February 2007 Newsletter
An Event to Remember: Part 2
Ever since Quadax instituted the ability to view Help Desk events, there have been queries about the terms we use in documenting and answering your questions. As a follow-up to my August 2006 article, I have accumulated a glossary of definitions of unfamiliar phrases. The following definitions explain some of the language we use in support events.
Xpeditor Codetable Update Report (CUR)
The Codetable Update Report is part of the updates that are made each Wednesday. This is where you will find the information and explanations regarding edit and error changes. The CUR is available through the ASP Portal under the “Latest News” section.
CANS Messages
Client Access and Notification System (CANS) is an internal tool for communicating to you important information about system processes and availability, payer issues, and much more. Quadax personnel are able to narrow down the recipients of CANS messages to just those clients who were or would be affected by subject. For example, you would only receive notification of an Ohio Medicaid issue if you submit Ohio Medicaid claims. The e-mail received as the CANS message is just the teaser; the full details are contained on the ASP Portal under the “Latest News” section.
Run Time Error (RTE)
A Run Time Error, RTE for short, is a critical failure of a program when asked to perform a function. It does not normally cause system or program crashes, but will inhibit system performance and functionality until resolved. Quadax technicians will investigate and fix Xpeditor-related RTEs.
Proactive Events
When the same problem or issue affects multiple clients, Quadax will open a Proactive Event to document the problem and ultimately its resolution. The idea behind this is to have one event documenting the same information for many clients instead of having one event for the same situation for each client affected. At the present time, Proactive Events are not viewable by you, but this communication is planned to be presented at logon to Xpeditor with a future release.
Knowledge Base (KB)
Quadax maintains an internal database for reference on diverse subject matters. Xpeditor users have access to the edit documentation and descriptions that are part of our Knowledge Base. This access is available on the ASP Portal through the Error Documentation link under the Xpeditor tab on the left side of the Portal page; Xpeditor Enterprise users access this information by right-clicking on the error from within Xpeditor.
Web Reports
An optional function of the ASP Portal, Web Reports contain the response 277 Response File information. Quadax will parse, or scrape, the response so that just your claims are shown. In addition, there is usually a Quadax-formatted version that is much easier to read. It contains the same, and in many cases more, information than what is passed back to Xpeditor.
Data Arch
A proprietary tracking program created by Quadax programmers, it allows support personnel to find and view individual claims that are part of the outgoing 837 ANSI files sent from Quadax to payers. The inclusion of a claim on the outgoing file indicates that it was transmitted to the payer once released out of Xpeditor.
Transaction Control Number
When payers send back a 997 Response File, this is the number that identifies the response file to that payer.
997 Response File
Different from the response files received by Xpeditor, the 997 Response is the confirmation from the payer that the claims file Quadax has sent has been accepted by the payer for processing. It is important to note that the 997 Response File only confirms the acceptance of the file itself, not the claims contained therein — “We (the payer) have received your claims file and everything looks ‘OK;’ we will begin to process the claims now.”
277 Response File
The "next step" of claims submissions, the 277 Response comes from the payers to Quadax and contains claim-level responses: acceptance, denials, rejections, holds, etc. Some payers give various levels of responses, some give full detail, others give partial (either acceptance or rejection but not both), and a few send no response information. Quadax has an internal catch-phrase — “We are only as good as the payers.” This means that we can only give back to you the responses that we receive from the payers.
Additional terms will be provided in An Event to Remember: Part 3 in the next issue of Q-Tips.