I have downloaded the X12 Requirements from the Palmetto GBA website (the Medicare carrier for my region) and I can’t make heads for tails from the information as I’m not techie enough. From what I can tell the Palmetto payer ID for my region (99) in N California is 01102. What I need are the values for the remaining fields in the X12 Partners setup under Practice Settings in OpenEMR. I am currently using patch 7. I have not updated to patch 9 yet due to the bugs in patch 8 and I’m waiting to see if 9 is stable. I’m assuming I can use patch 7 until the 5010 deadline realizing it’s only a few days away, but it buys me some time to watch the forums and send out a bunch of claims that have accumulated while I have been configuring OpenEMR.
If the fields change under the X12 setup in patch 9 due to the 5010 changes it would be great if I could get the new setup for medicare under the new patch as well.
I direct bill to PalmettoGBA from southern California and there still is as patch to the code that has to be made that concerns your submitter ID. I will get the settings rounded up and line number of the patch for you. I also process ERA’s downloaded from Palmetto, works real nice.
In the openemr\library folder, gen_x12_837_inc.php needs patched on line 47 to:
$out .= “*” . trim($claim->x12gssenderid());
It previously was a ETIN but PalmettoGBA wants your submitter ID here.
ID Number 01192
Receiver ID 01192
Sender ID (your palmetto id)
Application sender code 01192
EDI access number (blank)
Version 005010X222A1
Proc format cms