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VA Code in Flight Submission - Medical Care Collection Fund (MCCF) Electronic Data Interchange (EDI) Transaction Applications Suite (ePayments)
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Submitted by OIT EPMO Open Source Coordination Office on 03-02-2018.
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 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.

The ePayments Agent Cashier menu receipt processing and link payment functionality has been changed to allow EEOBs, marked as 'removed' when suspended in the ERA Worklist, to be restored to the correct claim.

Routine "IBCEOB4" was modified to accommodate restoring EEOBs which have previously been removed back to the correct claim.

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