OpenEMR and Availity

rdhingra wrote on Monday, May 24, 2010:

I have registered with Availity for Eclaims.
Instead of doing a manual batch upload of the X12 files, I would like to have it automatic.
Once I generate the X12 from Billing module in OpenEMR, I would like that it login to the SFTP server and upload the files. Same with receiving files. I am told that I need to do some specific setup on the OpenEMR side to have the list of insurance companies as well as have EDI set up.
Can anyone help me figure out what changes I need to make.

Thank you very much

Rema Dhingra

zhhealthcare wrote on Friday, August 27, 2010:

Rema

Were you able to get a response to this post?

coldblood wrote on Saturday, August 28, 2010:

I too would also like to know how to set this up.

drholmes wrote on Thursday, September 09, 2010:

I use InfinEDI clearinghouse in Oklahoma, USA and InfinEDI provided a fast, password-protected program I use to grab the X12 file from a designated X12-folder on my desktop. Previously, I used Lytec Medical (without the EDI module) and Lytec required a third party program to grab and send the X12 file from a folder to the clearinghouse. That would be a lot to expect for OpenEMR to connect direct to the clearinghouse.

verbus wrote on Friday, September 10, 2010:

All,

We are creating a connection between OpenEMR and a clearinghouse. If you are interested please contact me me off-line.

Regards,
Verbus Counts
EMR Technical Solutions, LLC
https://emrtsolutions.com/
803-727-8576

tmccormi wrote on Friday, September 10, 2010:

I use Availity with OpenEMR.  You can request an sFTP account with them.   I have cron job scripts that upload EDI X12 files when they are complete and monitor and download the response files as they arrive.

I also have scripts that parse the response files and email the results as well as posting them to an OpenEMR ‘Errors’ table that can be viewed and acted on from the billing process tool.  This is for 3.2 at this point.  I am going to port it to 4.0 soon.

most of the code for this is on my website at http://www.mi-squared.com/openemr-tools/

-Tony

zhhealthcare wrote on Friday, September 10, 2010:

Thank you, Toni,

Truly the spirit of open source.

anonymous wrote on Friday, September 17, 2010:

Hi,
I am newbie in this site.
The Electronic Medical Record will have all the health documentation for each of your patient thus lessening any paperwork done in your office.
Thanks.

Hi Tony,

Thanks for sharing this — it sounds like exactly what I’m looking for. I tried accessing the link you mentioned (http://www.mi-squared.com/openemr-tools/), but it looks like the page or content may no longer be available.

Would you be able to re-share the scripts or updated link? I’m especially interested in the cron job scripts for uploading X12 files and handling the response files from Availity, and how you integrated the results into OpenEMR’s billing process tool.

Appreciate any help you can provide — thanks again for making tools like this available to the community!

Hello @anujjoshi3105 welcome to the OpenEMR Community!

Looks like you accidentally got ahold of Tony McCormick’s post to this thread… 15 years ago? Unfortunately he’s not v active on the forum these days. But I, too, am with MI-Squared and can reply to your question.

Probably the best thing for you to do is search this forum for community members’ previous posts on the same topic (see pic below).

It is v common to do what you’re asking and plenty of information is available on the topic.

Come back here if you develop any questions on specific aspects of it.

Best- Harley