X12 ISA segment availity claims

performed a test @ OpenEMR Login and it’s downloading what appears to be a valid ISA so there most likely is a setting in either the insurance company or X12 partner

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This is what I have for the X12 partner:

For the insurance company, I only have a payer ID

not sure, can’t reproduce on OpenEMR Login either

do you have any special Billing Globals set?

No, I have not really modified anything.
where is the file located? I want to compare it to the one in the openemr-7…zip

Wait a minute. I know what the problem is. I only installed the patch, not version 7. I did the upgrade wrong. That is what is happening.

Sorry. I will fix it and let you know

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@stephenwaite

Hello, so I have upgraded, following the instructions here:

https://www.open-emr.org/wiki/index.php/Linux_Upgrade_6.1.0_to_7.0.0

and here:

https://www.open-emr.org/wiki/index.php/OpenEMR_Multiple_Sites_Module

Then patched, following the instructions here:

https://www.open-emr.org/wiki/index.php/OpenEMR_Patches

However, I am still getting the incorrect ISA segment:

ISA*00*          *00*  *ZZ*AV09311993     *01*030240928      *030911*1220928*0944*^*00501*000197922*1*P*:~

I did a search of the database for 030911 but nothing came up.
I doubt this is related to the insurance company. It’s the ISA segment, no patient data is included here, therefore, no insurance info should be here.
It must be from my general settings somewhere, or from my database.

Incidentally, I may have found an inconsistency in the upgrade instructions. I created a new thread here:

Thanks
Sandra

ok but I can’t reproduce on the demos so not sure how can help here

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Yes, I do understand!
I wonder the significance of 030911
Do you know what is supposed to go in that spot? I am not very familiar with the ISA segment.
I did try the demo and I do see the differences, but I am drawing a blank with troubleshooting.

Thanks for your help

030911 is the dummy data in the X125010837P.php class file

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I see, what is availity expecting here? Do you know?

a valid ISA is the issue, you have 2 dates with one having a leading 1

Hmmm, I am supposed to have only one date?

ISA*00*          *00*          *ZZ*               *ZZ*               *220928*1427*^*00501*000496488*0*T*:~

test file generated from OpenEMR Login

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Can you tell me if my X12 entry above (the pic above) is correct?
Should I eliminate the ID number then?
I gathered those numbers from reviewing the wiki and the forums

thanks

have to fix the underlying issue, shouldn’t hand edit X12 files

oh you weren’t asking that :slight_smile:

yeah, that looks fine, seems like there’s an issue with your codebase still

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ID number (ETIN) should be your availity customer number ID. Sender ID (ISA06) should be AV09311993. Application Sender Code (GS02) should be 5010. I had not used the Submitter EDI access Number (PER06), I have always left it blank.

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Thanks so much for replying

Huh?

“ID number (ETIN) should be your availity customer number ID”

For some reason I thought it was availity’s TIN

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This is what I have been doing and it has been working. Inside availity under User’s account. The drop down menu has a Manage My Organization item. When you click on it, the left panel has a Customer ID listed under the organization of interests name. Use that one. That being said, there may be more than one way.

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Yes, I went to availity and I actually found it. Thanks. I will give it a try

Thanks again

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Can’t wait to hear of your success!

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