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CE2000 Setup For Data File Import

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DayTech's CE2000 software must be set up to convert the file to NCPDP billing format before forwarding it to the appropriate location. CE2000 runs as a standalone VB6 foreground app doing file swaps with myAvatar on the one side and the Internet Transmitter (SecureTrans or RSI) on the other side. CE2000 does not use IP addresses.

If transmitting claims to RelayHealth, you will use the SecureTrans program. Their normal production IP address is 206.227.220.30, TCP Port 18004.

If transmitting claims to Change Healthcare (Retail Solutions) you will use the RSI program. Their normal production IP addresses are 74.113.61.50, and 64.250.235.186, TCP Port 8277.

  • Netsmart Consulting representatives should help with this setup. Refer to the Mapping Document provided by Netsmart when defining the fields the map within the plan setup.

Template Setup

  1. Netsmart Consulting will provide a plan template that defines the standard plan definitions for CE2000 configuration.
  2. Netsmart Consulting will provide one Parameter Template that defines the standard parameter definitions for CE2000 configuration.
  3. The template files will always be stored under the CE2000 parent directory on the server where CE2000 is installed. The folder would always be named "ce2000."
  4. The Netsmart-provided templates already define the Netsmart recommended method to configure CE2000. It is NOT recommended for an agency to make any changes to these templates without Netsmart Consulting's assistance. Doing so may result in additional support charges.

These templates are for communication with RelayHealth. Communication templates ChangeHealthcare (Retail Solutions) need to be defined.

Option Settings

NDC Restart

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the ALL STATIONS: NDC RESTART option. Check to make sure the Option Value is set to YES.
  4. Click Update. 

Reject Abort

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the ALL STATIONS: REJECT ABORT option. Check to make sure the Option Value is set to YES.
  4. Click Update. 

Claim Imaging Mode

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the CLAIM IMAGING MODE option. Check to make sure the Option Value is set to OFF.
  4. Click Update. 

Claim Statistics Mode

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the CLAIM STATISTICS MODE option. Check to make sure the Option Value is set to OFF.
  4. Click Update. 

POS Printer Mode

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the ALL STATIONS: MAF MODE option. Check to make sure the Option Value is set to OFF.
  4. Click Update. 

MAF Mode

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options re-display.
  3. Select the ALL STATIONS: MAF MODE option. Check to make sure the Option Value is set to OFF.
  4. Click Update. 

NDC Path Setup

  1. From the main system menu, select Options Menu. The Options screen displays.
  2. Click Search. All available options display.
  3. Select the ALL STATIONS: NDC PATH option.
  4. Define the path as the CE2000 install directory, followed by the folder 'SECTRANS' (e.g. C:\CE2000\SECTRANS). This is only used when sending claim files to RelayHealth. 
  5. Click Update.

Switch ID Setup

  1. Click Search. All available options re-display.
  2. Select the ALL STATIONS: SWITCH ID option. Check to make sure the Option Value is set to NDC.
  3. Click Update. 

Rejected Claims Setup

  1. Click Search. All available options re-display.
  2. Select the ALL STATIONS: DELETE REALTIME IMPORT CLAIM REJECTS option. Check to make sure the Option Value is set to YES.
  3. Click Update.
  4. Click Search. All available options re-display.
  5. Select the ALL STATIONS: DELETE BATCH REJECTS option. Check to make sure the Option Value is set to YES.
  6. Click Update.
  7. Click Search. All available options re-display.
  8. Select the ALL STATIONS: REJECT ABORT option. Check to make sure the Option Value is set to YES. 
  9. Click Update.

Import Response Report Setup (single file per claim)

  1. Click Search. All available options re-display.
  2. Select the ALL STATIONS: COMBINE REALTIME IMPORT RESPONSE REPORTS option. Check to make sure the Option Value is set to YES.
  3. Click Update.
  4. Click Exit. The Main System screen re-displays.

Printer Mode OFF Setup

  1. Click Search. All available options re-display.
  2. Select the ALL STATIONS: POS PRINTER MODE option. Check to make sure the Option Value is set to OFF.
  3. Click Update.
  4. Click Exit. The Main System screen re-displays.

Protocol Setup

  1. Click Claim Switches.
  2. Click Search. All available switches display.
  3. Select the NTS switch called [‘NTS-ALL] NDC TEST’.  
  4. In the Current Protocol field, change the protocol to "I."
  5. Click Update.

Insurance Plan Setup

  1. From the main system menu, select Create Insurance Plans. The Insurance Plan Definition screen displays.

  2. The Insurance Plan Definition screen is where you define the Generic Plan that will be associated with all payers. The values of several fields on this screen will be communicated from myAvatar if the following fields are defined with all zeroes as wildcards. This tells CE2000 to use the values communicated from myAvatar within the claim file.

  • Bin#: 000000

  • Service Provider ID: 000000000000000

  • Processor Control #: 0000000000

  • Service Provider ID Qualifier: 00

  • Software Vendor Cert #: 0000000000

  1. The NCPDP Data Dictionary section (red box) contains the fields for selection to be included in the plan. Double-click the field on the left to push it to the Fields selected for this plan section (blue box).

Claims Processing Setup

  1. From the main system menu, select Create & Transmit Insurance Claims. The Claims Processing screen displays.

  2. On the menu bar, select Import Claims. The Claim Import Templates screen displays.

  3. In the Template File Name field, enter the name of the new import template to be defined. The template is called ALLD0.it3 and will be delivered to the agency for use by a Netsmart Consulting representative.

  4. In the Claim Import File Path and Name field, define a path where the files will be created once the NCPDP file is created on the server for import into CE2000.  

    • The file path must correspond to the path entered in the myAvatar NCPDP Facility Defaults form (Output Path On Server For NCPDP Files). The path may not have spaces and must end with a folder titled "IN," followed by *.txt  to indicate any file within that folder (e.g. C:\IMPORT\IN\).

    • File path in CE2000 is a maximum of 50 characters including the path name + file name.

  5. In the Claim Output File Path and Name field, define a path where the files will be created by CE2000 to be picked up by myAvatar for import.

  6. In the CE2000 Batch File Name field, enter the batch file name.

  7. In the Number Of Records Per Claim field, enter "005". This is the format that will be output from myAvatar .

  8. In the Field Delimiters field, select Vertical Bars. This is the format that will be output from myAvatar .

  9. In the Plan Identification field, select Each claim contains a field that identifies the corresponding plan to be used.  Enter "001" in the Record and Field boxes. This is the format that will be output from myAvatar .

    • The purpose of this is to support multiple plans to be defined in myAvatar . The agency can configure one plan within the NCPDP System Defaults form. However, it also supports a more granular definition under the Guarantor/Payors form. Defining these fields as instructed tells CE2000 where to look for the Plan ID to recognize the appropriate plan.

  10. In the Decimal Points field, select Specified. This is the format that will be output from myAvatar .

  11. In the Date Format field, select mmddccyy. This is the format that will be output from myAvatar .

  12. Click Edit Plan Template(s). The Plan Information box displays.

  13. In the Available Plans field, select the appropriate plan. The fields specified as required for the selected plan are displayed.

  14. Enter the Plan Identification Value. This should match exactly with the Plan ID defined in myAvatar . If defined on NCPDP System Defaults, then only one plan is needed. If an agency defined the Plan ID on the Guarantors/Payors level, then they would need to create a plan for each guarantor/payor setup.

    • myAvatar supports the definition of one or many plans to work with CE2000. If an agency only wants to define a single plan, then they would define the Plan Identification value within the NCPDP System Defaults form. If an agency wants to define multiple plans per guarantor, then they would define the Plan Identification value within the Guarantors/Payors form.

  15. Click Update.

 

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