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VA Code in Flight Submission - Medical Care Collections Fund (MCCF) Electronic Data Interchange (EDI) Transaction Applications Suite Phase 1 PRCA*4.5*318
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11319
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 08-02-2017.
The purpose of this patch is to meet the requirements of the Medical Care
Collection Fund (MCCF) Electronic Data Interchange (EDI) Transaction
Application Suite (TAS) Phase 1 project as related to Accounts Receivable
(PRCA). This project ensures the Department of Veterans Affairs (VA)
compliance with Electronic Funds Transfer (EFT) and Electronic Remittance
Advice (ERA) Operating Rules, and enables the VA to more effectively use
ERA data, resulting in better revenue and cash flow management. It will
provide the infrastructure foundation for electronic exchange of claim
payment information and promotes an interoperable system. It will
reduce the time elapsed between receipt of the EDI 835 Electronic
Remittance Advice Transaction and receipt of the Cash Concentration or
Disbursement (CCD+) transactions. It will ensure that trace numbers
between payments and remittances can be used by VA, reducing the level of
open accounts receivable, allow claim denials to be more quickly
addressed, and standardizes Electronic Funds Transfer (EFT) & ERA
enrollment to reduce workload burden on VA staff.

This patch contains changes to the ePayments (835 and EFT) program area
to ensure compliance. Specifically, enhancements to the Veterans
Health Information Systems and Technology Architecture (VistA) Third Party
EDI Lockbox module to increase timely and accurate processing of payments
for electronic claims in compliance with Health Insurance Portability
and Accountability Act (HIPAA) and Veterans Health Administration (VHA)
Fiscal Accounting policies. The ePayments system is used by Accounts
Receivable (AR) staff to process payments from third party payers for
both medical and pharmacy claims.

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