How will VA receive claims reports?
The Virginia EDI initiative involves using a “clearinghouse” to collect reports from our customers, test the reports for accuracy, and forward to the agency’s databases. The Commission’s partner, Red Oak E-commerce Systems (ROES, which was recently acquired by Ingenix), will perform this “clearinghouse” service. All EDI reports will first go to ROES in an FTP, flat-file format, and then IAIABC Claims Release 3.0 edits, pursuant to the Virginia Implementation Guide, will be applied by ROES. The reports will then be sent to the Commission, and the submitter will receive an acknowledgement.
