OnlyConnect® - Washington Publishing Company
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1. 3 Click on New Topic x Context Submit A New Health Care Term New Term 4 Enter the new industry term in the topic title prefaced by New Industry Term Definition For example New Industry Term Definition Patient Amount Due x Context a Submit A New Health Care Term New Term New topic title Mew Industry Term Definition Patient Amount Due Post d E B rF cd a E O E Notify me by e mail of replies 5 Enter the description or post with instructions to TGC for the new term on line one followed by the definition on line two Context Submit A New Health Care Term New Term New topic title New Industry Term Definition Patient Amount Due Post de i B F cH a a e Add new industry term Patient Amount Due Add new definition The remaining amount the patient owes towards this claim Notify me by e mail of replies 6 Then click the Submit new topic button Note Users must create a new topic for each term definition request This is required to avoid situations where one term is approved to be added and another is not approved Context Submit A New Health Care Term New Term New topic title New Industry Term Definition Patient Amount Due Post d al B F c H a e Add new industry term Patient Amount Due Add new definition The remaining amount the patient owes towards this claim Notify me by e mail of2. Context Appendix A External Code Sources Head Mew Tonic 6 Enter the number and name of external code source in the topic title and the business reason for the request to add or remove the code set Then click on Submit New Topic Context Appendix A External Code Sources Head Post X Hg fA B ru i wu o Remove HIEC codes from the external code source list This code set is now part of the HCPCS code set Notify me by e mail of replies 16 Appendix B Nomenclature Appendix B is maintained by X12N TGC and contains two sub sections that outline the interchange control structure delimiters data element length exceptions to the X12 standard for the book exceptions to decimal usage and an explanation of object descriptors in the X12 standard 16 1 Commenting on ASC X12 Nomenclature 1 Click on Appendix B in the left navigation pane Preface 1 Purpose and Business Information 2 Transaction Set 3 Examples A External Code Sources CDM EDEN MUN M QI TUNI NUNC RUN MN M EIL 2 1 Presentatic E Industry Names Comment on Common Content Sut F ASC X12 Code List External Value Domain Harmonization a The ASC X12 standards are ge Comment on Common Content Far H 2 In the right navigation pane select Comment on Appendix B Nomenclature This is the latest draft 006020 D42 20120625 all comments that lead to a modification will take place in a fu
3. El Preface 1 Purpose and Business Information 2 Transaction Set All rights reserved Abstract The Health Care Claim Professional Trading partners include Open Comments Closed Comments Health care providers such as phy 2 In the right navigation pane select Comment on Appendix C EDI Control Directory C EDI Control Directory 3 Click OK to navigate to the source document under common content IX C EDI Control Directory This text is common content Click OK to jump to the source document 4 Once the source document is displayed the user can comment on the heading subheading bulleted list as well as request that a new section be added E EN EE HE NND NND NND D ND ND OD DD OD OD OD ND OD OD D OD OD D D OD OD D DL ND D OD OD OD D ND OD OD ND OD OD ee SD NND Appendix C EDI Control Directory Comment on Head above E EN EE HE NND NND NND D NND ND OD ODD OD OD OD D OD OD D OD OD ND D OD OD OD DL D OD OD OD OD ND ND OD OD D OD ND END ee ee NND C 1 Control Segments Comment on Sub Head above ISA Interchange Control Header Segment GS Functional Group Header Segment GE Functional Group Trailer Segment IEA Interchange Control Trailer Segment Comment on Bulleted List abowe Yi Add Hew Section 18 Appendix D Change Summary In OnlyConnect Appendix D is a placeholder for the actual change summary that will be created once a book is published The content of the change summary only appears i
4. Options Change Requests Reports Voting My Topics Notifications Topic Search Logout 6 1 Getting Started This section provides high level information about the levels of access voting procedures change summary information which provides information about what version the current books are using for development and OnlyConnect hints and practices 6 2 Procedures This section contains the ASC X12 Organization and Procedures manual Administrative Policies and Procedures Technical Report Handbook and policies around ASC X12 branding communications and use of the ASC X12 logo 6 3 Common Content and Dictionaries This section contains the front matter content that is common across all the books acronyms glossaries and industry terms Health Care and Property amp Casualty that are maintained by the Technical Task Group C TGC 6 4 Committee Charters This section contains the charters for the Marketing and Business Task Group MBTG and the Code Maintenance Committee 6 5 Subcommittees This section contains the documents books maintained by the ASC X12 Subcommittees The following subsections exist under Subcommittees e Task Groups e Work Groups e Books 7 Right Navigation Pane When navigating through the nested tree in the left navigation pane the right navigation pane will display the home page or the detailed content of the level you have selected Based on your user access and work group affiliation
5. 6 Entering a Topic title Context Claim Information CLMO2 Element Mark All Topics Read New topic title Post BM B r ow da A Notify me by e mail of replies Submit new topic More gt More gt 10 6 1 Change Request Reference e Each topic must begin with a change request reference in the title The format is CR space followed by the change request number 10 6 2 Book References e Each topic must begin with a book reference in the title The format is XNNN which is the last four characters of the book number For example X259 for the 6020 version of the 837P e f multiple books are impacted within the same transaction set it is appropriate to use the transaction set number prefaced by the word All For example All 837s e f multiple books are involved across transaction sets but the requested change only impacts one of the books where the information is shared the user must enter the word Only after the book references in the title 10 6 3 Location References e The book number must be followed by the location of the requested change e The format is transaction set order for a requested change to Chapter 2 Transaction Set For example Loop 2010AA NM109 e The format is Section number and Section or Sub Section Title for a requested change to Chapter 1 Purpose and Business Information a k a Front Matter or Chapter 3 Examples e The title must include a meaningful refer
6. Situational Rule Required when patient has made payment specifically toward this claim If not required by this implementation quide do not send y Comment on Shared Situational Rule above 10 3 1 10 Comment on TR3 Notes below This button is used when adding a new Note to an existing Loop or Segment when other Notes exist TRS Notes Comment on TR3 Notes below 1 The developers of this implementation quide recommend that trading partners limit the size of the transaction ST SE envelope to a maximum of 5000 CLM segments There is no recommended limit to the number of ST SE transactions within a GS GE or ISA IEA Willing trading partners can agree to set limits higher 10 3 1 11 Comment on Unique TR3 Note above This button is used when modifying an existing unique TR3 Note TRS Notes Comment on TRS Notes below 1 This is not used for claims where the provider is reporting only the rental price or only the purchase price Sy Comment on Unique TR3 Note above 10 3 1 12 Comment on Shared TR3 Note above This button is used when modifying an existing shared TR3 Note Notes are considered shared when they are used in multiple locations within a book or multiple locations across multiple books or both TRG Notes Comment on TRS Notes below 1 The developers of this implementation quide recommend that trading partners limit the size of the transaction ST SE envelope of ST SE transactions within a GS G
7. e Voting access is restricted to delegate users and allows a user to view uncalled and unresolved voting items and My Voting Items which are topics that require a vote e My Topics allows you to view topics that you created in OnlyConnect by status section D Topics provides more detail about My Topics e Notifications allows a user to set up email notifications when changes are requested to books the user can access Section C Notifications provides more detail about Notifications e Topic Search allows a user to search by topic number e Logout used to logout of OnlyConnect 3 Once a user navigates away from the home page Options will appear at the top of the page in the right navigation pane when viewing a book Change Requests Reports Voting My Topics Notifications Topic Search Logout Getting Started Procedures EE This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take IL priis Dictionaries place in a future draft Change Draft E Task Group 2 Health Care Claim Professional Work Group 1 Work Group 2 E 006020X259 837He MAY 2012 PRE PUBLICATION DRAFT B Navigation 6 Left Navigation Pane E Contents Search Getting Started Procedures imemz OnlyConnect A Collaborative Web Based Standards Database Management System You are Logged in Kelly Butler Questions Send an email to OnlyConnectAdmin wpc edi com
8. to review and click View again to get to one of the location of the topic ts Reports Voting My Topics Notifications Topic Search Logout View Locations The Topic Revise term and definition Prescription Number within Industry Dictionary Prescription Number currently appears In Industry Data Element Dictionary vies P amp C Industry Terms Existing View 3 Click on the topic title to get to the details of the topic Context Industry Dictionary Prescription Number This content is shared in the following locations Industry Data Element Dictionary F This Page P amp C Industry Terms Existing Revise term and definition Prescambticn Number Topic Id 15248 Depending on the status column you choose the information returned will vary The My Topics screen can be used as a means for tracking open topics a reference tool to identify when changes have been incorporated into a draft and for historical reference on changes made some OnlyConnect reports also provide this type of status by book which will display all topics regardless of the user see Chapter E for more information on reports The My Topics screen under your user login will only display topics created by you E Reports 14 Selecting a Report to view Several reports exist for the current draft of the books common content dictionaries and public review comments New reports are created as needed by the working groups IGDG 1 Sele
9. version B Emus aU Cha ze i me fut putt ein A39 GAIA el Pu rad hanged LJ Disagree me tunchonal y is aurady provided D Sopperter commant no neuen der cane CO Thee Hi hel ehoush ieforeqeen induded in year commen for us 18 maler d debes g5on of acon PRA dum a eal d busire 1 Cate explaining Te brriness need ior ftue congsdergtson CO Tha ig fel Es Serer te lenin dor tin oh pin Coni dy Sng pour orden lo mae RTT pert Bor sen j Thess bs pad ofthe uz corer ang canned be phanzed py fw ee cl fus ep eee gale Taur camcn will be sume dor consideran inf nex vere of fue standard imeiemenitason quede contem Ho change wel Ge made in Pr version cime implements on oues d RE oer CO CHER ml coda Fu dioit Y future rat imer Do Bi Wu Change Uie sernonce Ta This paragraph is ONLY used in books owned by Voting Demonsirabon Group one Resolutions 1 E 2 Agree will change in a future published version e This resolution indicates that the requested change will be made in a future version of the book Agree will change in the next published version Add details of the exact changes e This resolution indicates that the requested change will be made in the current working version of the book The details provided here become directions to the publisher They must be unambiguous instructions Disagree no change will be made Add details on why the IGDG disagrees e his resolution indicates that the requested change will not be mad
10. weiker hp com e For levels such as Books the detail will contain the content from the Section Loop or Segment selected for the current draft version Note The version number is located in the top gray box Mj Contents s Getting Started El Procedures Organization and Procedures OPM M Administrative Policies and Procedures SD 1 Handbook oup 2 E E 006020X259 837 Health Care Claim Professional C Preface 1 Purpose and Business Information E 2 Transaction Set O 2 1 Presentation Examples 2 2 Implementation Usage 2 3 Transaction Set Listing E 2 4 837 Segment Detail Table 1 Header Table 2 Billing Provider Detail Table 2 Subscriber Detail E Table 2 Patient Detail E Loop 2000C Patient Level C HL Patient Level C PAT Patient Information Loop 2010CA Patient Name tZ Loop 2300 Claim L CLM Claim Information O DTP Original Claim Creatio O DTP Onset of Current Illne E DTP Initial Treatment Date O DTP Last Seen Date O DTP Acute Manifestation O DTP Accident Date O DTP Last Menstrual Perioc O DTP Last X ray Date DTP Prescription Date ili i Authorized Return to iui Assumed and Relinqu Property amp Casualty L1 333333333 Patient Amount Paid Predetermination Ide Service Authorization 080 cs cn cc ci cc cn a Mammancanhe me p 8888222 Mandatory Medicare Change Requests Reports Voting My Topics Notificat
11. ASUAe Only Connect User Manual 1 Table of Contents A ANTFOQUCIHION cuo IEEE EC be ii tas RIA EP RU UE RUE Nd iaa 4 2 GANE ACCESS to Only COhFie CEausseenen nostis vac Ver alters INI PUMD MASE RN D Lad IO d PI UN M Rs OUR n d ED 5 SS ROle Based ACCES Saniser ie acacia acentios codenadstanauieh ia 6 Je REJA ORY A a a a a aa 6 SDs Paca 6 3o Delege casa ea tae dea aca 6 34 ANNO il cs 6 MENT URN EIL UI ETT E 7 S ROMS RA Re re ee er 8 B NaVIgati l Gestis nie br CHE C aci seta pi aid 10 Be ETE INAVISatlO mie Mio AA AAA A A A 10 MEE C aai PET TET UTE 10 D 2 a GS usi hot O 10 5 3 Common cContentahgd Dictionaries e teme tid 10 64 Committee Charters ninia ia iii 11 60 JSUDCOIIirWltEees seien oo iones ios 11 ER MCI ION PANE EIE m ommo E 12 7 1 Finding and navigating inside a DOOK cccooccnnononononanonenanonnonacononaronnnnnnononarononanonnonarononacnnenanonos 14 5 FINGING a previous dran OF d DOOR ii ar ara oM RS QUE 18 CNOTU ICALIONS eR 19 9 Sete UO NOUN UON iiec tone tuat So 19 SMELL o diee m RENE T T 19 92 TODIC INO UITIG ATION S sacan uusdetoat e n 183 accesses sio A ete 20 D FODICS arenae a 22 10 ENTES ODISEA 22 TOT TV NCW Em 22 10 2 Purpose and Business Information Topic Changes Chapter 1 cocooocccncnnnncnnnnnanonnnonanonononos 22 10 3 Transaction set Topic Changes Chapter 2 nana rs 23 I0 4 Example Changes EAS Eo 33 20 5 TODICDIalOS BOX usse ittis sire c era ee pue
12. D 2010BB in the Subscriber Hierarchical Level HL when patient information is sent in Loop ID 2010BA of the Subscriber HL Claim information is placed in the Patient HL when the patient information is sent in Loop ID 2010CA of the Patient HL When the patient is the subscriber or is considered to be the subscriber Loop ID 2000C and Loop ID 2010CA are not sent See Subscriber Patient HL Segment explanation in section 1 4 4 2 2 2 for details Comment on Shared TR3 Note above A TR Fvamnle Cl M A17YHRRRok Alice 4 4 AA e Voie Ae Ve D ment Usage above 7 1 Finding and navigating inside a book 1 Click on Subcommittees on the left navigation pane lt Contents s Sear Getting Started Common Content and Dictionaries 2 Click on the Subcommittee where you participate for example Insurance X12N 3 Contents Getting Started 3 Click on the Task Group where you participate for example the Health Care Task Group Task Group 2 Contents Search I 3 Getting Started Procedures X12M 4 Click on the Work Group where you participate for example the Health Care Claim Work Group Work Group 2 Contents Search M 3 Getting Started Procedures X12N Task Group 1 Group 2 Work Group 1 Work Group 2 Work Group 3 Work Group 4 Work Group 5 Work Group 9 Work Group 10 C Work Group 12 Work Group 15 Work Group 20 PACDR X 12M 5 Once you click on the Work Group you will be presented w
13. E or ISA IEA Willing trading partners can agree to set limits higher Comment on Shared TRS Note above s 10 3 1 13 Comment on Unique Example above This button is used when modifying an existing unique Example TRS Example DTPx296xD amp x 20110108 Comment on Unique Example above 10 3 1 14 Comment on Shared Example above This button is used when modifying an existing shared Example Examples are considered shared when they are used in multiple locations within a book or multiple locations across multiple books or both TRS Example DTP 523 D8 20110517 gt Comment on Shared Example above 10 3 1 15 Comment on Element Notes below This button is used when adding a new Element Note ELEMENT DETAIL USAGE D E NUM HAME REQUIRED 374 Date Time Qualifier Code specifying type of date or time or both date and time INDUSTRY NAME Date Time Qualifier Comment on Element Notes below 10 3 1 16 Comment on Requirement above This button is used when modifying an existing Element requirement REQUIRED CLMO2 Monetary Amount Comment on uirement above Monetary amount SEMANTIC CLMO2 is the total amount of all submitted charges of service segments for this claim 10 3 1 17 Comment on Composite Notes below This button is used when adding a new Element Note to an existing Composite Data Element i e C024 or sub component Element i e 1362 SITUATIONAL CLM11 Related Caus
14. X261 Health Care Claim Dental REF Property amp Casualty Claim Mumber REF Property amp Casualty Claim Number Annotate New Topic Mark All Topics Read Topic B Revise situational rule Revise situational rule Topic Id 4322 Revise situational rule 13 1 My Topics To search or review topics you have entered click on the My Topics link at the top of the right navigation pane or from the home page Hight Navigation Pane Change Requests Reports Voting My Notifications Topic Search Logout This is the latest draft 006020 D42 201 20625 all comments that lead to a modification will take place in a future draft Change Draft Home Page OnlyConnect A Collaborative Web Based Standards Database Manage System You are Loggedin Kelly Butler Questions Send an email to OnlyConnect amp dmini wpc edi com Options Change Requests Reports Voting My Topics Notifications Topic Search Logout The My Topics screen will be displayed This screen contains all the topics an individual user has entered into OnlyConnect along with the title and status of those topics Change Requests Reports Voting My Topics Notifications Topic Search Logout My Topics Archived 15248 Revise term and View 16058 Public View 1 7400 View 412 Revise example definition Review Industry Term Prescription Number Comment Line Check or l Example Remittance 15248 Revise term an
15. a date and time stamp of the reply Context x Submit A New Health Care Term New Term Title Add new Industry Name Defnition for SBRO1 in 837 Guides Notify me by e mail of replies 4 18 2012 12 28 07 PM Kelly Butler 2000B SBR 01 Industry Name Payer Responsibility Sequence Code 20008 58R01 Definition Identifies in the opinion ofthe submitter the relative adjudication order of the destination payer among all ofthe payers identified in this claim 2320 58R01 Industry Name Other Payer Responsibility Sequence Code 2320 58R01 Definition Identifies in the opinion of the submitter the relative adjudication order of the non destination payer in this iteration of Loop ID 2320 among all of the other payers identified in this claim 4 24 2012 14 39 18 AM Pete Anderson ls How does the first new term definition differ from this existing term definition Payer Responsibility Sequence Number Code Code identifying the insurance carrier s level of responsibility for a payment of a claim url url Used In urt url Enrollment X283 834 1 4000 2320 COBUO url url Enrollment Response X281 834 A2 4000 2320 COBO 1 url url Services Reporting X262 837 A1 0050 2000B SBR OT url url Services Reporting X262 63 A1 2900 2320 SBRO 1 url url Professional Claim X259 837 441 0050 2000B SBRUOT url url Professional Claim 259 83 41 2900 2320 SBR T url url Dental Cl
16. a description or post with instructions to TGC with the new term definition Medical Record Number Post EA B Z a i Change defintion to A unique number assigned to the patient to assist in the retrieval of medical records 6 Click the Submit new topic button New topic title Change existing industry definition Medical Record Number Post ma raros aa lO Change defintion to A unique number assigned to the patient to assist in the retrieval of medical records Notify me by e mail of replies Submit new topic
17. aim X261 837 Q2 0050 2000B 5BR01 url url Dental Claim X261 837 Q2 2900 2320 SBR url url Institutional Claim X260 837 03 0050 20006 SBRUT url url Institutional Claim X260 837 03 2300 2320 SBRUT 12 Voting on Topics Users who are Delegates can call a topic to a vote There are 9 pre defined resolutions listed on page 45 and 46 for the Delegate to select when calling a topic to a vote Calling a topic to a vote results in a cast of your working group s ballot It sends an email to all eligible voters if the requested change crosses books and or working groups It adds the resolution and associated text to the discussion thread under the topic and it closes the topic discussion 1 To call a topic to a vote you must select the topic by clicking on the topic title Bag 9 13 34 a e DM Change the sentence lo This paragraph is ONLY used in books owned by Voting De monstrabon Group one 3 he Call a Topic to Resolution page is displayed The voter is required to select a resolution and in some cases enter instructions to the publisher or a reason for disagreement with the requested change a Casts your work anos ballet a Senda an emad te ul elle vebers a Addi the eat of yea electi n belga aio the uo thread a ioter the dcutsion Tes ID 4139 Tile veter Tor VIGV1 can ented topa call iL and no farther action Is needed C Agri alii canas i acutene published
18. be modified before calling to a vote Voting will be discussed in further detail in Section 12 11 Replying to Topics 1 To reply to a new topic you must first select the topic by clicking on the topic title New topics are prefaced by an exclamation point icon to the left of the topic Context Industry Dictionan Prescription Number This content is shared in the following locations Industry Data Element Dictionary F This Page P amp C Industry Terms Existing New Topic Mark All Topics Read Revise term and definition Prescription Number Notify me by e mail af replies Reply 10 12 2041 1 14 09 PM Kelly Butler Change to Prescription or Link Sequence Number Change definition to The unique identification number assigned by the pharmacy or supplier to the prescription or compound drug ingredient 3 Type your response into the Your Reply box and click on the Submit reply button Revise term and definition Prescription Number Notify me by e mail of replies Your Reply de e B fF a H l agree with the proposed change 10 12 2011 1 14 09 PM Kelly Butler Change to Prescription or Link Sequence Mumber Change definition to The unique identification number assigned by the pharmacy or supplier to the prescription or compound drug ingredient 4 Once the Submit reply has been clicked a new post will be recorded under the existing topic with the name of the user who entered the reply along with
19. ct the Reports link at the top of the right navigation pane or from the OnlyConnect home page Hight Navigation Pane ts Rees Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D30 20120626 all comments that lead to a modification will take place in a future draft Change Draft Home Page OnlyConnect A Collaborative Web Based Standards Database Management System You are Logged in Kelly Butler Questions Send an email to OnlyC on 2 The Select Report screen will be displayed Change Requests Reports Voting My Topics Notifications Topic Search Logout Select Report to be displayed 09 Public Review Comments 03A Public Review Comment To Do List 09B Public Review Comment To Do List X304 03C Public Review Comment To Do List PACDR 14 1 01 Topics 006020 TR3s This report allows a user to view topics by book number and status This report has been replaced by Report 11 14 2 02 Topics Requiring Action This report allows a user to view topics that require action by the working group IGDG F Appendices 15 Appendix A External Code Sets Appendix A is maintained by X12N TGC and houses all external code sets used throughout the book with the code source information on where the codes are available and the abstract of what the codes represent External code sets can be added to a book only after the proper data maintenance has been done
20. d iew is for Date definition Sales Tax 132 Revise situational Test Revise Code Source Prescription Number Amount 17509 Add new Indust rule Topic Statuses Open Discussions e Topics that fall under this status have been started are open for comment but have not been called to a vote Closed Discussions e Topics that fall under this status are out for vote and may be vetoed during a vote Approved e Topics that fall under this status are approved but are not yet incorporated in the current version of the working draft book Archived e Topics that fall under this status are approved and have been incorporated in to the current version of the working draft book 13 2 Viewing topics 1 Click View to see the locations where the topic appears Change Requests Reports Voting My Topics Notifications Topic Search Logout My Topics Open Discussions 15248 Revise term and E 16058 Public View 17400 Add new definitian AB Review Industry Term Prescription Number Comment Line Check or amnie Hemitta The View Locations screen will be displayed Change Requests Reports Voting My Topics Notifications Topic Search Logout View Locations The Topic Revise term and definition Prescription Number within Industry Dictionary Prescription Number currently appears In Book Industry Data Element Dictionary View P amp C Industry Terms Existing View 2 Find the book you want
21. dered shared when they are used in multiple locations within a book or multiple locations across multiple books or both Change Requests Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Draft 837 X258 Professional Claim Line Supplemental Information Comment on this Segment SEGMENT DETAIL PWK LINE SUPPLEMENTAL INFORMATION Comment on Shared ment Hame above 10 3 1 6 Comment on Segment Repeat above This button is used when modifying an existing Segment Repeat SEGMENT DETAIL PWK LINE SUPPLEMENTAL INFORMATION Comment on Shared Seqment Name above A12 Name Paperwork A12 Purpose To identify the type or transmission or both of paperwork or supporting information X12 Syntax 1 P0506 If either PWKOS or PV KD amp is present then the other is required 2 P1011 If either PWK10 or PWKT11 is present then the other is required Loop 2400 SERVICE LINE NUMBER Segment Repeat 10 Comment on Segment Repeat above EL 10 3 1 7 Comment on Segment Usage above This button is used when modifying an existing Segment Usage SEGMENT DETAIL SV4 PROFESSIONAL SERVICE Comment on Shared ment Name abowe X12 Name Professional Service X12 Purpose To specify the service line tem detail for a health care professional X12 Syntax 1 P0304 If e
22. di E Jraustry Names sse do nte dated o nc roe dta te URS Bed mI deiude at UD rao irm I deba Eod MM PEE 61 19 1 Commenting on Industry NAMES aie rer Ee expe uer DG E Ee ETE Geh gore qu Her Ee vu ete b dre duas 61 19 2 Addie anew INGUSURY OWI eds eue Cocau taie SS 62 19 3 Modifying an existing Industry Term Definition ccccccccccccccccceeeeeeeeeseeeeseeeeeeececcecseeeeeeeeeaaaegs 67 A Introduction OnlyConnect is an application that was created by Washington Publishing Company WPC to support the development and maintenance of work products within ASC X12N This user manual is meant to assist ASC X12 work group members with using the OnlyConnect application for the maintenance of Technical Reports Type 2 and 3 residing in the Common Database The Common Database CDB was created to enforce consistency across work products Items in the CDB appear in books such as Implementation Guides Dictionaries and Foundation documents Items may be shared across books and groups OnlyConnect is the application layer used to make changes to the CDB This user manual does not contain detail instructions on changes to other documents housed in OnlyConnect but maintained by the Data Interchange Standards Association DISA Washington Publishing Company WPC the Technical Task Group C TGC the Communications Controls Subcommittee X12C or the Supply Change Subcommittee X12M 2 Gaining Access to OnlyConnect 1 Go to www wpc edi com o
23. e The Implementation Guide Development Group IGDG or working group must enter the rationale for disagreeing with the requested change Disagree the functionality is already provided e This resolution indicates that the functionality in the requested change already exists within the current working version of the book Undecided will consider this request for a future draft e This resolution indicates that the IGDG will consider making the requested change after further analysis however it will not be made in the current working version of the book There is no guarantee it will be incorporated into a future version of the book based on the outcome of further analysis and discussion This is part of the standard content and cannot be changed by the developers of this implementation guide Your comment will be submitted for consideration in the next version of the standard implementation guide content No change will be made in this version of the implementation guide standard content e his resolution means that the requested change requires data maintenance to the underlying ASC X12 Standard That data maintenance must be completed before the requested change can be incorporated into a version of the book 7 Supportive comment no request for change This resolution is used when a user enters a topic in support of existing data content 8 This is not the appropriate forum for guidance on implementations Consider submitting y
24. egments of the transaction set you must open up all levels of the nested tree e here is no expand all option available to view the entire transaction set at once 8 Finding a previous draft of a book 1 Click on the transaction set you want to view If you are already in the current draft of the book click on Change Draft in the gray box at the top of the right navigation pane Mf Contents Sear M Change Requests Reports Voting My Topics Notifications Topic Search Logout Getting Started E Procedures This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Draft Organization and Procedures OPM P Chanae Draft Administrative Policies and Procedure Technical Report Handbook Policies 837 X259 Professional Claim 2300 CLAIM INFORMATION Comment on this Segment A Create a New Loop Using this Loop as a Template SEGMENT DETAIL Group 2 E perum 837 Heal CLM CLAIM INFORMATION Preface 1 Purpose and Bus 2 Alist of previous drafts will display in red which include the version draft number and the date the draft was created To view click on any one of the drafts Select Draft e 006020 041 20120527 0060 0040 201 0514 3 The previous draft information will display in the gray box at the top of the right navigation pane Change Requests Reports Voting My Topics Motifications Topic Searc
25. ence to the location of the change in that section For example Section 1 4 5 1 Claim Level 2 Claim Payment Amounts Paragraph 2 10 6 4 Change Description e The location must be followed by a brief description of the change For example Change Situational Rule Add new Code to Code List etc 10 7 Entering the Topic Description Post The description or post for the topic must include the details of the requested change including the before and after language when appropriate along with the business rationale of the change x Context Claim Information CLMO 2 Element Mark All Topics Read Post BM B Pad i izWuo Notify me by e mail of replies Submit new topic More gt More gt 10 8 Submitting the Topic Once steps 10 6 10 7 are completed hit the Submit new topic button Context Claim Information CLMO2 Element Mark All Topics Read Post amp Hm H B rf HW Ht Qe Notify me by e mail of replies ume Submit new topic More gt More gt Once the Topic is submitted several things can happen other working groups can reply to the topic participants of the originating working group can reply to the topic the delegate for the book can call the topic to a vote Replies to a topic created by other working groups or participants of the originating working group may be entered to promote further discussion regarding the change or may request that the change
26. ered shared when they are used in multiple locations within a book or multiple locations across multiple books or both DEFINITION Jurisdiction Specific Procedure and Supply Codes This code set is not allowed for use under HIPAA at the time of this writing The qualifier can only be used If a new rule names the Jurisdiction Specific Procedure and Supply Codes as an allowable code set under HIPAA OR The Secretary grants an exception to use the code set as a pilot project as allowed under the law OR For claims which are not covered under HIPAA AA Comment on Shared Code Note above 10 4 Example Changes Chapter 3 Chapter 3 includes examples of the transaction set represented in a book based on specific business scenarios The number of examples in each book varies based on business need The buttons that appear in Chapter 3 can vary depending on the content housed within the section For the purposes of this documentation the buttons have not been documented since they vary so greatly between sections and between books 10 5 Topic Dialog Box Once you click on a button you will presented with a dialog box that provides information about the content and data entry options Context Claim Information CLMO 2 Element Annotate New Topic Mark All Topics Read There are no topics e Context describes the type of data content such as Element Element Note Component Note Code Note etc e Annotate this butto
27. es Information Comment on uirement abowe To identify one or more related causes and associated state or country information X12 Composite Comments SITUATIONAL RULE Required when the services provided are employment re MJ Comment on Shared Composite Situational Rule above Comment on Composite Hotes below Lommen on 1 omposite NOTES DELO 10 3 1 18 Comment on Shared Composite Note above This button is used when modifying an existing shared Composite Data Element i e C024 or sub component Element i e 1362 Note Notes are considered shared when they are used in multiple locations within a book or multiple locations across multiple books or both REQUIRED CLMO5 D Health Care Service Location Information Comment on Requirement above To provide information that identifies the place of service or the type of bill related to th ls X12 Composite Semantic Notes Comment on Composite Notes below CLM05 applies to all service lines unless it is overridden at the line level lg 7 on Shared Composite Note above 10 3 1 19 Comment on Unique Component Notes above This button is used when modifying an existing unique Composite Data Element i e C024 or sub component Element i e 1362 Note Product Service ID Identifying number for a product or service INDUSTRY NAME Procedure Code Comment on Component Notes below This value must be the same as that reported in V101 02 B Comment on Unique Component H
28. ew the details of the topic ts Reports Voting My Topics Notifications Topic Search Logout View Locations roperty amp Casualty Claim Number REF12 Situational Rule currently appears in A259 Health Care Claim Professional X259 Health Care Claim Professional X250 Health Care Claim Institutional X250 Health Care Claim Institutional X251 Health Care Claim Dental X251 Health Care Claim Dental 4 The user will then be presented with a dialog box containing the location and all topics related to that location There could be several topics listed or only the topic you entered into the top search screen Context Property amp Casualty Claim Humber REF12 Situational Rule This content is shared in the following locations A259 Health Care Claim Professional Claim Number This Page Annotate New Topic Mark All Topics Read Topic f a Revise situational rule 2 Revise situational rule 2 Revise situational rule 5 To identify the topic desired when multiple exist hover over the topic title Context Property amp Casualty Claim Humber REF12 Situational Rule This cantent is shared in the following locations x259 Health Care Claim Professional REF Property amp Casualty Claim Mumber This Page REF Property amp Casualty Claim Mumber X260 Health Care Claim Institutional REF Property amp Casualty Claim Number REF Property amp Casualty Claim Number
29. g group responsible for the book The buttons that appear in Chapter 1 can vary depending on the content housed within the section For the purposes of this documentation the buttons have not been documented since they vary so greatly between sections and between books 10 3 Transaction Set Topic Changes Chapter 2 When modifying existing Loops and Segments or adding Loops or Segments within a book utilizing the appropriate button for the type of change is very important Below are change types by location and the buttons that should be used for each type of change 10 3 1 1 Comment on this Segment This button is used when adding a new Note or Example to an existing Loop or Segment when no existing Note or Example exists Change Requests Reports Voting My Topics Hotifications Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Dratt 837 X258 i m Claim 2300 CLAIM INFORMATION Comment on this ment Ei Create a New L Using this L as a Template 10 3 1 2 Create a New Loop Using this Loop as a Template This button is used when adding a new Loop to an existing transaction set This button only exists on Segments that are Loop Headers Change Requests Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification wil
30. gned to patient by the provider to assist in retrieval of medical records Services Reporting X262 837 41 1800 2300 REFO Professional Claim X258 837 01 1800 2300 REFO2 Institutional Claim X260 837 Q3 1800 2300 REFO Comment on Term or Definition above 2 Click on Comment on Term or Definition above Medical Record Humber A unique number assigned to patient by the provider to assist in retrieval of medical records E Used In Services Reporting X262 8 37 41 1800 2300 REFO Professional Claim X258 837 291 1800 2300 REFO2 Institutional Claim X260 837 03 1800 2300 REFO2 Comment on Term or Definition x 3 The topic dialog box will be displayed Click on New Topic Context Industry Dictionary Medical Record Number This cantent is shared in the following locations Industry Data Element Dictionary M This Page P amp C Industry Terms Existing New Topic Mark All Topics Read There are no topics 4 Enter the topic title prefaced by Change existing term definition existing industry definition Medical Record Number For example Change Context Industry Dictionary Medical Record Number This cantent is shared in the following locations Industry Data Element Dictionary M This Page P amp C Industry Terms Existing Mew topic title Change existing industry definition Medical Record Number Post y Bag B oz s I 5 Enter
31. h Logout This is draft 006020 D40 20120514 the latest draft is 006020 D41 20120521 Closed comments and discussions remain available as read only Change Draft 4 To navigate back to the current draft click on Change Draft and select the first draft from the list C Notifications 9 Setting up Notifications 9 1 Book Notifications This option allows a user to be notified of changes to books they have access to view 1 Click on the Notifications link on the OnlyConnect home page M Contents 6 Searc OnlyConnect A Collaborative Web Based Standards Database Management System You are Loggedin Kelly Butler Questions Send an email to OnlyConnectAdmin wopc edi com Options Change Requests Reports Voting My Topics Notifications Topic Search Logout 2 The next page displays a listing of books that the logged in user has access to view Checking boxes and saving causes OnlyConnect to send an email to the user any time there is activity within the selected books ts Reports Voting My Topics Notifications Topic Search Logout Kelly Butler s Notifications Listed below are all OnkyConnect books that you can access Check boxes below to recere an email notification when any post is made to the associated book ASC X12N Implementation Guide Common Content E Health Care Industry Terms New Industry Data Element Dictionary Voting Overview 1X207 Health Care Provider Direct
32. iew Creating a Topic is the vehicle for generating a change to a book Topics can be entered for most of the content that resides in a book Information that cannot be changed using a topic is content that resides in the ASC X12 standards for transaction sets See DM Work Hequest Instructions for changes to ASC X12 standards Section 10 2 10 8 are the procedures for entering topics These procedures must be used to promote consistency in documentation easy identification of the change location and accurate instructions to the publisher 10 2 Purpose and Business Information Topic Changes Chapter 1 Chapter 1 includes content maintained by TGC referred to as Common Content which is constant across all books It also includes content maintained by the working group responsible for the book Common Content exists in several sections of the book such as all Chapter 1 Section headings and some sub section content that is constant across all books Any requested changes to these sections must be approved by TGC Content specific to a book exists in Sections 1 4 Business Usage 1 5 Business Terminology 1 7 Related Transactions and any sections below Section 1 9 HIPAA Role in Implementation Guides Section 1 9 will not exist in a book if that book has not been adopted under HIPAA Requests for change to common content should be submitted to TGC A Request for change specific to a book referred to as front matter is entered by the workin
33. ions Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Draft 837 X259 Professional Claim 2300 CLAIM INFORMATION Comment on this Seqment A Create a New L Using this L SEGMENT DETAN cc CLM CLAIM INFORMATION Comment on Shared Seqment Name above as a Template X12 Name Health Claim X12 Purpose To specify basic data about the claim Loop 2300 CLAIM INFORMATION Loop Repeat 100 Comment on Loop Repeat above Comment on ment Repeat above Comment on Comment on TR3 Notes below 1 The developers of this implementation guide recommend that trading partners limit the size of the transaction ST SE envelope to a maximum of 5000 CLM segments There is no recommended limit to the number of ST SE transactions within a GS GE or ISA IEA Willing trading partners can agree to set limits higher Comment on Shared TR3 Note above 2 2 For purposes of this documentation the claim detail information is presented only in the patient level Specific claim detail information can be given in either the subscriber or the patient hierarchical level Because of this the claim information is said to float Claim information is positioned in the same hierarchical level that describes its owner participant either the subscriber or the patient In other words the claim information Loop ID 2300 is placed following Loop I
34. ith the current books in development within that Work Group You may also see Change Reference Documents This section exists when significant changes are required to a section or a full replacement is made to a section within the book Contents Search E 3 Getting Started Procedures Common Content and Dictionaries Committee Charters Work Group 1 Work Group 2 006020X259 837 Health Care Claim Professional 006020 260 837 Health Care Claim Institutional 006020X261 837 Health Care Claim Dental 006020X 262 837 Health Care Service Data Reporting Change Reference Documents Work Group 3 Work Group 9 L Work Group 12 Work Group 15 Work Group 20 PACDR 6 Once you click on the book you want to view you will be presented with the contents in a nested tree format Note The default view for a book is the current draft version Contents Search E i Getting Started Procedures Common Content and Dictionaries Task Group 1 Task Group 2 Work Group 1 Work Group 2 006020 259 837 Health Care Claim Professional Preface 1 Purpose and Business Information 2 Transaction Set A External Code Sources B Nomendature C EDI Control Directory D Change Summary E Industry Names F ASC X12 Code List External Value Domain Harmonization Comments LS 7 To view the transaction set click on item 2 Transaction Set This will open the next level of the tree e To view all Loops S
35. ither V103 or SV104 is present then the other is required Loop 2400 SERVICE LINE NUMBER Segment Repeat 1 Comment on ment Repeat abowe Usage REQUIRED Comment on ment Usage abowe X 10 3 1 8 Comment on Unique Situational Rule above This button is used when modifying an existing Unique Segment or Element Situational Rule SEGMENT DETAIL DTP LAST SEEN DATE Comment on Shared Segment Name abowe A X12 Name Date or Time or Period X12 Purpose To specify any or all of a date a time or a time period Loop 2300 CLAIM INFORMATION Segment Repeat 1 Comment on ment at abowe Usage SITUATIONAL Comment on Segment Usage above Situational Rule Required when claims involve services for routine foot care and it is known to impact the payer s adjudication pro gt Comment on Unique Situational Rule above 10 3 1 9 Comment on Shared Situational Rule above This button is used when modifying an existing Shared Segment or Element Situational Rule Rules are considered shared when they are used in multiple locations within a book or multiple locations across multiple books or both SEGMENT DETAIL AMT PATIENT AMOUNT PAID Comment on Shared Segment Name above X12 Name Monetary Amount Information X12 Purpose To indicate the total monetary amount Loop 2300 CLAIM INFORMATION Segment Repeat 1 Comment on Segment Repeat above Usage SITUATIOMAL Comment on Segment Usage above
36. l take place in a future draft Change Draft 837 X258 Professional Claim 2300 CLAIM INFORMATION Comment on this Segment 21 Create a New L Using this L as a Template lt lt 10 3 1 3 Create a New Segment Using this Segment as a Template This button is used when adding a new Segment to an existing transaction set This button only exists on individual Segments that are not Loop Headers Change Requests Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Draft 837 X259 Professional Claim Last Seen Date Comment on this Seqment Create a New Segment Using this Segment as a Template LL 10 3 1 4 Comment on Unique Segment Name above This button is used when modifying an existing Unique Segment Name Change Requests Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D41 20120521 all comments that lead to a modification will take place in a future draft Change Draft 837 X258 Professional Claim Durable Medical Equipment Service Comment on this Segment SEGMENT DETAIL SV5 DURABLE MEDICAL EQUIPMENT SERVICE Comment on Unique 5 ment Name above 10 3 1 5 Comment on Shared Segment Name above This button is used when modifying an existing Shared Segment Name oegment Names are consi
37. n is used to provide a purpose or business rationale for the use of the data content This is meant to be used as a historical record of its use and any subsequent changes made to the element due to changes in business need Annotations provide institutional memory to authors but they do not appear in published books e New Topic this button is used to add a new topic e Mark All Topics Read this button will mark any open topic under this data content as read This button is not typically used when entering topics but may be used for long discussion threads If the content is shared across books and or transactions the locations will be listed below the context information see illustration below Context Claim Information Element Note This contentis shared in the following lacations X259 Health Care Claim Professional CLM Claim Information This Page A260 Health Care Claim Institutional CLM Claim Information X261 Health Care Claim Dental CLM Claim Information X262 Health Care Service Data Reporting CLM Claim Information Annotate New Topic Mark All Topics Read There are no topics The topic title must contain meaningful information to ensure delegates and participants understand the location of the change and the book s impacted by the change if the change crosses multiple books This allows users to identify and review changes more efficiently and prioritize calling topics to a vote 10
38. n the published book created by WPC 19 Appendix E Industry Names Appendix E is maintained by X12N TGC and contains the industry names and definitions for all data elements in the book that have been assigned an industry name 19 1 Commenting on Industry Names 1 Click on Industry Terms under Common Content and Dictionaries in the left navigation pane i Contents 6 PTT p n Started Errata A Content E Dictionaries Industry T X12 Data Elem Committee Charters Subcommittees X12C E X12N Task Group 1 E Task Group 2 Work a 1 2 Select the insurance section for the requested change in the left navigation pane Contents E Search E 3 Getting Started Procedures Common Content Errata Common Content Dictionaries a 19 2 Adding a new Industry Term 1 For new Industry Terms select Submit New Term lf Contents Sea Getting Started Pr ocedures Common Content and Dictionaries Common Content Glossaries The Submit a New Health Care Term and Definition screen will be displayed Change Requests Reports Voting My Topics Motifications Topic Search Logout This is draft D1 It is the only draft in OnlyConnect Submit a New Health Care Term and Definition A new term and complete definition is required 2 Click on Review Unapproved Terms or Request a New Term Submit a New Health Care Term and Definition A new term and complete definition 1s required
39. nitens ccu vate ert ne re iene eer tea ed aD T US 33 TOS Entera a Ol ou ETT 34 10 6 1 Change Request Re lerericesi dose ipa at eia ba doe nue eu abnuit eiu 35 10 5 2 BOOKRhelerentBS airis 35 106 3 LOCA HON RETerencO Srila 35 MORSU MG URBI leido qi mr 35 I0 7 Entering the Topic Description POSLt es ecd sento bici 36 108 Submitting the TOP Era 37 11 REPIVINE CO TOPES dM ca em deae AMA cH dE EM M NU Rd CES 38 12 MOTIVE ON TOD CS sis casas P PR 41 13 SCArCHING TOF TOPICS ox RI UT A a 45 ISE IM Aoc 48 15 20 VWI TODOS rias 50 A RS 52 14 Selecting a Report to VIE Wisin A ela ER karte VO Cute UU keene vct VE PHI I Te idi 52 Ted VOT TOPICS 469 2090 TRS Cube Cc 53 142 07 Topics SEUNG WV FACE OMT usse utes da Vos sia oret at core uon I Retos ub ew ales ek es RUE ducta eb eu rue 53 Es ADDOEndiCBS indo eii Md dnte AA EM MEM UE PED Ed E MEE 54 15 Appendix A External Code Sets i as 54 15 1 Addie or Deleting an External Code Sebast bon mbi ad 54 16 Appendix B Nomenclature cus deve evite terr na AAA o A dee E A 57 16 1 Commenting on ASC X12 Nomenclature occcccoccnncnncnncnnnonnonanononarononononnonarononaronnonannnonaronenaronnnnnos 57 17 Appendix C EDI Control Directory coii d e Yee pH euro AAA to aids eoe vera TEE VE Dad 60 171 COMMENTING ON the EDI Control Drect seii butix nct Sopa aaa 60 18 Appendix D Change SullrTidby scieseiveces et emos ee eu A ia hear dein ebd 61 19 APpen
40. nlyconnect 2 Click on Click here to login register or retrieve password Es Contents A Collaborative Web Based Standards Database Management System e Click here to S o Login o Register o Retrieve Password Do not copy or share the information within OnlyConnecte with anyone outside your active Implementation Guide Development Group IGDG Us 3 Complete the registration boxes iG Contents 6 Sea email Login E Save login Register Primary Name Workgroup Emi 22 Timezone Paci 4 Once your request is verified you will be granted read only access to OnlyConnect for the primary work group selected unless otherwise instructed by the primary work group co chairs For questions or issues with registration or login email OnlyConnectAdmin wpc edi com 3 Role Based Access 3 1 3 2 3 3 3 4 Read Only This level of access allows users to view topics that exist but they cannot create or reply to topics Participant This level of access allows users to create new topics view and post replies to existing topics but does not allow the ability to call a topic Delegate This level of access allows users to create new topics view and post replies to existing topics and call topics to a vote This level of access is usually assigned to implementation guide authors and work group co chairs Annotator This level of access allows users to create new topics view and
41. ory 1X257 Application Reporting For Insurance 9 2 Topic Notifications This option allows participant delegate and annotator users to set up notifications for individual topics they have created When someone replies or calls the vote for a topic they have entered they will receive an email notification To enable this feature the user must click on the Notify me by e mail of replies check box when entering a topic Context Property amp Casualty Claim Number TR3 Note 3 This content is shared in the following locations A259 Health Care Claim Professional Post Ba fA B 7 ow ARO Ss Notify me by e mail of replies This feature is also available after the topic has been submitted It will appear in the upper left hand side of the topic once it is opened Title Revise situational rule dotify me by e mail of replies 12 34 2008 3 30 06 PM Laurie Burckhardt WG62 agreed to modify the segment situational rule note at 3 08 mtg to Add new situational rule for workers compensation Required when the services included in this claim are to be considered as part of a nonworkers compensation property and casualty claim OR Required when the services included in this claim are to be considered workers compensation and the claim number is known If nat required by this implementation quide da not send D Topics 10 Entering Topics 10 1 Overv
42. ote above 10 3 1 20 Comment on Shared Component Situational Rule above This button is used when modifying a shared situational rule for an existing Composite Data Element i e C024 or sub component Data Element i e 1362 Rules are considered shared when they are used in multiple locations within a book or multiple locations across multiple books or both SITUATIONAL CLM11 Related Causes Information Comment on uirement abowe To identity one or more related causes and associated state or country information X12 Composite Comments SITUATIONAL RULE Required when the services provided are employment related or the result of an accident If Comment on Shared Composite Situational Rule above 10 3 1 21 Comment on Codes below This button is used when adding a Code Note to an existing Code List Value Product Service ID Qualifier Code identifying the type source of the descriptive number used in Product Service ID 234 INDUSTRY NAME Procedure Identifier 9 Comment on Component Notes below 10 3 1 22 Comment on Unique Code Note above This button is used when modifying an existing Unique Code List Value Code Note A Comment on Codes below Pij CODE DEFINITION N Ho A value of N is used when Y is not applicable 2 Comment on Unique Code Note above JT 10 3 1 23 Comment on Share Code Note above This button is used when modifying an existing shared Code List Value Code Note Notes are consid
43. our question to the RFI portal for clarification This resolution indicates that the requested change is really a request for interpretation of an existing implementation guide and the appropriate place to request that interpretation is the RFI portal at http www x12 org x120rg subcommittees x1 2rfi cfm 9 There is not enough information included in your comment for us to make a determination of action Please submit a detailed business case explaining the business need for future consideration This resolution indicates that the requested change is too vague for the IGDG or working group to move forward with the request The user should submit a request for change with the necessary business rationale to the ASC X12 TR3 Change Request process at http www x12 org TR3ChangeRequest 13 Searching for Topics 1 To search for a topic by topic number go to the top of the right navigation pane and click on the Topic Search link Change Requests Reports Voting My Topics Hotifications Topic Search Logout This is the latest draft 006020 D41 20120522 all comments that lead 2 Enter the topic number and either tab to the Go button and hit enter or click on the Go button Reports Voting My Topics Notifications Topic Search Logout Se Enter Topic ID 4322 3 The next screen will display the topic title the location of the topic and the book s where the topic is located Click on the View link to vi
44. post replies to existing topics call topics to a vote and place annotations on elements throughout the implementation guides A delegate may also be an annotator 4 Logging In 1 Once you have received the email notifying that your registration is complete you are ready to log in to OnlyConnect 2 Go to www wpc edi com onlyconnect 3 Click on Click here to login register or retrieve password M Contents A Collaborative Web Based Standards Database Management System ek here to o Login o Register o Retrieve Password Do not copy or share the information within OnlyConnecte with anyone outside your active Implementation Guide Development Group IGDG Us 4 Enter the email address and password you used to register and click the login button Note The Save Login check box is not enabled at this time G Contents 6 Searc Login E Save login 5 Home Page 1 Once you log in you will see the OnlyConnect home page OnlyConnect A Collaborative Web Based Standards Database Management System You are Loggedin Kelly Butler Questions Send an email to OnlyConnectAdmingmw Options 2 Options e Change Requests access is restricted to members of the Change Management Work Group and allows a user to view and update requests for change e Reports allows a user to run reports on open and closed topics user access etc section E Reports provides more detail about reports
45. replies Submit mew 19 3 Modifying an existing Industry Term Definition 1 For existing Industry Terms select the first letter of the existing term from the selection list IH Contents amp Search Getting Started Procedures Common Content and Dictionaries Common Content Errata Common Content Glossaries Industry Terms Health Care B Submit New Term L A H H H H Ld H LJ H H H La dgritan aitaddaxg The right navigation pane will display all terms that start with the alphabetic character selected ts Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D9 20120628 all comments that lead to a modification will take place in a future draft Change Draft Industry Data Element Dictionary M Mammography Certification Number CMS assigned Certification Number of the certified mammography screening center Used In Comment on Term or Definition above Marital Status Code Code defining the marital status of a person Used In Comment on Term or Definition above To view what books contain this industry name click on the next to Used In Medical Record Number A unique number assigned to patient by the provider to assist in retrieval of medical records j Used In nt on Term or Definition above All books where the term is used will display Medical Record Humber A unique number assi
46. to add the code set to the ASC X12 standard under the data element for which it will be used 15 1 Adding or Deleting an External Code Set 1 Click on Appendix A in the left navigation pane Preface 1 Purpose and Business Information rm or by 2 Transaction Set 3 Examples All rights reserved A External Code Sourc B Momencdature Abstract D Change Summary The Health Care Claim Professional Implementation Gui E Industry Names m F ASC X12 Code List External Value Domain Harmonization lrading partners include Open Comments o P Closed Comments Health care providers such as physicians practitioners 2 In the right navigation pane select Add or Delete Codes Change Requests Reports Voting My Topics Notifications Topic Search Logout This ts the latest draft 006020 D42 20120626 all comments that lead to a modification will take place Appendix A External Code Sources 3 Click OK to navigate to the source document under common content Appendix A External Code Sources This text is common content Click OK to jump to the source document e Requests Reports Voting My Topics Notifications Topic Search Logout This is the latest draft 006020 D10 20120514 all comments that lead to a mod in a future draft Change Draft Appendix A External Code Sources Comment on Head above 2 s 5 Click on New Topic
47. tu Appendix B Nomenclature Comment on Appendix B Nomenclature 3 Click OK to navigate to the source document under common content Appendix B Nomenclature This text is common content Click OK to jump to the source document os Cane 4 Click on the button for the section where the change is being requested For example B 1 1 2 Delimiters B 1 1 2 Delimiters Comment on Sub Head above Once specified in the interchange header the delimiters are not to be used in a data element value elsewhere in the interchange For consistency this implementation guide uses the delimiters shown in Table B 1 Delimiters in all examples of EDI transmissions Table B 1 Delimiters Asterisk Data Element Separator Carat Hepetition Separator Colon Component Element Separator Tilde Segment Terminator Comment on Matrix i 5 Click on New topic Context Delimiters Matrix ark Keep this Caret is misspelled 6 Enter a topic title and description of the requested change and click on Submit new topic Context B Delimiters Matrix Mark All Topics Read Post SM B z H ici Oa o otify me by e mail of replies submit new Ly 17 Appendix C EDI Control Directory Appendix C is maintained by X12N TGC and contains the data element and name of the EDI Control Segments ISA IEA and GS GE 17 1 Commenting on the EDI Control Directory 1 Click Appendix C in the left navigation pane
48. you may not be able to view certain sections such as Manage under the Procedures Common Content and Dictionaries or Committee Charters levels which are used to make changes to documents managed by other groups e For levels such as Subcommittees Task Groups and Work Groups the detail will contain the ASC X12 home page for the selected level E Proc AS XI e Home Contact Search Quick Links Organization and Procedures YIN The Ac tee C Administrative Policies and Pro Technical Report Handbook Policies ccredited Standards Commit About v Membership Committees Groups Standards Development Meetings v Interpretations Webinars Join ASCXI2 X12N Home Subcommittee X12N Insurance Purpose And Scope X12N About e Develops and maintains X12 EDI and XML standards standards interpretations and guidelines as they relate to all aspects of insurance and insurance related business processes e Includes development and maintenance activities relating to property casualty health care life annuity reinsurance pensions and reporting to regulatory agencies Insurance Subcommittee initiatives also include all products and services such as government health care programs like Medicare e Serves as aliaison with complementary insurance standards bodies such as HL7 to coordinate standards Call Notes development activities Meeting Schedule Info Center Task Group Officers List Margaret Weiker HP margaret
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