November 2004 Newsletter

Behind the Scenes

By: Cyndi Palmer, Communications Manager<

When you rent a DVD, are you eager to watch the special feature on how the film was made? When you hear news of a blessed event, are you disappointed if you can't get all of the details? If you're the type of person who likes to look "behind the scenes" and check out all the details, you're going to love the new Transmission Results Page available from the ASP Portal.

You know that when your claims leave your system, Quadax sorts, formats, and transmits those claims, along with claims from thousands of other providers, to each of the specified payers for adjudication and payment. Occasionally you hear about a transmission difficulty. Most of the time you see a tracking record that a claim was sent and accepted, and later you receive a remittance, so you know that everything worked the way it should.

To get a look behind the scenes, log in to the Quadax ASP Portal, look for the folder labeled "Knowledge Base," and click on Transmissions. The current month will display automatically, or you may use the drop-down box at the top of the page to select an alternate display.

The grid shows the entire month, with the days labeled across the top. Down the left side, you'll see the payer names, listed in two ways. The "Friendly Name" will help you understand who that payer is; the "Payer Name" is a hyperlink to the Payer List, so you can understand even more about the payer: the Quadax claim types associated with the payer, the type of transmission, and the status of our relationship with them in terms of HIPAA compliance. Then, click on the folder icon from the Payer List for even more information, often including a link to the payer's web site.

At first glance (particularly toward the end of a month), the Transmission Results grid may look a little overwhelming, with all those long lists of dots and circles. There is a lot to keep track of. But we've provided a legend at the top of the page to help you make sense of it all.

Basically, green is good! A green dot indicates that a transmission was confirmed successful. Other symbols (a combination of form and color, so that color-challenged individuals won't be confused) indicate various stages of progress associated with a transmission. In some cases, there were difficulties encountered initially, but Quadax intervention overcame those difficulties and the transmission is now considered successful. In most cases, that resolution is rapid, but occasionally such an issue may fall close enough to a payer's cutoff for adjudication that a claim will be delayed by the issue. In the midst of a difficulty, you'll know we're working to resolve it when you see the red square icon. While we're still awaiting confirmation of acceptance from a payer, you'll see an empty circle. And if we didn't receive any claims to be transmitted according to schedule, you'll see just a shadow of an empty circle.

Soon, this page will be enhanced so that you can read the actual messages entered by our Transmission Auditors and by automated systems to give timestamps for every event in the transmission process as well as comments about issues encountered and their resolution.

We're committed to giving you the most information about the processes that affect your business, so that you can be the most effective in your management of that business. If you have questions about the Transmission Results Page, feel free to contact your Service Representative or the call center Representatives that handle your account. Call the EDI Client Support Center at (866) 422-8079, or the HARP Help Desk at (440) 777-6300. If you don't yet have access to the Quadax ASP Portal, you can register online.