
	ISA10 - Submission Time
	ISA14 - Acknowledgement Requested
	ISA15 - Test/Prod Indicator
	Loop 0000B - FUNCTIONAL GROUP HEADER
	GS - Function Group Header
	GS02 - Sender Code
	GS03 - Receiver Code
	Loop 0000D - TRANSACTION HEADER
	BHT - Beginning of Hierarchical Transaction
	BHT03 - Submission Number
	BHT04 - Submission Date
	BHT05 - Submission Time
	Loop 0000E - TRANSACTION HEADER
	REF*87 - Transmission Type Identification
	REF02 - Transmission Type Code
	Loop 1000A - SUBMITTER NAME
	NM1*41 - Submitter Name
	NM102 - Submitter Type Qualifier
	NM103 - Submitter Name
	NM109 - Submitter ID
	PER*IC - Submitter EDI Contact Information
	PER02 - Submitter Name
	PER03 - Submitter Contact Number Qualifier
	PER04 - Submitter Telephone Number
	Loop 1000B - RECEIVER NAME
	NM1*40 - Receiver Name
	NM103 - Receiver Name
	NM109 - Receiver ID #
	Loop 2000A - BILLING/PAY-TO PROVIDER
	HL - Billing/Pay-to Provider Hierarchical Level
	HL03 - Billing/Pay-To Provider Hierarchical Level
	PRV*BI - Billing/Pay-to Provider Specialty Information
	PRV03 - Provider Taxonomy Code
	Loop 2000B - SUBSCRIBER HIERARCHICAL LEVEL
	HL - Subscriber Hierarchical Level
	HL03 - Subscriber Hierarchical Level
	PAT - Patient Information
	PAT08 - Patient Weight
	SBR - Subscriber Information
	SBR01 - Destination Payer Responsibility Sequence #
	SBR02 - Patient Relationship to Insured
	SBR03 - Insured Group or Policy Number
	SBR04 - Group Name
	SBR05 - Insurance Type Code
	SBR09 - Claim Filing Indicator
	Loop 2000C - PATIENT HIERARCHICAL LEVEL
	HL - Patient Hierarchical Level
	HL03 - Patient Hierarchical Level
	PAT - Patient Information
	PAT01 - Individual Relationship Code
	Loop 2010AA - BILLING PROVIDER NAME
	N3 - Billing Provider Address
	N301 - Billing Provider Address Line
	N4 - Billing Provider City, State, ZIP Code
	N401 - Billing Provider City
	N402 - Billing Provider State
	N403 - Billing Provider Zip
	NM1*85 - Billing Provider Name
	NM102 - Entity Type Qualifier
	NM103 - Billing Provider Last Name or Organizational Name*
	NM104 - Billing Provider First Name*
	NM105 - Billing Provider Middle Init*
	NM108 - Provider Primary Type
	NM109 - Provider Primary #
	REF - Billing Provider Secondary Identification
	REF01 - Reference Qualifier
	REF02 - Billing Provider Additional Identifier
	Loop 2010AB - PAY-TO PROVIDER NAME
	N3 - Pay-To Provider Address
	N301 - Pay To Provider Address Line
	N4 - Pay-To Provider Address City, State, ZIP Code
	N401 - Pay To Provider City
	N402 - Pay To Provider State
	N403 - Pay To Provider Zip
	NM1*87 - Pay-To Provider Name
	NM102 - Entity Type Qualifier
	NM103 - Pay To Provider Last Name or Organizational Name*
	NM104 - Pay To Provider First Name*
	NM105 - Pay To Provider Middle Init*
	NM108 - Pay To Provider ID Type
	NM109 - Pay To Provider Tax ID #
	Loop 2010BA - SUBSCRIBER NAME
	DMG - Subscriber Demographic Information
	DMG02 - Subscriber DOB
	DMG03 - Subscriber Gender
	N3 - Subscriber Address
	N301 - Subscriber Street Address
	N302 - Subscriber Address #2
	N4 - Subscriber City, State, ZIP Code
	N401 - Subscriber City
	N402 - Subscriber State
	N403 - Subscriber Zip
	NM1*IL - Subscriber Name
	NM103 - Subscriber Last Name
	NM104 - Subscriber First Name
	NM105 - Subscriber Middle Init
	NM108 - Identification Code Qualifier
	NM109 - Subscriber Insured ID Number
	REF*1W - Subscriber Secondary Identification
	REF02 - Subscriber Supplemental Identifier
	REF*SY - Subscriber Secondary Identification
	REF02 - Subscriber Supplemental Identifier
	Loop 2010BB - PAYER NAME
	N3 - Payer Address
	N301 - Payer Address, Line 1
	N302 - Payer Address, Line 2
	N4 - Payer City, State, ZIP Code
	N401 - Payer City
	N402 - Payer State
	N403 - Payer Zip Code
	NM1*PR - Payer Name
	NM103 - Payer Name - Destination
	NM108 - Identification Code Qualifier
	NM109 - Payer ID - Destination
	Loop 2010CA - PATIENT NAME
	DMG - Patient Demographic Information
	DMG03 - Patient DOB
	DMG03 - Patient Gender
	N3 - Patient Address
	N301 - Patient Street Address
	N302 - Patient Address #2
	N4 - Patient City, State, ZIP Code
	N401 - Patient City
	N402 - Patient State
	N403 - Patient Zip
	NM1*QC - Patient Name
	NM103 - Patient Last Name
	NM104 - Patient First Name
	NM105 - Patient Middle Init
	NM108 - Identification Code Qualifier
	NM109 - Patient Primary Indentifier
	Loop 2300 - CLAIM INFORMATION
	AMT*F5 - Patient Amount Paid
	AMT02 - Patient Amount Paid
	CLM - Claim Information
	CLM01 - Claim Submitter's Identifier
	CLM02 - Total Claim Charges
	CLM05 - Resubmission Code - Claim Frequency Type Code
	CLM05 - Place of Service (Facility Type Code)
	CLM06 - Provider Signature Indicator
	CLM07 - Provider Assignment Indicator
	CLM08 - Assignment of Benefits
	CLM09 - Release of Information Indicator
	CLM10 - Patient Signature Source
	CLM11 - Accident/Employment/Related Causes
	CLM11 - Accident State
	CLM12 - Special Program Indicator
	CLM16 - Provider Agreement Code
	CLM20 - Delay Reason Code
	CN1 - Contract Information
	CN101 - Contract Type Code
	CN102 - Monetary
	CN103 - Percent
	CR1 - Ambulance Transport Information
	CR102 - Patient Weight
	CR103 - Ambulance Transport Code
	CR104 - Ambulance Transport Reason Code
	CR106 - Transport Distance
	CR109 - Round Trip Purpose Description
	CR110 - Stretcher Purpose Description
	CRC*07 - Ambulance Certification
	CRC02 - Certification Condition Indicator
	CRC03 - Condition Code
	CRC*75 - Homebound Indicator
	CRC03 - Home Bound Indicator
	CRC*ZZ - EPSDT Referral
	CRC01 - Code Category
	CRC02 - Certification Condition Indicator
	CRC03 - Condition Code
	DTP*090 - Date - Assumed Care
	DTP01 - Qualifier
	DTP02 - Report Start
	DTP*091 - Relinquished Care Date
	DTP01 - Qualifier
	DTP02 - Report End
	DTP*304 - Date - Date Last Seen
	DTP03 - Date Last Seen
	DTP*431 - Date - Onset of Current Illness/Symptom
	DTP02 - Onset of Current Illness/Symptom
	DTP*435 - Date - Admission
	DTP03 - Admission Date
	DTP*439 - Date - Accident
	DTP02 - Accident Date
	DTP*453 - Date - Acute Manifestation
	DTP03 - Acute Manifestation Date
	DTP*454 - Date - Initial Treatment
	DTP02 - Initial Treatment Date
	HI - Health Care Diagnosis Code
	HI01 - Diagnosis Codes 1
	HI02 - Diagnosis Codes 2
	HI03 - Diagnosis Codes 3
	HI04 - Diagnosis Codes 4
	K3 - File Information
	K301 - Fixed Format Information
	NTE*ADD - Claim Note
	NTE02 - Notes
	PWK - Claim Supplemental Information
	PWK01 - Attachment Report Type Code
	PWK02 - Report Transmission Code
	PWK05 - Identification Code Qualifier
	PWK06 - Attachment Control Number
	REF*4N - Service Authorization Exception Code
	REF02 - Service Authorization Exception Code
	REF*9F - Prior Authorization or Referral Number
	REF02 - Referral Number
	REF*EW - Mammography Certification Number
	REF02 - Mammography Certification
	REF*F5 - Mandatory Medicare (Section 4081) Crossover Indicator
	REF02 - Medicare Section 4081 Indicator
	REF*F8 - Original Reference Number (ICN/DCN)
	REF02 - Original Claim Reference Number
	REF*G1 - Prior Authorization or Referral Number
	REF01 - Reference ID Qualifier
	REF02 - Prior Authorization Number
	REF*LX - Investigational Device Exemption Number
	REF02 - Investigational Device Exemption Identifier
	REF*P4 - Demonstration Project Identifier
	REF02 - Project Code
	REF*X4 - Clinical Laboratory Improvement Amendment (CLIA) Number
	REF02 - CLIA ID
	Loop 2310A - REFERRING PROVIDER NAME
	NM1*DN - Referring Provider Name
	NM103 - Referring Last Name
	NM104 - Referring First Name
	NM105 - Referring Middle Init
	NM108 - ID Code Qualifier
	NM109 - Referring Provider Identification #
	REF - Referring Provider Secondary Identification
	REF01 - Reference Identification Qualifier
	REF02 - Reference Identification
	Loop 2310B - RENDERING PROVIDER NAME
	NM1*82 - Rendering Provider Name
	NM1 - Rendering Provider Name, Tax ID and Provider ID#
	NM103 - Rendering Provider Last Name
	NM108 - Rendering Provider ID Type
	NM109 - Rendering Provider ID
	PRV*PE - Rendering Provider Specialty Information
	PRV03 - Rendering Provider Taxonomy Code
	REF - Rendering Provider Secondary Identification
	REF02 - Reference Identification
	Loop 2310C - SERVICE FACILITY LOCATION
	N3 - Service Facility Location Address
	N301 - Facility Address 1
	N4 - Service Facility Location City, State, ZIP Code
	N401 - Facility City
	N402 - Facility State
	N403 - Facility Zip
	NM1*77 - Service Facility Location
	NM101 - Facility Name
	NM103 - Facility Name
	NM108 - Facility ID# Qualifier
	NM109 - Facility ID#
	REF - Service Facility Location Secondary Identification
	REF01 - Reference ID Qualifier
	REF02 - Secondary Identifier
	Loop 2310D - SUPERVISING PROVIDER NAME
	NM1*DQ - Supervising Provider Name
	NM1 - Supervising Provider Name, Tax ID and Provider ID#
	NM103 - Supervising Provider Last Name
	NM108 - Supervising Provider ID Type
	NM108 - Supervising Provider Identifier Qualifier
	NM109 - Supervising Provider Identifier
	NM109 - Supervising Provider ID
	REF - Supervising Provider Secondary Identification
	REF02 - Reference Identification
	Loop 2320 - OTHER SUBSCRIBER INFORMATION
	AMT*B6 - Coordination of Benefits (COB) Allowed Amount
	AMT02 - Allowed Amount
	AMT*D - Coordination of Benefits (COB) Payer Paid Amount
	AMT02 - Payer Amount Paid
	CAS - Claim Level Adjustments
	CAS01 - Adj Group Code
	DMG - Subscriber Demographic Information
	DMG02 - Other Insured Birth Date
	DMG03 - Other Insured Gender Code
	MOA - Medicare Outpatient Adjudication Information
	MOA03 - Remark Code
	OI - Other Insurance Coverage Information
	OI03 - Assignment of Benefits
	OI04 - Patient Signature Source
	SBR - Other Subscriber Information
	SBR01 - Other Payer Responsibility Sequence #
	SBR02 - Patient Relationship to Insured
	SBR02 - Individual Relationship Code
	SBR03 - Other Insured Group or Policy Number
	SBR04 - Other Group Name
	SBR04 - Other Insured Group Name
	SBR05 - Other Insurance Type Code
	SBR09 - Other Claim Filing Indicator
	Loop 2330A - OTHER SUBSCRIBER NAME
	NM1*IL - Other Subscriber Name
	NM103 - Other Subscriber Name
	NM104 - Other Subscriber Name
	NM105 - Other Subscriber Name
	NM108 - Identification Code Qualifier
	NM109 - Other Subscriber ID Number
	Loop 2330B - OTHER PAYER NAME
	NM1*PR - Other Payer Name
	NM103 - Payer Name
	NM109 - Other Payer ID
	Loop 2330F - OTHER PAYER PURCHASED SERVICE PROVIDER
	NM1*QB - Other Payer Purchased Service Provider
	NM101 - Purchase Service Provider
	REF - Other Payer Purchased Service Provider Identification
	REF02 - Purchase Service Provider Identification
	Loop 2400 - SERVICE LINE
	AMT*AAE - Approved Amount
	AMT02 - Approved Amount
	CN1 - Contract Information
	CN101 - Contract Type Code
	CN102 - Monetary Amount
	CR5 - Home Oxygen Therapy Information
	CR501 - Certification Type Code
	CR502 - Treatment Period Count
	CR510 - Arterial Blood Gas Quantity
	CR511 - Oxygen Saturation Quantity
	CR512 - Oxygen Test Condition Code
	CR513 - Oxygen Test Finding Code
	CR514 - Oxygen Test Finding Code
	CR515 - Oxygen Test Finding Code
	CRC*70 - Hospice Employee Indicator
	CRC02 - Hospice Employee Indicator
	DTP*119 - Date - Oxygen Arterial Blood Gas Test
	DTP03 - Test Performed
	DTP*461 - Date - Last Certification
	DTP03 - Last Certification Date
	DTP*463 - Date - Begin Therapy
	DTP03 - Begin Therapy Date
	DTP*472 - Date - Service Date
	DTP03 - Date of Service
	DTP*480 - Date - Oxygen Arterial Blood Gas Test
	DTP03 - Arterial Blood Gas Test
	DTP*481 - Date - Oxygen Saturation Blood Gas Test
	DTP03 - Oxygen Saturation Test
	DTP*607 - Date - Certification Revision
	DTP03 - Cert Revision Date
	LX - Service Line
	LX01 - Line Counter
	NTE - Line Note
	NTE02 - Notes
	QTY - Anesthesia Modifying Units
	QTY01 - Anesthesia Quantity Qualifier
	QTY02 - Anesthesia Modifying Units
	REF*6R - Line Item Control Number
	REF02 - Line Item Control Number
	REF*G1 - Prior Authorization or Referral Number
	REF02 - Prior Authorization or Referral Number
	SV1 - Professional Service
	SV101 - Procedure Code
	SV101 - Procedure Code Modifiers
	SV102 - Line Charges
	SV104 - Units of Service
	SV105 - Place of Service
	SV107 - Diagnosis Code Line Number
	SV109 - Emergency Indicator
	SV111 - EPSDT Indicator
	SV112 - Family Planning Indicator
	Loop 2410 - DRUG IDENTIFICATION
	CTP - Drug Quantity
	CTP03 - Drug Unit Price
	CTP04 - National Drug Code Unit Count
	CTP05 - Unit or Basis of Measurement
	LIN - Drug Identification
	LIN03 - National Drug Code
	Loop 2420E - ORDERING PROVIDER NAME
	NM1*DK - Ordering Provider Name
	NM1 - Ordering Provider Name, Tax ID and Provider ID#
	NM103 - Ordering Provider Last Name
	NM108 - Ordering Provider ID Type
	NM109 - Ordering Provider ID
	REF - Ordering Provider Secondary Identification
	REF02 - Reference Identification
	Loop 2430 - LINE ADJUDICATION INFORMATION
	CAS - Line Adjustment
	CAS01 - Claim Adjustment Group Code
	CAS02 - Adjustment Reason Code
	CAS03 - Adjustment Amount
	SVD - Line Adjudication Information
	SVD01 - Other Payer Primary Identifier
	SVD02 - Service Line Paid Amount
	SVD03 - Procedure Identifier
	SVD05 - Quantity
	Loop 2440 - FORM IDENTIFICATION CODE
	FRM - Assigned Identification
	Loop 2310E - AMBULANCE PICK-UP LOCATION
	NM1*PW - Ambulance Pick-Up Location
	Loop 2310F - AMBULANCE DROP-OFF LOCATION
	NM1*45 - Ambulance Drop-Off Location

system · March 7, 2013, 6:08am

robertrambo wrote on Thursday, March 07, 2013:

Please elaborate on the loop error
What is the sub element etc

Loop 1000A - SUBMITTER NAME
	NM1*41 - Submitter Name
	NM102 - Submitter Type Qualifier
	NM103 - Submitter Name
	NM109 - Submitter ID
	PER*IC - Submitter EDI Contact Information
	PER02 - Submitter Name
	PER03 - Submitter Contact Number Qualifier
	PER04 - Submitter Telephone Number

system · March 7, 2013, 6:17am

robertrambo wrote on Thursday, March 07, 2013:

Try this http://www.x12view.com/

I am working on a php parser but below seems pretty good
http://search.cpan.org/~prasad/X12-0.80/lib/X12/Parser.pm

system · March 7, 2013, 6:20am

robertrambo wrote on Thursday, March 07, 2013:

Hi bgregg

Just want to Thank you for the link to the viewer im going to try it out today!

-Rob

system · March 8, 2013, 1:31am

robertrambo wrote on Friday, March 08, 2013:

CMS 5010 837 I & P Technical documentation
With the latest 2013 values that are expected
http://www.cms.gov/Medicare/Billing/MFFS5010D0/Downloads/837IandPeditSpreadsheets.zip

EB20131V01

system · March 8, 2013, 5:47am

juggernautsei wrote on Friday, March 08, 2013:

I just want to pop this back to the top.

Any suggestions or insight on the question I asked about the NPI number not populating?

Sherwin

system · March 8, 2013, 4:59pm

robertrambo wrote on Friday, March 08, 2013:

Sherwin,

As usual I went too far but I will use it as a personal ref for the future;

// Summary
$$$ X12 gen_x12 2310A not populating
$$$ Userland = Patient/demographics/choices/*Referring Provider*!
$$$ Referrer =(Drop_List^)?; (PCP is referrer?);
$$$ Renderer = (Drop_list); = fee sheet (Attending Physician)

REM Is all of this set properly ^

<
Donna is talking about a loop 2310A?
She may need to enter this on intake it should be set on a patient by patient basis if you have more than one PCP
http://en.wikipedia.org/wiki/Primary_care_physician ?

Try goto Userland Patient/demographics/choices/*Referring Provider*!
(Make sure this vale is assigned if you desire output > unassigned) <=>
Fee sheet will give you rendering provider (drop down)
I assume patients are getting referred by their primary always?

***There is also the medicare referrer is renderer (check box?) = I need to do more on this form_131
<input type=“checkbox” name=“form_131” id=“form_131” value=“1”> admin/misc/medicare *refferer is renderer
    ‘MedicareReferrerIsRenderer’ => array(
      xl(‘Medicare Referrer Is Renderer’),
      ‘bool’,                           // data type
      ‘0’,                              // default = true
      xl(‘For Medicare only, forces the referring provider to be the same as the rendering provider.’)
    ),

Since you have not customized the gen_x12 did any of your globals get replaced?
I would do a diff on you /openemr/ before and after upgrade … since you have customized code,

4.0.1 - 4.1.1(10) “Its not that complicated probally” maybe you can do this later tonight!
diff
https://github.com/openemr/openemr/commits/rel-410
vs
localhost/openemr.your.ver w/patches

you probally already do a ftp compare?
before upgrade / patch?
>
Its hard so steer from this side
Hope in the future we can make x12 easier and more open!
(
I would like a dedicated sandbox for x12 testing
It will require alot of coding, parsing, scrubbing, error reporting, tweaking
We already have some error logging built in thanxs to Rod Roark @ sunset systems as you know
I would like to see this expanded upon into full blown scrubbing GUI PHP/HTML/JS
Brady, Rod are the goto’s on this
)
Does this help?