Pennsylvania HIPAA Certification Process

Introduction

Pennsyvania's MA HIPAA Certification Process requires that both software vendors and provider agencies go through the certification process. One good reason for this is the fact that setup information specific to each provider agency must be correctly entered into the electronic claim software before it can successfully submit claim forms. It is strongly recommended that each provider agency that has not registered for certification do this as soon as possible.

Recommended Responses

Please refer to the following table for recommended responses to the software/vendor-related items on the HIPAA Transaction Certification Registration Form:

Registration Form Question
Recommended Response
Certification Plans:  
Please select the type of software that you intend to use to submit and receive HIPAA transactions: (Required)
Purchased Software (vendor supplied)
What is your preferred Certification Begin Date?: (Require date starting 11/1/2002)
May 15, 2003
Select all transaction types for which you need to be certified. Please, read the certification documents carefully before selecting:(Required) 837/835 Professional - select Yes option
What date do you plan on sending DPW OMAP Production HIPAA formatted transactions?: (Required)
July 1, 2003
Organization or Submitter Information:  
If you selected Individual Provider or Group Provider for the organization type above, will your HIPAA transactions be submitted through a billing service/clearinghouse to EDS? No
Transaction Transmission Information:  
DPW OMAP provides Provider Electronic Solutions (PES) software at no cost to the user. The PES software will be pre-certified. The certification process will be less comprehensive for PES users. Check here if you are you interested in using the PES software. Selecting "Yes" will ensure that you are notified when PES is available to the provider community. Yes
Software Name R/Client for Children
Software Vendor Name

SymServe

Address 4932 Library Road, 2nd Floor
City Bethel Park
State PA
Zip Code 15102

Vendor Contact Information

 
Contact First Name

Gary

Contact Last Name Kammeraad
Phone Number 412-851-1374
Fax Number 412-851-1375
E-Mail Address gkammeraad@symserve.com
Transmissions and Communications  
Which medium will be used to submit test and production transactions to Pennsylvania Medical Assistance?: (Required)
Interactive or bulletin board system (BBS)
Which medium will be used to receive test and production transaction results and error reports from Pennsylvania Medical Assistance: (Required) Interactive or bulletin board system (BBS)
Select a method in which to receive the Certification Packet: (Required)
Email
Select a method in which to receive the certification transaction status results: (Required)
Email

Modified: 05/07/2003

 

 




 

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