Billing and Submitting to EMOMED (837)

Before billing via EMOMED, you must first set up an online account with them, and send a test file for them to approve future online submissions.  This is a matter of creating a test billing file, downloading the file to your computer, and submitting that same file to EMOMED online. 

These steps for setting up a test file are the same beginning steps you’ll take to submit to EMOMED once approved.

Here are the steps:

1.)  Select the completed invoices (check box them individually or use the top check box to "select all").

2.)  Press "Export as Merged Healthcare Claim" (NOTE: Please don't press the EXPORT button on the right of the claim - there is a bug here that is being fixed).

3.)  In your browser, a box will appear at the lower left with your downloaded file. Save this file in the location of your choosing.

• One way to do this is to drag the downloaded file to your desktop or to a folder of your choosing with a title like "claims to upload".

• In some browsers, there will be a little arrow to the right of the file name. You can click that and say open file location and then use the Windows File Manager to move it to the location of your choice.

NOTE If you download a single claim the downloaded file will be an .edi file. If you download more than one it will be a .zip file. In either case, this is the file that you'll be uploading to EMOMED.

4.)  Getting approval from EMOMED for electronic filing:

Before EMOMED lets you submit, you have to fill out a Trading Partner Agreement and then you will get an email from EMOMED with the following instructions:

• To submit your batch file:
• Log on to www.emomed.com. 
• Please note that the User ID stated in the first paragraph of this document must be used to log onto emomed.com to submit the batch file.  The Trading Partner Agreement applies only to this specific user account.  A Trading Partner Agreement will be required if other users are required to submit a batch file for this approved user. Failure to do so will result in the file being rejected and not processed. 
• Select “File Management” on the eProvider screen.
• Select “Manage Test Files”.
• Select “Upload HIPAA Test Files”.
• Select “Browse” – Navigate to select the desired file.
• Select “Send Files”. 

Files with status “Ready for Processing” will process in the next run of our Test Cycle.  This status will indicate you had a successful upload of your file to emomed.com.  Files with status "Processing Finished" are files that have processed through one of the Test Cycle runs.

The Test Cycle runs at 5:30 a.m. (CST) daily, Monday - Friday.  You can review your results from the cycle around 12:00 p.m. the same day.

To Review EMOMED Results

1. Select “File Management” on the eProvider screen.

2 . Select “Manage Test Files”.

3. Under Search Scope, select “By User ID”.

4. Check the box by “Acknowledgements”.

• On the Acknowledgement look for the indicator ‘A’ (accepted) following the AK9.  If you received an ‘R’ (rejected) after the AK9, look for any IK3 or IK4’s within the file.  They will direct you to the noncompliant loop and segment.
• If the 999 is missing, check in Rejects X12. An X12 reject means the file was noncompliant with the first set of processing edits.
• Accepted 999 string example:
• AK1|HC|582~AK2|837|000000582~IK5|A~AK9|A|1|1|1~    
• Rejected 999 string example:
• IK3|NM1|56||IK4|9||1~IK5|R|5~AK9|R|1|1|0~

If you receive an accepted 999, under Search Scope select All NPIs, check the Claim Confirmation box.  If the claims processed and have a status majority of 'I' (To Be Paid), send an email to internethelpdesk@momed.com to move to production. Please include the emomed User ID and the type of file (5010X222A1, 5010X279A1, etc) that you are requesting to be promoted to production.

If the claims processed and all claims have a status of ‘K’ (To Be Denied), please correct. 

The response error codes are listed to the right of each claim. You can obtain the reason code explanation at http://www.wpc-edi.com/content/view/180/223/ or by clicking on the Provider Information bullet in the External Links section on  any of the main tabs (login screen, ePassport or eProvider). 

Please contact us at (573) 635-3559 or internethelpdesk@momed.com if you have any questions regarding this process.

Upload the file to EMOMED

 Once approved by EMOMED, the steps to submit your batch file are as follows:

• Log on to www.emomed.com. 
• Please note that the User ID stated in the first paragraph of this document must be used to log onto emomed.com to submit the batch file.  The Trading Partner Agreement applies only to this specific user account.  A Trading Partner Agreement will be required if other users are required to submit a batch file for this approved user. Failure to do so will result in the file being rejected and not processed.
• Select “File Management” on the eProvider screen.
• Select “Upload HIPAA Files”.
• Select “Browse” – Navigate to select the desired file.
• Select “Send Files”.

The next morning we'll get confirmation of "approval" or indication of any errors.