Transcript WPS Health Insurance - Wisconsin Physicians Service

WPS EDI
Medicare EDI Gateway
Slide 2
About this PowerPoint…
• This presentation is not intended to replace
the Medicare EDI Gateway user guide.
• The purpose of this presentation is to give a
brief overview only.
• Your screen views and use of Wizard may
vary from what is presented here.
Slide 3
About the Medicare EDI Gateway
•The Medicare EDI Gateway allows for secure
transfer of information for EDI trading partners
via a Network Service Vendor (NSV) or over the
secure AGNS network directly to WPS.
•All transfers via this network will connect to one
server.
•WPS does not allow any form of unsecured
FTP.
Slide 4
Network Service Vendors (NSV)
• WPS is working with the NSV to ensure
there is no disruption in service to
electronic providers;
• Your current connectivity through an NSV
will remain in place, therefore, connectivity
via bulletin board system is not required;
• You can use your current submitter IDs for
J8.
Slide 5
Connecting Via NSV
• From your computer, open your web browser.
• In the address bar, enter the address
https://69.222.73.69/
• You may be presented with a similar certificate message.
• Click “Continue to this website”; then “OK”.
Slide 6
Sign On Screen
• Your Username is your
Submitter ID. In most cases,
this is a 4 to 9 digit alpha
numeric or 5 digit number.
• Your Password was assigned
by WPS EDI Staff.
• Once you’ve entered your
Username and Password, click
“Sign On”.
• If this is the first time you’ve
connected, you’ll be required
to change your password.
Enter your new password and
click “Change Password”:
Slide 7
Changing Initial Password
Slide 8
WPS Password Requirements
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Your initial password will have been provided by WPS EDI Staff.
Passwords expire every 60 days.
All passwords must be at least 9 characters.
All passwords must contain at least one UPPER CASE letter.
All passwords must contain at least one lower case letter.
All passwords must contain at least one number.
All passwords must contain at least one special character (i.e. #, $, @, &,
etc.)
Passwords will expire after 60 days. You must change your password
before it expires.
Passwords cannot be changed more than one time within a 24 hour period.
24 passwords are ‘remembered’ and cannot be reused until 24 others have
been utilized.
Account is locked after 3 unsuccessful login attempts within 60 minutes.
The account will remain locked for 180 minutes.
Slide 9
Home Page
Uploading EDI Files Using the
Upload Wizard
Slide 10
• NOTE: If this is your first time connecting to the Medicare EDI
Gateway, then the Wizard is NOT enabled. Clicking “CLICK
HERE to Launch the Upload Wizard” (bottom of the screen)
will download the wizard and install it.
• If you are using Internet Explorer, you may choose to use an
ActiveX or Java version of the Wizard.
• If you are using a different browser, the only option you will
have is to install the Java Wizard.
Slide 11
Select A Folder Drop Down
• Select Test-Send to send test files; ISA15 = T
• Select Prod-Send to send production files; ISA15 = P
Slide 12
Add File
• You can add files to this box
via two methods
• Click “Add File” to bring up a
file dialog box where you
browse to the folder that
contains your files. Selecting
your files will list them in this
box. If you have files in
several locations, repeat this
process until all files are listed
in the box.
• You can drag and drop files
into the box (the white portion).
• Click “Next >”.
Slide 13
Adding Files
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This box gives you the option to
upload your files individually, or
have them zipped into one file.
Zipping a file(s) can greatly speed
up transmission time as typical
claim files compress to about 10%
of their original size.
If you choose to zip your file(s),
the screen changes to include an
“Upload As:” field. This field is
used to enter a filename for your
zip file. A default filename of
“Upload.zip” will be entered.
WPS highly recommends that
you choose your own unique
filename!
Slide 14
Recommended File Naming
Conventions
• Your File Name Should Be Your Submitter ID (User ID) Followed By
".Dat" Or ".Zip".
• For example, if your User ID is 99999, you should key <99999.DAT>
or <99999.zip> (for multiples 99999a.dat, 99999b.zip, etc...)
• When your upload is complete, the box will disappear.
Slide 15
Downloading Files
Slide 16
Select Directory to Download to
Slide 17
Transferring with sFTP (SSH FTP)
• For users who would like to script their files transfers, an sFTP client will be
required.
• An sFTP Client is NOT provided or recommended by WPS.
• WPS does not provide technical support to sFTP users.
If you decide to use an sFTP client, you’ll need the following information.
• Establish a connection via a Network Service Vendor (NSV)
• Point your SSH FTP client to the following IP address: 69.222.73.69
• Test files should be uploaded to /Home/Test-send/
• Production files should be uploaded to /Home/Prod-send/
• Files waiting to be downloaded will be in your personal home folder
/Home/[UserID]
Slide 18
WPS File Naming Conventions
subid.date.time.fileID.prod/test.file ID Line Of Business. Transaction;
• 90001.ccyymmdd.hhmmss.nnnnnn.TLOB.trans
- or• 90001.ccyymmdd.hhmmss.nnnnnn.PLOB.Trans
Examples:
• 90001.20120507.204240.2522892.PINB.277CA
• 90001.20120507.194416.2521904.PMIA.999
• 90001.20120508.032902.PJ5B.5010-835
• 90001.20120508.130830.1259042541253.TMNB.5010.REJECT
• 90001.20120508.032902.PJ5B.5010-835.RESEND
Slide 19
WPS EDI Sites
Main:
• http://www.wpsic.com/edi/
Medicare:
• http://www.wpsic.com/edi/med_index.shtml
J8:
• http://www.wpsic.com/edi/med-macj8.shtml
5010 Readiness:
• http://www.wpsic.com/edi/5010-Readiness.shtml
EDI ACTs:
• http://www.wpsic.com/edi/med_edi_act.shtml
Slide 20
Network Service Vendors (NSV)
• For a current list of Network Service Vendors
(aka connectivity vendors) visit our web site:
• https://www.wpsic.com/edi/pdf/medicare_connection.pdf
Slide 21
Contacting EDI
• EDI Hotline (8-4:00, cst): 866-503-9670;
• [email protected];
• [email protected];
• http://www.wpsic.com/edi/med-macj8.shtml
Reminder: when contacting EDI via email, CMS
prohibits the sending of Protected Health
Information (PHI) over the internet. Do not include
PHI in email correspondence.