Topic: Transmission Status for Reporting
Where: From the file configuration, under the setup tab
Details: Updated the reporting status options under the file setup tab. The options were meant to take the user through the life cycle of the EDI file configuration process. We are also pulling in these status definitions to facilitate better reporting of the file status.
We have also replaced the Test/Production (ISA15) check box. The ISA15 will be populated based on the Transmission Status options. When status = production, the export will write a ‘P’ in ISA15. Any other setting will write a ‘T’ in ISA15. Client report coming soon!
Topic: Multiple Transaction Sets Feature
Where: From the file configuration, under the plans tab, the New Transaction Sets option
Details: Carrier may require file to be sorted into multiple transaction sets based on a grouping of enrollments. Typically the grouping will be based on a plan or group number. The transactions sets are sorted alphabetically and each transactions set begins with the ST segment and ends with the SE segment.
To configure, go to the Plans tab, then the New Transaction Sets sub-tab. Grouping is identified by either the Member REF*1L in the 2000 Loop or the Plan REF*1L in the 2300 Loop. Additionally, option to separate by COBRA is available. Add rules to the 2000 or 2300 loops.
Where: In the Header Loop, BGN segment, element 02
Details: An unset BGN*02 will write the auto-generated ST*02 value.
Where: Transmission via SFTP
Details: Various changes to stabilize transmission via SFTP protocols, which resolved all known transmission issues.
Topic: Prevent Save of Rule without Conditions
Where: From the add/edit rules
Details: Made a couple tweaks to saving/changing rules. We are preventing a rule from saving until a condition has been added. When editing an existing rule, and removing a condition, the rule is not changing to inactive unless there are no remaining conditions.