Getting Started

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Using Encryption

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Accessing Inbox Manager

Using the Inbox Manager you can access the most important functions of EDI Exchange. Inbox Manager allows you to download EDI files into the "Inbox" folder and process these files. This screen handles the post-processing of the EDI files, their compliance check and auto-processing options.

1. To access the Inbox Manager, click the "Inbox Manager" under the "EDI Exchange" menu.

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The "Inbox Manager" menu item
2. The following screen will come up.

Inbox Manager
The "Inbox Manager" window

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Checking EDI Files

EDI file analysis based on the HIPAA standards. Compliance with HIPAA EDI rules is an essential part of the exchange of EDI documents. The standards are the only agreed upon rules that sender and receiver use to exchange data from completely different backend systems. Strict adherence is therefore necessary to guarantee frictionless operation.

Unfortunately, HIPAA compliance is difficult and the truth is that many HIPAA EDI files are truly bad. Syntax errors, omitted loops, missing elements, wrongly formatted elements — these are the most common EDI errors. Without a true analysis, it is difficult to say what data ends up in your system.

EDI Exchange has a built-in compliance engine that analyzes each incoming and outgoing EDI transaction. Line by line, element by element, error reporting provides a powerful tool to determine the quality of the incoming and outgoing EDI files. All HIPAA file versions are supported. The compliance check creates a detailed report that lists every compliance issue. Outgoing files can also be checked and individual transaction in violation of HIPAA rules can be held back.

Note: You can enable automatic compliance check on outgoing and incoming EDI files. See Setting up Incoming and Outgoing Files Options.

 

Follow the instructions below to check EDI files for compliance.

1. Select "Check EDI File" under the "EDI Exchange" menu item.

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The "Check EDI File" menu item

Alternatively, you can click on the "Select and Check EDI File" button in the Inbox Manager window. Read more in Accessing Inbox Manager.

Inbox Manager_Select and Check
The "Select and Check EDI File" button
2. In the opened file selection dialog, select an EDI file and click "Open."
3. In the Inbox Manager, you can see the result messages for the operation. The details are displayed in the "Activity Log and Warnings" area.

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The "Activity Log and Warnings" area displaying log messages

 


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Downloading EDI Files From FTP Server

EDI Exchange Inbox Manager allows you to load EDI files into the "Inbox" folder and process these files. Be sure you have setup FTP settings in the "Remote FTP" tab of the Trading Partner window (see Setting up Trading Partners).

Follow the instructions below to upload EDI files into the "Inbox" folder.

1. Access the Inbox Manager by clicking the "Inbox Manager" under the "EDI Exchange" menu.

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The "Inbox Manager" menu item
2. Click the "Download from FTP Server" button.

Inbox Manager_Download
The "Download from FTP Server" button
3. When the process has been finished, the "Activity Log and Warnings" area displays the report. 

Inbox Manager_Activity Log
Activity Log and Warnings information

 

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Processing EDI Files

EDI Exchange Inbox Manager allows you to process EDI files downloaded to the "Inbox" folder beforehand.

Note: Once you have saved the auto-processing options (see Defining Auto-Processing Options), the files will not only be analyzed but also processed according to the defined settings. The auto processing enables you to combine and run multiple fulfillment steps together (for example, export, saving, printing.)

1. Once Downloading EDI Files From FTP Server is completed, and no errors are displayed, click on the "Process Inbox" button. This will autoprocess all files present in the EDI inbox directory.

Inbox Manager_Process Inbox
The "Process Inbox" button
2. Once the processing is completed, review the Activity Log and Warnings information.

Inbox Manager_Activity Log and Warnings
Activity Log and Warnings information

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Accessing EDI Receive Log

EDI Exchange has a file log. Each processed file creates an entry in the Trans_Log table. You can access the "EDI Log" window to query this table and see what files came in and how they were processed. You can access the EDI Receive Log once the application has been initialized. Follow the instructions below.

1. To open the "EDI Log" window, select "EDI Receive Log" under the "EDI Exchange" menu item.

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The menu for the EDI Receive Log
2. To display data, specify the time period and select trading partner.
Time Period — Period of time when the file was processed. Choose one of the available options:
Receive Date
Load Date
Trading Partner Name — You can select your trading partner from the list. If you select "---All---", all your trading partners will be included.
3. Click on the "Find Log Files" button to see the list of log files corresponding to your query.

edi receive log window
Specifying the time period
4. The log will be displayed in form of a tree.

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Displayed log
5. You can open the folder icons and see details related to each file.

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Details of the EDI Receive Log

If the records have been exported to the database, you can see the time, date and record count.

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Accessing EDI Send Log

This page contains instructions on how to access the "EDI Send Log" window. It becomes available once EDI Exchange has been initialized.

1. Select "EDI Send Log" under the "EDI Exchange" menu.

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The "EDI Send Log" menu
2. The following window will appear:

EDI Send Log
The "EDI Send Log" screen
3. To display the log data, select the time period and a trading partner.
Time Period — Period of time when the file was processed. Choose one of the available options:
Receive Date
Load Date
Trading Partner Name — Select a trading partner in the list. If you select "---All---", all trading partners will be included.

4. Click on the "Find Log Files" button to display the list of log files corresponding to your query.

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Listing SEF Files

SEF (Standards Exchange Format) files are repositories of standards information that define the format of EDI documents. SEF files are the basis for the compliance check engine that EDI Exchange uses. These files contain all rules of the implementation guide of a transaction. There is a SEF file for each transaction that EDI Exchange is licensed for. For example, for 837 transactions we have SEF files for institutional, professional and dental claims in 4010, 4010A1 and 5010A1 version and the 997 and 999 transactions.

1. To access the list of available SEF Files, select "SEF Files" under the "EDI Exchange" menu.

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The "SEF Files" menu item
2. The "SEF Files" window will appear.

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A list of SEF files

 

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