Thanks for testing with us! Med-Quest and the ACS EDI Team welcome
you to the 837/835 testing page.
This page contains information on registering for Electronic
Data Interchange (EDI), preparing for 837/835 testing, conducting
testing, and completing the testing process. Trading partners
- Med-QUEST providers and their vendors, clearinghouses, or billing
services - are encouraged to review the site to learn more about
the testing process.
ACS, the Med-QUEST fiscal agent, is responsible for assisting
providers and vendors with EDI-related issues. The ACS Provider
Call Center is staffed from 7:30 a.m. until 5:00 p.m. (Hawaii
Standard Time), Monday through Friday. They can be reached at
the following numbers:
(808) 952-5570 - Oahu and Mainland
(800) 235-4378 - Neighbor Islands
The ACS EDI Team can also be reached via e-mail at email@example.com
Download the Following Documents
Medicaid EDI Manual
of 835 File
of 835 Supplementary File
835 RA Companion Doc V1.4
835 RA Change Summary V1.4
837 Claims Companion Doc V1.5
837 Claims Change Summary V1.5
Status as of 04/07/04
Hawaii providers often have
complex, varied relationships with billing agents, Medical Managers,
software vendors, clearinghouses, and in-house Information Technology
(IT) personnel. The ACS EDI Team must clearly and completely understand
these relationships. This will help us ensure we communicate effectively
Register with ACS
EDI with Med-QUEST requires sign-up and assignment of User IDs
and passwords. Trading partners should contact ACS to begin the
registration process. ACS will gather some basic information and
distribute the DHS Medicaid EDI Manual. The DHS Medicaid EDI Manual
will contain detailed instructions for registering, preparing
for testing, and other important information.
If you are a provider, billing
agent, or medical manager – We need to know
who you call if you encounter a problem with your billing software.
Is the person internal to your company? If so, who does he or
she contact? It is vitally important that we understand who is
developing your billing software for you. The ACS EDI Team will be happy to keep you fully informed of testing progress,
but we need to be sure we’re talking to all the right people.
If you are a vendor, clearinghouse,
or software developer – we need to know about
your providers. We also need to understand any subcontractor arrangements.
It is not uncommon for local IT shops to work with a national
vendor, or for one software company to contract with a clearinghouse.
In some cases, providers may not be fully aware of these arrangements.
To avoid confusion and incorrect/inefficient communication, we
need to know who the players are. We also need to know if you
handle only one type of transaction (for instance, professional
rather than institutional claims), and who the contacts for other
transactions may be.
Demonstrate your Ability to Submit
a Certified Transaction
The ACS EDI Team requires all trading partners to demonstrate
their ability to submit a certified transaction prior to beginning
testing. The transaction must be certified to Level IV (4).
Why must I certify? TCS testing can
be very complicated. Certifying your transactions prior to testing
with Med-QUEST dramatically shortens the time it takes to complete
What does Level IV mean? Med-QUEST
requires demonstration of certification to Level 4 for all inbound
transactions, where T1 = syntactical integrity; T2 = Implementation
Guide; T3 = Balancing; and T4 = Inter-segment Data Relationships.
How can I get certified? Your software
developer will send test transactions to a qualified certification
entity. Below is a partial list of certifying agencies. Please
be aware that Med-QUEST does not recommend one agency over another,
nor do we require trading partners to use a particular certification
How can I demonstrate certification?
Trading partners can use any of the following methods to demonstrate
certification:· Response from certification entity indicating
an 837 transaction has successfully passed Level IV certification·
Verification the trading partner is currently in production with
at least one other payer· Other – please email firstname.lastname@example.org.