13.07.2015 Views

Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

RFP MED-12-001 | Technical Proposal<strong>Iowa</strong> <strong>Medicaid</strong> <strong>Enterprise</strong> System Service Procurement | MMIS and Core MMIS OperationsWeb-based interface that supports ease of registration and testing of transaction while producing reportingthat is easy to interpret.On initial registration, all submitters are registered in test mode. This enables the submitters to test theirEDI transactions. TOB manages the receipt and validation of all registration paperwork and builds the testaccount. Test transactions submitted by trading partners are edited and transaction disposition reporting isgenerated to convey errors that would cause a file to be rejected. Trading partners continue to submit testtransactions and are able to review their reports through TOB's self-service interface.After successful testing, the submitters are certified for production mode. After receiving thiscertification, the submitters may submit claims and other HIPAA transactions to the production IMEenvironment. Registration information gathered through TOB will interface with the EDI Gateway andEdifecs translation products to minimize transition effort and simplify submission for trading partners. Inaddition, the production manage trading partner components validate all received electronic files to ensurethat the files are submitted by registered trading partners.Figure 9.1.3.1-3 depicts the conceptual architecture supporting the collection of EDI transactions.9.1.3.1 | 7

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!