Elink user manual - Empire Blue Cross Blue Shield
Contents
1. Populate the File Location box using one of the following methods 1 Click on the browse button to open the Choose File dialog box Look in the appropriate drive and folder click on the desired file and click Open The file name will appear in the File Location box See Screen 7 2 Manually enter the file path in the File Location box See Screen Above 3 If you want to send a file that is in the same location as the last file sent click on the click here to view last known file locations link found in the first paragraph on the page This will open a Choose a File Path dialog box with the last known file name presented Click on the file name you want to copy click X in the upper right corner to close the dialog box right click in the file location box you want the file name copied to the click paste See Screen 8 amp 9 Click the Send File button to transmit the file s Empire e Link User Guide 11 Rev December 12 2005 SEND FILES A Short Confirmation Message will then be presented with the status of the file transfer Refer to Appendix C for detailed message descriptions Screen 7 Empire e Link SUBMITTER TYPE CHANGE User ID Home Get Files Send Files Send Files To send files click the box in the Send column indicate if the file is Production or Test by clicking on the appropriate circle and if the File Location is blank click the browse button to locate the file on your hard drive o2. USER GUIDE TABLE OF CONTENTS INTRODUCTION FEATURES REQUIREMENTS FILE SIZE LOGONS AND PASSWORDS URL AVAILABILITY SUPPORT ENTER NETWORK PASSWORD HOME PAGE CHANGE USER ID GET FILES SUBMITTER TYPE SEND FILES APPENDIX A APPENDIX B APPENDIX C SECTION 1 SECTION 2 APPENDIX D PO NP PO N HS SS Q 10 11 13 15 17 18 21 INTRODUCTION FEATURES Empire e Link is a web based application used for sending and retrieving claims and related electronic transactions It uses features built into your web browser Using the navigation links located on the right side of each page you can send files such as Medicare Part A and B claims Empire Blue Cross and Blue Shield and QuickLink commercial claims Medicare Part A and B X12 276 claim status requests as well as Medicare Part A and B X12 997 acknowledgments of X12 835 remittance files and Medicare Part B flat file eligibility requests When available you can get files to view or download such as EMC Receipt Reports Medicare Return Reports Medicare Part A and B remittances responses to claim status requests responses to eligibility requests and OMNIPRO bulletins At the top of each page are Submitter Type and Change User ID links Before sending your first file a submitter type must be selected The Change User ID link is used to change or view your Empire e Link user ID e The Home Page welcomes you to e Link and will provide NEWS FLASH items
3. The transmission rejected Eligibility request header records have an e in position 1 More than one record was found with an e in position 1 Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission was unsuccessful Please try again later Empire e Link User Guide 20 Rev December 12 2005 APPENDIX D Helpful hints on viewing and printing report s When viewing or printing a text file using Notepad you will want to change the page setup and font in order for the file or report to format properly Helpful hints are as follows amp When viewing or printing Short Confirmation Reports click on Edit and turn on Word wrap This will allow you to view the entire message on one page Shortcon000271211 TST Notepad OW x File Search Help TRA indo nye ATION FOR SUBMITTER 131974191 The Claim File f gt successfully transferred to Empire When view the confirmation report using Get Files to e vas accepted or rejected If all transactions are browser then disconnect your AT amp T network ava Eut etree Bari Etri HIE Paste Ctrl Delete el Select All TimeDate F5 word Wrap Set Font When viewing or printing Confirmation Validation and Medicare Return Reports EMC Receipt Reports or OMNIPRO Bulletins click on Edit and turn off Word wrap Click on File and Page Setup change the Orientation
4. about the availability of our systems reports and other issues related to the data exchanged electronically r The Get Files Page allows you to view and download confirmation receipt and validation reports Medicare return reject reports 997 acknowledgements remittance files claim status responses eligibility responses and OMNIPRO bulletins e The Send Files Page allows you to upload claim files claim status requests 997 functional acknowledgements and eligibility requests a The Site Help Page provides online instruction on how to use each function in e Link e The Submitter Type Link allows you to view or change a submitter type e The Change User ID Link allows you to view or change a User Name and Password REQUIREMENTS Empire recommends the use of web browser Internet Explorer IE 5 5 or higher or Netscape 6 22 or higher and the use of Windows as the operating system Empire cannot help e Link users with problems that occur due to the use of a non recommended browser or operating system Note User guide pages and images of dialog boxes are IE images on Windows 2000 operating system There may be slight variations in the features of these dialog boxes or how they are displayed if the web browser is other than Internet Explorer or if the operating system is other than Windows 2000 FILE SIZE Files no greater than 12 8 meg can be sent to Empire via the Send Files page and no greater than 20 meg can be download at one time from
5. and is located under the 276 TA1 Interchange Acknowledgements heading on the Get Files page 277 Claim Status Response provides the responses to inquiries submitted in the X12 276 Claim Status Request transaction for Medicare Part A and Medicare Part B Report is available the next business day after receipt of your file at Empire and is located under the 277 Claim Status Responses heading on the Get Files page X12 835 version 4010A1 Remittance production or test files available upon request for Blue Cross Blue Shield Medicare Part A and Medicare Part B and are found under the Remittance Statements heading on the Get Files page Medicare Part A only Medicare Part A Inbound Reject Report HB997ZRJ A and Inbound Accept Report HB997ZAC A for HIPAA X12 837 claim and X12 276 claim status request production and new biller test transmissions The Inbound Reject Report displays errors for 837 claims and 276 claim status requests that fail Medicare s implementation guide IG edits The Inbound Accept report displays claims that passed editing and were accepted for processing into the FISS Shared Standard System Reports are available the next business day after receipt of your files at Empire and are found under the Validation and Medicare Return Reports heading on the Get Files page Note For X12 837 claim submission this report is in addition to the EMC Receipt Control Report file batch level returns Medicare Part A 50 Report displays Medi
6. the Get Files page If a single file exceeds 12 8 meg please split and send individually If you have a large volume of data to download from the Get Files page and feel it may exceed the 20 meg maximum you may want to download each file individually rather than use the download all new feature See the Get Files section for instructions Empire e Link User Guide 1 Rev December 12 2005 INTRODUCTION LOGONS AND PASSWORDS Access to Empire e Link is via a private network provided by AT amp T in conjunction with IVANS NOTE Although an internet browser is necessary to access Empire e Link s home page you cannot access the world wide web or connect to the internet Empire e Link requires an Empire assigned User name and password NOTE These are the same as your SYSTEM USER ID E LINK LOGON and SYSTEM PASSWORD E LINK PASSWORD If you are a current submitter you received these in the WELCOME TO EMPIRE e LINK letter New electronic submitters will receive an e Link Welcome letter identifying the User name and password For all submitters current and new IVANS will provide the dial in logon and password to allow the connection to Empire along with providing the communication software Automatic disconnect features have been included to help reduce long distance costs you will be automatically disconnected from your browser and AT amp T IVANS if there is no activity for 20 minutes UNIFORM RESOURCE LOCATOR URL Empire e Link U
7. A07 27 and ISA08 00803 Medicare Part B or ISA07 28 and ISA08 00308 Medicare Part A or ISAO7 ZZ and ISA08 W1303 Commercial Institutional or ISA07 ZZ and ISA08 WP803 Commercial Professional Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission was unsuccessful Please try again later This message is displayed if the Empire system is unavailable Part A and Part B 997 835 Acknowledgement Messages a Transmission Verification for Submitter XXXXXXXXX obtained from file sent The 997 835 Acknowledgement XX characters was successfully sent to Empire If all transactions are complete close your browser then disconnect your AT amp T network connection This message is displayed upon completion of a successful file upload Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The Submitter ID is missing or invalid XXXXXXXXX Please correct the file and resubmit This message is displayed if the submitter in ISA06 is missing or not found on Empire s submitter files Please review the information in the header correct and resubmit Empire e Link User Guide 19 Rev December 12 2005 APPENDIX C oS e Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The first record read is assumed to be the header record The first record received is not a header or the requi
8. D is missing or invalid XXXXXXXXX Please correct the file and resubmit This message is displayed if the submitter id in the header record is missing or not found on Empire s submitter file Please review the information in the header correct and resubmit the file Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The first record read is assumed to be the header record The first record received is not a header or the required fields are misspelled or misplaced Verify that the header is the first record on the file and that all required fields are present Please correct the file and resubmit This message is displayed if the first record on the file is not a header record or for X12 transmissions data within the header record is incorrect Please review the file make sure the first record is not spaces and contains the correct header information If submitting an X12 file it must begin with ISA and ISA05 must equal ZZ Please make the necessary corrections and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The User ID XXXXXX is not authorized to transmit files for the submitter indicated in the header record Please correct the file and resubmit This message is displayed if the submitter number on the file is not linked to the EDI number used to logon on to e Link on Empires files Please verify accuracy of the submitter
9. RL is Attp 32 84 203 195 3101 f you inadvertently change the URL simply re enter the correct address and hit the enter key AVAILABILITY Empire e Link is available Monday through Saturday The system is not available between the hours of 2 00 am to 4 00 am Tuesday through Saturday and Saturday from 5 00 PM through Monday 2 00 AM SUPPORT Empire e Link support is provided by the Empire IES Technical Help Desk Monday through Friday from 8 30 AM to 4 30 PM Contact the Empire Help Desk at 1 866 889 7322 Fax 1 416 774 4778 Network connectivity support is provided by the IVANS Dial Enablement Help Desk Contact the IVANS Help Desk at 888 233 3730 Empire e Link User Guide 2 Rev December 12 2005 ENTER NETWORK PASSWORD Once connected to the network and Empire e Link s URL but before you access e Link you will be presented with a login dialog box see below that asks for your user name and password Enter Network Password Ei gt Please type your user name and password Site shag ampirebobs com Fealm CICS application CILSPEDI User Name fE IB treats Password O en Save this password in pour password list Cancel Enter the Empire assigned user name and password then click OK Empire will confirm the name and password entered then the welcome page will display once successfully logged in Note To reduce unnecessary long distance telephone changes it is important to remember tha
10. are a Medical submitter using PC Ace to create claim files the file should be located in the following file name and path C bsace bstrans dat If you are an Institutional submitter using PC Ace Pro32 to create claim files the file should be located in the following file name and path C winpcace trans dat If you utilize a software vendor to create claim files please contact them for the correct file location The information you need to obtain from your software vendor is drive directory file name Empire e Link SUBMITTER TYPE CHANGE User ID Home Get Files Send Files Send Files To send files click the box in the Send column indicate if the file is Production or Test by clicking on the appropriate circle and if the File Location is blank click the browse button to locate the file on your hard drive or click here to view last known file locations When finished click the Send File s button 9 F Help Send File Description Prod Test File Location Prod Test Claim File CC Browse C Browse Claim Status Request Part 4 and Part B 997 835 D Browse Acknowledgement i _ FT Part B Eligibility Request Browse Send File To send a file Click the Send Files link on the right hand side of the screen to display the Send Files page Click the box in the Send column amp When applicable indicate if the file is Production or Test by clicking on the appropriate radio button
11. ase correct the file and resubmit This message is displayed if the first record on the file is not a header record or data within the header record Is incorrect Please review the file make sure the first record is not spaces and contains it begins with ISA and ISA05 equals ZZ Please make the necessary corrections and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The User ID XXXXXX is not authorized to transmit files for the submitter indicated in the header record Please correct the file and resubmit This message is displayed if the submitter number on the file is not linked to the EDI number used to logon on to e Link on Empire s files or the submitter is not authorized to send the test or production file Please verify accuracy of the submitter number and test production indicator in the header record correct and resubmit or contact the IES Technical Help Desk for assistance Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The Interchange ID Qualifier in ISA07 and Interchange Receiver ID in ISA08 are invalid or conflict Please correct the file and resubmit This message is displayed if the first three characters of the file begin with ISA and the ISA07 and ISA08 combination is not valid Valid combinations are as follows ISA07 ZZ and ISA08 00303 Blue Cross or ISA07 ZZ and ISA08 BS803 Blue Shield or IS
12. atements etc and request e g all NEW or individual Note Represents a 6 character batch number assigned by Empire mmddyyyy represents the month day and year the file was downloaded Type of File Short Confirmation Report EMC Receipt Report 837 997 Functional Acknowledgement Confirmation Report Validation and Medicare Return Reports Commercial Provider Daily Statistics Rpt Production Remittance Statements Test Remittance Statements OMNIPRO Bulletins 276 TAI Interchange Acknowledgement 276 997 Functional Acknowledgement 276 IG Edit Report 277 Claim Status Response Test 276 TAI Interchange Acknowledgement Test 276 997 Functional Acknowledgement Empire e Link User Guide Type of Request Download individual Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download individual Download all New Download File Name Shortcon txt Receiptr txt ALLrecei
13. ation messages The Get Files page will show the available files for download Screen 1 is an example Screen 1 Empire e Link SUBMITTER TYPE CHANGE USER ID Get Files Send Files Get Files Site Help Listed below are the reports available for view or download Click a link to view or hide each list Confirmation Reports H el p Validation and Medicare Return Reports Quicklink Validation Reports OMNIPRO Bulletins 837 997 Functional Acknowledgements Clicking on the titles displays a list of all reports or files available within that title By clicking on the title again will collapse the list See Screen 2 The label View Download all NEW Reports appears under each title except for Short Confirmation Messages and OMNIPRO Bulletins This feature allows you to view or download all files identified as NEW in the Date Time Viewed Downloaded column See Screen 2 Empire e Link User Guide 6 Rev December 12 2005 GET FILES The label View Download appears next to all individual reports This feature allows you to view or download an individual file See Screen 2 Screen 2 Empire e Link SUBMITTER TYPE CHANGE User ID Get Files Send Files Get Files Site Help Listed below are the reports available for view or download Click a link to view or hide each list Short Confirmation Reports Q H el p pre Confirmation Reports View Download all NEY Confirmation Reports V
14. care Part A FISS Reason Code errors received on new biller test claims submitted in the HIPAA X12 837 format Report is found under the Validation and Medicare Return Reports heading on the Get Files page Empire e Link User Guide 13 Rev December 12 2005 Medicare Part B only Medicare Part B Return Report displays Medicare Part B errors received on new biller or production claims submitted in the X12 837 format Report is available the next business day after receipt of your file at Empire and is found under the Validation and Medicare Return Reports heading on the Get Files page Medicare Part B 276 IG Edit Report displays errors for production or new biller test data that is not in compliance with instructions found in the X12 276 277 Implementation Guide for version 004010X093A1 Report is available the next business day after receipt of your file at Empire and is found under the 276 IG Edit Reports heading on the Get Files page Additional Information Short confirmation reports are available for download one time only Once the Short Confirmation Report is download and screen is refreshed the information pertaining to the message Date Time Created Date Time Viewed Downloaded etc is deleted If all Short Confirmation Reports have been viewed or downloaded the heading will also be removed from the Get Files page once refreshed All files reports and remittances are available for viewing or downloading for 11 days from the
15. date that appears in the Date Time Viewed Downloaded column If NEW appears in this column the file is retained for 30 days from Date Time Created Date Time Created Date Time Viewed Downloaded Empire e Link User Guide Empire e Link SUBMITTER TYPE CHANGE USER ID Home Get Files Send Files Listed below are the reports available for view or download Click a link to view or hide each list Short Confirmation Reports rep Confirmation Reports EMC Receipt Reports View Download all NEWW EMC Receipt Reports View Download reports one at atime Date Time Created Date Time Viewed Downloaded 12 03 2002 03 07 PM 124 2 2002 09 04 AM View Download 2372002 03 07 PM NEA View Download 42 03 2002 03 07 PM NEV View Download 42 03 2002 03 07 PM NEV View Download 42 03 2002 03 07 PM NEA View Download 12 03 2002 03 07 PM NEVA View Download 42 03 2002 03 07 PM NEVA View Download 12 03 2002 03 07 PM NEVA View Download 12 03 2002 03 07 PM NEV View Download 42 03 2002 03 07 PM NEV View Download 14 Rev December 12 2005 APPENDIX B Automatic Assignment of Download File Name Empire e Link will automatically populate the File name and Save as type in the Save As dialog box when a file download is requested The Save as type will always be Text Document and File Name will vary based on the type of file e g Confirmation Reports Remittance St
16. e Name and Save as Type and update if necessary You have the option of saving using a file name and type of your choice Click Save when the appropriate information has been entered The file will then be saved in the designated location and you will be returned to Get Files page Click on the Get Files bar at the right side of the screen to see the updated Date Time Viewed Downloaded This field will display the most recent date and time the file was viewed or downloaded The date and time is also updated if you click Cancel in the File Download or Save As dialog box and choose not to view or download the file If you requested View Download all NEW and there are no NEW files available for download the message There are no new reports available for View Download will be displayed Screen 4 Empire e Link SUBMITTER TYPE CHANGE User ID Save IN Save in a e link downloads amp l c Listed below are the reports Sala B ET Alt confima05152002 TXT ALLreceiptr05302002 TXT E 2 ALLreceiptr06062002 TXT 2 ALLremitsta05152002 TXT 2 ALLremitsta09042002 TXT SRE z ALL validret051 52002 TXT nd MEW NE ALLrecaiptis152002 THT ALLvalidret05302002 TXT 5 View Download reports one ji gt File Name Date Time Created S ave As T e 12 03 2002 11 29 P File name 4LLconfirmal 2112002 TX oave AS 1ype Validation and Medicare Ret 9228 PS Text Docume
17. ent performs standard level editing of the Functional Groups GS GE and the Transactions within the Functional Group ST SE for X12 transactions 837 and 276 received by Empire Report is available for retrieval within 24 hours after receipt of your file at Empire and is found 997 Functional Acknowledgements heading on the Get Files page Confirmation Report EMCDC060 provides notification of a server error condition for X12 837 and X12 276 version 4010A1 Report is created within 24 hours after upload except between the hours of 11 45 p m and 6 00 a m and is found under the Confirmation Reports heading on the Get Files page Commercial Provider Daily Statistics Report R022 displays the number of claims paid and the details of claims rejected by WebMD for commercial production claims that were accepted by Empires QuickLink in the X12 837 version 4010A1 and passed to WebMD NEIC for payment Report will be returned from WebMD the next business day after the Empire QuickLink processing cycle and is found under the QuickLink Validation Reports heading on the Get Files page OMNIPRO Bulletins Empire announcements located when available under the OMNIPRO Bulletins heading on the Get Files page 276 TA1 Interchange Acknowledgement returns ISA header and GS segment errors found in the X12 276 Claim Status Request transaction for Medicare Part A and Medicare Part B Report is available the next business day after receipt of your file at Empire
18. from Portrait to Landscape and Left and Right margins to 0 25 The report should print in the proper format If it does not you may also need to change the font go into edit click select all go into edit again click on Set Font and change to Courier Regular 8 Page Setup Ei Ed Letter ki Source Auto Select Fr Margins inches Lett 0 25 Right E Top 0 75 Botham 0 75 Header ef Footer Fage amp p Cancel Printer Portrait Landscape Empire e Link User Guide 21 Rev December 12 2005
19. ge This message is displayed if the send box is checked a file location is present the send file button is clicked and e Link is unable to locate the file specified Eligibility file not found Re enter a valid file location check the appropriate send box then click the Send File button located at the bottom of the page This message is displayed if the send box is checked a file location is present the send file button is clicked and e Link is unable to locate the file specified Empire e Link User Guide 17 Rev December 12 2005 APPENDIX C Section 2 Send Files and Get Files Short Confirmation Messages After the send file function is complete one of the following messages will be presented on the Send Files page These messages are also available to view or download on the Get Files page under the Short Confirmation Reports heading Claim File Messages ee Transmission Verification for Submitter XXXXXXXXX obtained from file sent The Claim File XX characters was successfully transferred to Empire When available please review the confirmation report using Get Files to determine if the file was accepted or rejected If all transactions are complete close your browser then disconnect your AT amp T network connection This message is displayed upon completion of a successful file upload Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The Submitter I
20. iew Download reports one at a time Date Time Created Date Time Viewed Downloaded 12 03 2002 11 29 PM NEV View Download Validation and Medicare Return Reports Once the View Download feature is initiated a File Download dialog box will appear See Screen 3 To download the file to your hard drive click OK as the default Save this file to disk radio button is selected upon entry of this dialog box Screen 3 Empire e Link SUBMITTER TYPE CHANGE User ID File Download File Download Listed below are the reports availak Short Confirmation Reports Confirmation Reports View Download all NEY Co View Download reports one at Date Time Created 1203 2002 11 29 PM Z Always ask before opening this type of file Validation and Medicare Retu Empire e Link User Guide 7 Rev December 12 2005 GET FILES The Save As dialog box will appear with the File Name and Save As Type automatically populated refer to the File Name section of this document for a list of names that will appear based on the file type being downloaded See Screen 4 Refer to Appendix B for Automatic Assignment of Download File Name Update Save in to place the file in the appropriate drive and folder Note if you are using software provided by AT amp T IVANS you should have an e Link Data folder on your desktop You can use this folder to store all files downloaded from Empire Review the Fil
21. lesiboa2ae Be Q Help a medbelig be ool Browse Browse Browse Get Files Browse Button Click here to view last known file locations Click to copy 12 Rev December 12 2005 APPENDIX A Get Files Definitions Location and Retention Medical and Institutional Short Confirmation Report provides a high level status of a production or test file upload Created immediately after file upload and can be download one time only When available can be found under the Short Confirmation Reports heading on the Get Files page EMC Receipt Report EMCD6102 displays ISA and GS errors TA1 errors 997 validation results implementation guide IG errors provider level and business level errors for Empire Blue Cross and Blue Shield and QuickLink Commercial claims submitted in the X12 837 version 4010A1 and higher formats Report is available for retrieval within 24 hours after receipt of your claim file at Empire and is found under the EMC Receipt Reports heading on the Get Files page EMC Receipt Report EMCD6100 displays ISA and GS errors TA1 errors 997 validation results and submitter validation errors for Medicare Part A and Part B Provider batch errors are displayed for Medicare Part A only Report is available for retrieval within 24 hours after receipt of your claim file at Empire and is found under the EMC Receipt Reports heading on the Get Files page X12 997 Functional Acknowledgem
22. location and the Send File button is clicked Do you want to send the file s specified If so check the appropriate send box and click the Send File button located at the bottom of the page This message is displayed if the file location is present the send box is not checked and the send file button is clicked Do you want to send a file If so enter the file location and click the Send File button located at the bottom of the page This message is displayed if the send box has a check the file location is blank and the Send File button is clicked Claim file not found Re enter a valid file location check the appropriate send box click the prod or test radio button then click the Send File button located at the bottom of the page This message is displayed if the send box is checked a file location is present the send file button is clicked and e Link is unable to locate the file specified Claim Status Request file not found Re enter a valid file location check the appropriate send box then click the Send File button located at the bottom of the page This message is displayed if the send box is checked a file location is present the send file button is clicked and e Link is unable to locate the file specified 997 835 Acknowledgement file not found Re enter a valid file location check the appropriate send box then click the Send File button located at the bottom of the pa
23. nt a Cancel Empire e Link User Guide 8 Rev December 12 2005 GET FILES To view a file once the View Download all NEW Reports or View Download has been requested select the Open this file from its current location radio button and click OK Screen 5 Screen 5 Empire e Link SUBMITTER TYPE CHANGE USER ID l File Download x You have chosen to download a file from this location Confirma000943 TXT from sysn empirebcbs com PAPER Se the rapari What would you like to do with this file Open file from current location Save this file to disk g Help Short Confirmation Rej Confirmation Reports View Download all NE M Always ask before apenna this wpe of fle View Download reports j Date Time Cres 1203 2002 11 2 Validation and Medicat Cancel More Info The file will be opened as a text file txt in your default text editor Once the file is displayed on your text editor you can save the file in any location you choose using commands found in the text editor Note All Empire created files are pre formatted text files that can be viewed and downloaded using the text editor such as Notepad or word processing software such as Wordpad or Microsoft Word To process an X12 835 remittance transaction special translator software is required Empire e Link User Guide 9 Rev December 12 2005 SUBMITTER TYPE The Submitter Type page is used to identify if you are an insti
24. number in the header record correct and resubmit or contact the IES Technical Help Desk for assistance Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission was unsuccessful Please try again later This message is displayed if the Empire system is unavailable Claim Status Request Messages o Transmission Verification for Submitter XXXXXXXXX obtained from file sent The Claim Status Request XX characters was successfully sent to Empire If all transactions are complete close your browser then disconnect your AT amp T network connection This message is displayed upon completion of a successful file upload Empire e Link User Guide 18 Rev December 12 2005 APPENDIX C a Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The Submitter ID is missing or invalid XXXXXXXXX Please correct the file and resubmit This message is displayed if the submitter in ISA06 is missing or not found on Empire s submitter files Please review the information in the header correct and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The first record read is assumed to be the header record The first record received is not a header or the required fields are misspelled or misplaced Verify that the header is the first record on the file and that all required fields are present Ple
25. ork connection Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The submitter id on the eligibility header must match the submitter id on each detail record A mismatch was found Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The first record read is assumed to be the header record The first record received is not a header or the required fields are misspelled or misplaced Verify that the header is the first record on the file and that all required fields are present Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The maximum length of an eligibility record is 58 characters A record was found that was greater than 58 characters in length Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected An eligibility header was found but no detail records Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected Eligibility requests can not exceed 99 details More than 99 details are present or other record format problems exist Please correct the file and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent
26. ptrmmddyyyy txt X12997Tak txt ALLx12997akmmddyyyy txt Confirma txt ALLconfirmammddyyyy txt Validret txt ALLrvalidretmmddyyyy txt Qlvalida txt ALLgqlvalidammddyyyy txt Remitsta txt ALLremitstammddyyyy txt Testremt txt ALLtestremtmmddyyyy txt Bulletin txt X276tal p txt ALLx276talpmmddyyyy txt X276997 p 8 xt ALLx276997pmmddyyyy txt x276igep txt ALLx276igepmmddyyyy txt KIDD ip Pee AX ALLx12277rpmmddyyyy txt x276talt txt ALLx276taltmmddyyyy txt X276099 HF FER xt ALLx276997tmmddyyyy txt 15 Rev December 12 2005 Test 276 IG Edit Report Test 277 Claim Status Response Eligibility Responses Empire e Link User Guide Download individual Download all New Download individual Download all New Download individual Download all New x276iget txt ALLx276igetmmddyyyy txt XI22 7T tees Ix ALLx12277rtmmddyyyy txt Eligresp txt ALLeligrespmmddyyyy txt 16 Rev December 12 2005 APPENDIX C Section 1 Messages prompted on the Send Files page If the Send File button has been clicked and information is missing one of the following messages will be displayed ee Do you want to send a file If so check the appropriate send box enter the file location and click the Send File button located at the bottom of the page This message is displayed if no data is present in the send box and file
27. r click here to view last known file locations When finished click the Send File s button Send File Description Claim File Claim Status Request Acknowledgement r T Part A and Part B 997 835 m Part B Eligibility Request Screen 8 Prod Test File Location cl eee ecf C C Send File Empire e Link SUBMITTER TYPE CHANGE USERID Home Get Files Send Files Send Files To send files click the box in the Send column indicate if the file is Production or Test by clicking on the appropriate circle and if the File Location is blank click the brgyvse button to locate the file on your hard drive or click here to view last known file locations F a button Send File Description Claim File Claim Status Request Acknowledgement r m Part A and Part B 997 835 m Part B Eligibility Request Screen 9 Empire e Link 4 Choose a File Path Microsoft Internet Explorer Prod Test File Location ec oc f E gt Browse ESS Send File The file location s entered when you last used Send Files Home are shown below Click inside a box to copy Claim File Claim Status Request Part 4 and Part B 997 835 Acknowledgement Part B Eligibility Request PF Claim Status Request o Part A and Part B 997 835 Acknowledgement O Part B Eligibility Request Empire e Link User Guide Send Files avant 05e9 txt Site Help SAPNS Personal Folders Robtco cyc
28. red fields are misspelled or misplaced Verify that the header is the first record on the file and that all required fields are present Please correct the file and resubmit This message is displayed if the first record on the file is not a header record or data within the header record Is incorrect Please review the file make sure the first record is not spaces and contains it begins with ISA and ISA05 equals ZZ Please make the necessary corrections and resubmit Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission rejected The User ID XXXXXX is not authorized to transmit files for the submitter indicated in the header record Please correct the file and resubmit This message is displayed if the submitter number on the file is not linked to the EDI number used to logon on to e Link on Empire s files Please verify accuracy of the submitter number correct and resubmit or contact the IES Technical Help Desk for assistance Transmission Verification for Submitter XXXXXXXXX obtained from file sent The transmission was unsuccessful Please try again later This message is displayed if the Empire system is unavailable Part B Eligibility Request Messages ee Transmission Verification for Submitter XXXXXXXXX obtained from file sent The Part B Eligibility Request XX characters was successfully sent to Empire If all transactions are complete close your browser then disconnect your AT amp T netw
29. t once all transactions are complete you should logoff of your browser and disconnect your AT amp T IVANS dial up connection Empire e Link User Guide 3 Rev December 12 2005 HOME PAGE Once you have successfully connected to Empire e Link the HOME page is presented This page contains an overview of the features available and a News Flash section Empire e Link SUBMITTER TYPE CHANGE USER ID Home Get Files Send Files Welcome to e Link Empire s next generation file transfer application Site Help e Link allows you to send claims download reports and receive remittances To navigate from one selection to another click on the buttons in the upper right hand corner On line help is available at anytime Simply click the Help button for information on the page you re using or click the Site Help button for assistance on all topics Important news items will be displayed below To check for new items you should periodically return to this page by clicking Home then click your browser s Refresh button or press F5 to check for new messages NEAS FLASH WELCOME TO EMPIRE E LINK Home GetFiles SendFiles Site Help Services provided by Empire HealthChoice Inc a licensee of the Blue Cross and Blue Shield Association Copyright 2002 Empire HealthChoice Inc All rights reserved The News Flash section is updated periodically with information about system availability upcoming changes or iss
30. tutional submitter e g Hospital Skilled Nursing Facility medical submitter e g Physician Medical Practitioner or both This page will be presented when navigating to the Send Files page Once a submitter type is selected and the Continue button is depressed the Submitter Type page will not appear again unless you click the Submitter Type link at the top of the screen EERDE Submitter Type Microsoft Internet Explorer Empire e Link In order to send files to Empire you must identify yourself as an institutional e g Hospital Skilled Nursing Facility or medical e g Physician Medical Practitioner submitter To help you determine which type of submitter you are ask yourself the following question If l were to submit a claim hardcopy would use a UB 92 or HCFA 1500 claim form If you answer UB 92 then you re an institutional submitter if ACF A 1500 you re medical Select the type of submitter you are from the drop down list then click Continue f you do not wish to send files at this time click Cancel Select Submitter Type Institutional The Submitter Type selected drives the upload selections presented on the Send Files page Empire e Link User Guide 10 Rev December 12 2005 SEND FILES Before you can send a file using e Link you must know where the file is stored The file you intend to send can be stored locally on your hard drive or your network but you must be able to locate it If you
31. ues related to electronic claim submission You should read the News Flash each time you logon Empire e Link User Guide 4 Rev December 12 2005 CHANGE USER ID For users that have more than one Empire e Link user name and password once successfully connected you can click on the Change User ID link at the top of the page to change the User Name and Password Empire e Link SUBMITTER TYPE CHANGE USER ID Enter Network Password Welcome to e Link Empire s next generation file 5 e Link allows you to send claims download reports anc selection to another click on the buttons in the upper rig anytime Simply click the Help button for information on t button for assistance on all topics Important news items will be displayed below To check to this page by clicking Home then click your browser s messages NEAS FLASH WELCOME TO EMPIRE E LINK Empire e Link User Guide 3 Rev December 12 2005 GET FILES The Get Files page is used to view or download save to your hard drive or network files created by Empire for your user ID and submitter ID Upon initial entry this page displays the titles of all reports and files available See Screen 1 below If files and reports are not found for the current user the message No files available for download will appear on this page Refer to Appendix A for file definitions availability amp retention as well as Appendix C for short confirm
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