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Electronic Data Transfer User Manual

1. EDT user transfers delivers downloads MOHLTC container to files to to EDT USER S MAILBOX COMPUTER SYSTEM MAINFRAME gt When sending files from one EDT user to another EDT user the receiver s GONet user ID is used to direct the file to the correct user When the transfer is successfully completed the GONet EDT system delivers the file to the recipient s mailbox The file is then available for the receiving user to download to their computer system COMPUTER EDT user sends delivers files downloads file to EDT to user s to EDT USER S MAILBOX COMPUTER SYSTEM SYSTEM EDT Service and Screen Layouts EDT User Manual GONet EDT Service Screen Layouts Log On Screen After successful connection to the GONet EDT service the following log on screen will display eeeeee eeeeeee eeee eee ee eeee eeee eee Elle eeee eee ee eeeee e eeee eeeeee eee ee eee eeeeeee eeeeeeee eeeee CCCCCC CCCA CCCCAC ee eee ee CAR CCACACCRE eeee eee CCRC RQACCCCCE QCCCCCCCCE eee RQCCCCCRCE AENA II III III III I II 11117 GOVERNMENT OF ONTARIO NETWORK ELECTRONIC DATA TRANSFER SERVICE userid lt ENTER gt To log on to the system userid np lt ENTER gt To log on and set a new password Unauthorized Access to this System
2. 9 2 Overnight Batch Eligibility Checking OBEC EDT User Manual 10 LOG OFF PROCEDURES Log Off Procedures 1 From the Main Menu or the Ministry of Health Menu key 4 or enter LO and press lt enter gt Government of Ontario Electronic Data Transfer Service Ministry of Health Menu send Claim File Send OBEC File Return to Main Menu Log Off Please Select a Function gt Enter the number of the function you require and press enter to continue Direct Dial 2 You must exit your communication software long distance charges will continue to apply until your disconnection Check your software manual for details Datapac 3 You must now hang up from Datapac charges will continue until you are disconnected Use your communications software to end the Datapac session by issuing the command to hang up or end the session Check your software manual for details 4 Exit from your communications software cS Hang up before logging off or charges will continue until the system automatically hangs up Ensure that you discontinue your Direct Dial or Datapac connection before you have completed the log off procedures Log Off Procedures 10 1 EDT User Manual 11 GENERAL INFORMATION Script Files Many communications software packages allow users to automate the communications process consult your specific software manual for instructions regarding automated scripts Script files can be u
3. Claims Information EDT User Manual Claims Processing Schedules The ministry processes claims overnight on most business days with the exception of statutory holidays and during a three to four day period at the end of the month when month end processing and generation of payment data occurs This period could be extended to four or five business days if major systems changes are being implemented Claims Information File Reject Messages are usually sent within a few hours of claims file submission This is an automated process and is independent of the monthly claims cycle therefore a File Reject Message may be sent any day of the week or month Claims Batch Edit Reports are usually sent within 24 hours of claims file submission This holds true on days that the ministry processes claims This report is produced from one of the first processes in the claims system If claims are uploaded on a weekend holiday or at month end the batch edit is delivered on the next claims processing day Claims Error Reports are usually available within 48 hours of claims file submission As noted above this is the case on days that the ministry processes claims This report is produced near the end of the claims processing stream As is the case above if claims are uploaded on a weekend holiday or at month end the error report is delivered at the end of the next claims processing day Remittance Advices are produced during a three to four day
4. Error Reports and diskette Remittance Advice for three months after conversion to EDT Providers will receive these outputs in both formats for the three month period unless a request is made to the ministry to discontinue the paper diskettes After the three month period only EDT outputs will be sent Correction of Errors Claims submissions may be rejected under a variety of conditions An entire batch or file may be rejected therefore it is recommended that batches be maintained at a manageable size and that files be uploaded on a regular basis The ministry recommends daily submission This ensures early processing and quick return of any rejected claims S Refer to Appendix D Rejection Categories Claims Information 8 3 8 4 EDT User Manual Files from the Ministry The following machine readable output files are sent to providers via the EDT service Specifications for these files can be found in the Technical Specifications Interface to Health Systems manual You must download these files to your computer system in order to access the information File Reject message A File Reject Message is sent if the entire file is rejected This message is sent to the user ID that submitted the file This is the only notification that you will receive if a file is rejected File Reject Messages have a filename that begins with X and a subject of Mail File Reject Claims Batch Edit Report If the file is accepted a Cl
5. e provide information regarding hardware and software technical requirements e guide the user through initial access to the GONet EDT service e provide information on system security including password changes e assist the user to send and receive files through the GONet EDT service e give information about applications available through the GONet EDT service e direct the user to the EDT Help Desk when further support for technical issues is required If you have require further information or technical assistance please contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Introduction 1 1 EDT User Manual What is EDT Note 1 2 The GONet EDT service is an interface designed by the Ontario government to upload and download send receive files to and from authorized users using a modem and telephone lines The GONet EDT service is available 24 hours a day 7 days a week for file transfer to the ministry and other users with minor exceptions for system maintenance The ministry has reserved 5 00 am to 8 00 am on Sundays to perform any system changes that may be required The current EDT service allows authorized users to e submit fee for service claims e transfer fee for service medical claims to the ministry mainframe computer eliminating the need for mailing of disks claim cards to ministry offices e receive claims error reports and remittance advice RA reports from the ministry mainframe
6. Eligibility Checking Service Contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Business questions regarding payment of claims or eligibility should be directed to your local ministry office The EDT Help Desk is staffed Monday through Friday 8 00 am to 5 00 pm After Business Hours an answering service is available to leave a message Your call will be returned on the next business day When calling the EDT Help Desk you will be asked for all or some of the following information to establish your identity Please have the information below readily available before calling e your GONet EDT User ID e your unique Security Code Word e contact name your phone number hospital name provider number date and time the problem occurred brief summary of questions or problem s EDT Technical Help Desk 12 1 13 APPENDICES System Status Messages Password Messages EDT User Manual Appendix A MESSAGE EXPLANATION ACTION New password matches a password previously used New passwords do not match Password entered must be at least minimum length specified Password cannot have identical characters together Illegal new password similar to registered User ID Contact your System Administrator password change required Contact your System Administrator cannot change your password System Status Messages The same password cannot be used for up to 14 occurrences Your password
7. File Screen MOHCLAIM Functions Use this function to send or transfer your medical fee for service claim files to the ministry At the MOH menu key 1 and press lt enter gt to arrive at the Send Claims File screen Field Name Field Description The first three fields are automatically populated and cannot be changed From automatically populated with your GONet EDT user ID To automatically populated to deliver file to MOH for claims processing Subject automatically populated with Claim Submission File The last three fields are mandatory but can be changed as required File Format blank or populated with the last value received T or B key T for a text ASCII file or B for a binary file File Name blank key in the name of file to be uploaded Protocol blank or populated with the last value received X Y Z or K EDT Service and Screen Layouts 4 9 4 10 EDT User Manual Download File Screen DOWNLOAD Government of Ontario 2001 06 21 Electronic Data Transfer Download File Menu Mailbox mohxoox UNDELIVERED 2 SEL STAT ITEM SUBJECT Size K DATE TIME U test20aa test20aa 504 20 Jun 2001 13 59 U test20bb test20bb 504 20 Jun 2001 14 02 D test20ce MOHLTC FILE RETURNED 504 20 Jun 2001 14 07 PROTOCOL Z Place next to the item to select it for DOWNLOAD or DELETE PFKEYS 3 EXIT 4 BACK 6 FORWARD 8 SELNEW 9 DELETE 10 DOWNLOAD The Systems Message Line will display status information Downl
8. Manual Password Change Mask Screen Continued e The Password Change Screen will display enter new password at this prompt key in your new password and press lt enter gt enter new password again at this prompt key in your new password again to verify and press lt enter gt e Ifyou are successful the Main Menu will display e If you are not successful the enter new password prompt will display 4 6 EDT Service and Screen Layouts Main Menu Screen EDT User Manual After successful log on the GONet EDT Main Menu will display Government of Ontario Electronic Data Transfer Service Main Menu Download File Send File to an EDT User Ministry of Health Menu Log Off Please Select a Service gt Enter the number of the function you require and press enter to continue Main Menu Functions You can access a menu item by selecting the function number or by entering the function command from any menu For example to download a file key 1 or DOWNLOAD and press lt enter gt Number Function 1 Download file 2 Send File to an EDT User 3 Ministry of Health Menu 4 Log Off EDT Service and Screen Layouts Command Description of Function DOWNLOAD displays download file menu where you can download or delete files in the mailbox EDTUP displays Send File to an EDT User screen MOHMENU displays Ministry of Health Menu LO exit the GONet EDT service
9. Response Codes EXPLANATION indicates a valid health card with current eligibility ministry notice sent to the registrant coverage may be terminated if the registrant does not contact the ministry renewal notification sent to the registrant coverage may be terminated if the registrant does not contact the ministry regarding renewal card is future dated ministry accepts card as valid due to current eligibility indicates ministry does not have a valid address on file for the cardholder health card expired version code incorrect RECOMMENDED ACTION no action required request additional identification if it is suspected that the health card holder is not the person to whom the health card was issued advise cardholder to contact the ministry INFOLine at 1 800 268 1154 advise client that coverage may be disrupted if the registrant does not contact the ministry advise cardholder to contact the ministry INFOLine at 1 800 268 1154 advise client that coverage may be disrupted if the registrant does not contact the ministry no action required request additional identification 1f discrepancy is apparent request additional identification if discrepancy is apparent advise cardholder to contact local ministry office as soon as possible to update address and to avoid disruption to health care coverage ask if cardholder has another card request cardholder complete Health Number Rel
10. and turning XON XOFF off File transfers may fail if hardware flow control is not used Multi line telephone systems may not support a modem You may need to install a separate line The call waiting feature may cause transmission interruptions Keyboard Definitions 2 2 Many of the EDT screens use function keys to navigate or perform specific functions e g in the Download File Menu F9 Delete If a function key is not working on any screen the ESCAPE appropriate number key can be substituted e g if F9 does not work press ESCAPE and then press 9 to perform the function The following is a list of alternative keystrokes Function Key Alternative Keystrokes Fl Escape 1 F2 Escape 2 F3 Escape 3 F4 Escape 4 ES Escape 5 F6 Escape 6 F7 Escape 7 FS Escape 8 F9 Escape 9 F10 Escape 0 For many communication software packages the F1 through F4 keys will work correctly Higher numbered function keys will not likely be defined as required for EDT service To use the function keys users must define them using their communication software Alternatively pressing ESCAPE the appropriate number key may be used Most communication software packages will allow keyboard definitions or macros This allows the user to assign a key a specific value or series of keystrokes The function keys can be assigned the value of ESCAPE the appropriate number key Special characters such as ESCAPE may need to be repres
11. at 1 800 262 6524 in Kingston call 548 7981 Check your destination ID in the TO field Re key correct EDT ID Subject Field must be Subject field has been left blank Check Subject field and key a subject if present press enter blank Invalid File Format must An unacceptable character was Change character to T for text or B for be T or B keyed in this field binary Missing file Name field cannot be empty File field must have a file name Name field has been left blank The modem character keyed here is incorrect Invalid Protocol must be X Y Zork To User ID lt DestID gt DOES NOT EXIST You may see this message when using either Send File to an EDT User Send Claim File or Send OBEC File System Status Messages Key a file name in this field Check your modem character and make sure it s either X Y Z or K Re key correct modem character Check the destination EDT ID keyed in the TO field Re key the correct EDT ID or contact destination user to obtain the correct EDT ID 13 A 5 EDT User Manual RESPONSE CODES Appendix B The following Response Codes were extracted from the Health Card Validation Guidelines January 2004 CODE RESPONSE EXPLANATION RECOMMENDED ACTION 05 Incorrect health not 10 numeric digits may check for keying errors number be keying error or the card confirm number may be damaged confirm cardholder identity no payment for services request surre
12. computer via the GONet EDT service e send and receive files to from other EDT users e check the validity of health numbers through Overnight Batch Eligibility Checking OBEC e OBEC allows you to electronically send a formatted file of health numbers version codes to the ministry for validation before a health service is provided Only one version code per health number should be submitted per file Files received by 4 00 pm are processed overnight and a response text is returned by 7 00 am the next business day Response codes are identical to those used for other health card validation systems such as Interactive Voice Response IVR and Health Card Reader HCR Refer to Appendix B Response Codes e receive compressed Remittance Advices when requested OBEC does not provide the correct health number version codes or guarantee payment The EDT service is not to be used to determine the current version code of a health number Future EDT applications will allow you to receive ministry business communications such as bulletins electronically Introduction Access Note EDT User Manual TECHNICAL REQUIREMENTS In addition to a computer system the following is required to gain ministry approved access to the GONet EDT service e Amodem e Telephone line capable of handling data communications e Dialup communication software with a file transfer protocol of ZMODEM YMODEM XMODEM or KERMIT and supports VT100 terminal emul
13. days but will be marked as delivered This allows users to download the file again in cases where the file becomes corrupted or lost All delivered files are deleted after 5 days Files deleted by the user are no longer available for download The type of file determines the expiry date Claims and user to user files not downloaded within 95 days will be deleted 95 days from the date the file s was sent Downloaded OBEC files are automatically deleted after 7 days EDT Service and Screen Layouts 4 1 EDT User Manual Overview of the GONet EDT Service Continued 4 2 To send files to the ministry claims and OBEC a user uploads a file from their computer system using the appropriate menu options e g Send Claims File When the transfer is successfully completed a successful message is delivered to the user The GONet EDT system holds files until a volume or time limit has been reached All files are then packaged into a container for transfer to the ministry for processing collects files uploads until limit reched container file to then packages into transferred to MOHLTC SCH cial CONTAINER gt MAINFRAME SE COMPUTER Similarly when the ministry sends files to users a container of files is sent to the GONet EDT system which delivers the files to the user s mailbox using the user ID as an identifier Users can then download receive the files to their computer system for their use
14. must change this temporary password when you first log on to the GONet EDT service This information is on your Approval Notification for GONet EDT Service form All user IDs consist of 8 alpha numeric characters e g MOHXXXXX where e the first three characters are MOH for production IDs or HTU for test IDs e the last five characters are randomly assigned by the GONet EDT system Security Information 3 1 EDT User Manual GONet EDT User Identification Continued Your user ID is unique and identifies you to the GONet EDT service Your password ensures the security of the service You will be able to receive files electronically from other users by providing them with your user ID as a mail address Your user ID and password are both required in order to gain access to the GONet EDT service You are only able to access services to which you have been authorized by the ministry You could be held responsible if someone uses your user ID and password to gain unauthorized access to the GONet EDT service Note If you do not use the GONet EDT system for 90 days your user ID will be de activated If this happens call the EDT Help Desk for assistance Access to the GONet EDT service is restricted to authorized users Users must adhere to the user ID and password guidelines Only authorized users entering the appropriate user ID and password can access the GONet EDT service cS Misuse of this network access could result in terminati
15. period at the end of the month and are delivered when month end processing is completed This usually falls between the 5th and the 7th day of the month 8 5 Note 8 6 EDT User Manual Cut Off Dates The cut off date for EDT claims submissions is the 18th of the month EDT claims files may be submitted anytime 24 hours a day 7 days a week However the ministry encourages daily submission of claims Daily submissions may enable providers to correct rejected claims and resubmit the corrected claims during the current processing cycle Claim submissions after the 18th will be processed until the month end computer cut off date where time and volumes permit Re Creates of Electronic Data Transfer Outputs A re create is an exact duplicate of a file that had previously been successfully transferred to an EDT user Only Error Report and Remittance Advice re creates are available via EDT Batch edit report re creates are available in paper format only from local ministry offices If an EDT user needs to obtain a re created file they should contact the EDT Help Desk or their local ministry office Supporting Documentation Any supporting documentation should be mailed or faxed to the provider s current ministry processing office Since EDT provides quick transmission of claims files it is important that supporting documentation be mailed or faxed the same day the file is transferred Fax numbers and addresses for the ministry p
16. press lt enter gt A Datapac herald will appear e g Connected Datapac 12345678 4 Key NUI press lt space gt key in your unique Datapac NUI and press lt enter gt e g NUI lt space gt XXXXXXXX The following will display Datapac Password XXXXXXXX 5 Key your Datapac password and press lt enter gt The following will display Datapac Network User Identifier XXXXXXX Active If you do not receive this message repeat steps 4 and 5 6 Key the GONet EDT Datapac address and press enter VS The GONet EDT Datapac address will be provided upon EDT registration If you are disconnected repeat steps 2 through 6 to reconnect 5 4 Log On Procedures EDT User Manual Datapac Access Continued Production Continued The GONet Log On screen will display eeeeee eeeeeee eeee eee ee eeee eeee e eee eeee eeee eee ee e eeee e eeee eeeeee eee ee eee eeeeee eeee eeee e eeee CCCCCC CCC CCCCAC ee eee eee ee een CEEEREE ddi EREEEE RQCCACCRCE FELI III IIS s FEIT 111111 11117 GOVERNMENT OF ONTARIO NETWORK ELECTRONIC DATA TRANSFER SERVICE userid lt ENTER gt To log on to the system userid np lt ENTER gt To log on and set a new password Unauthorized Access to this System is Prohibited Please log on 7 Atthe GONet EDT screen k
17. see the message displayed Please prepare for download If more than one file is being downloaded you will be prompted each time 3 If your communication software is set for auto download the files will begin downloading If not initiate the download from your communication software Check your software manual for further information Download and or Delete Files 6 1 EDT User Manual Download Procedures Continued 4 After the files s have been successfully downloaded you will be returned to the Main Menu The STAT field for the downloaded file s will change to D for Delivered and the file s will move to the bottom of the list If you wish to download another file s key 1 and press lt enter gt repeat steps 1 to 4 If the download is unsuccessful you will be returned to the Download screen to retry Press F3 or ESC 3 to exit Note If you receive the message Failed Cannot Retrieve Mail Message a problem exists with the EDT service Please contact the EDT Help Desk for assistance Delete Procedures 1 At the Download File Menu screen select the file s you wish to delete by marking each file that you wish to delete with an 2 Press F9 or ESC 9 to delete The following message will display Are you sure you want to DELETE selected files YES NO 3 Key YES and press lt enter gt to delete the selected files To cancel the delete function key NO and press lt enter gt If YE
18. upload now 3 Initiate the file transfer from your communications software Check your software manual for further information Overnight Batch Eligibility Checking OBEC 9 1 EDT User Manual Send OBEC File Procedures Continued 4 After initiating the file transfer process your communications software will usually prompt you for the path and filename of the file that is to be transferred Follow the instructions in your communications software The status of your file transfer should display in a status box during the transmission Note The box below is only an example of a status box Your status box may differ depending on your communications software Sending File Name OBECO1 001 File Size 648 Bytes sent 598 completed 92 Sending 5 After successful completion of the file transfer you will be returned to the Ministry of Health Menu 6 Ifthe file transfer is unsuccessful you are returned to the Send OBEC File screen where another file transfer can be tried Or you can press F3 to exit the Send OBEC File screen and return to the Ministry of Health Menu 7 If delivery to the mailbox fails you will see the following message Failed File lt Filename gt could not be delivered This message means there is a problem with the EDT service Call the EDT Help Desk for assistance cS If you disconnect the transfer before completion the file will not be delivered and the transaction will be cancelled
19. 4 7 4 8 EDT User Manual Ministry of Health Menu Screen This menu allows users to send claim files and OBEC files to the Ministry of Health Only authorized users can access these services When you select the Ministry of Health Menu from the GONet EDT Main Menu this is the menu you will see Government of Ontario Electronic Data Transfer Service Ministry of Health Menu send Claim File Send OBEC File Return to Main Menu Log Off Please Select a Function gt Enter the number of the function you require and press enter to continue Ministry of Health Menu Functions You can access a menu item by selecting the function number or by entering the function command from any menu For example to send a claims file key 1 or MOHCLAIM and press lt enter gt Number Function Command Description of Function l Send Claims File MOHCLAIM displays the Send Claims File screen 2 Send OBEC File MOHCARD displays the Send OBEC file screen 3 Return to Main Menu EDTMENU returns to the EDT Main Menu 4 Log Off LO exits the GONet EDT service EDT Service and Screen Layouts EDT User Manual Send Claims File Screen MOHCLAIM NOHCLAIN Governnent of Ontario 2001 06 07 Electronic Data Transfer Systen Send Clain File MOHXXXXX To hepclain Subject Clain Submission File File Fornat T T Text B Binaru File Hane Protocol Press ENTER to accept or press F3 to cancel Send Claims
20. ATE e GROUP PROVIDER NOT APPROVED FOR EDT e UNSUPPORTED TECH SPEC REL IDENTIFIER Note Whenever a large number of claims are submitted in a single batch there is the possibility that the entire submission may reject due to any of the reasons listed above We recommend that you attempt to maintain the batch input to a manageable size e g no more than 500 claims per batch 3 0 REJECTION OF A CLAIM Claims within a batch will be rejected to the Claims Error Report for the following reasons 3 1 Missing Invalid data as per the field description specified in this manual Error code s prefixed with V 3 2 Ineligible Patient Health Care Provider data Error code s prefixed with E 3 3 Missing invalid data as specified in the Schedules of Benefits Error code s prefixed with A Note Once corrected these claims may be resubmitted for payment on a subsequent file Error Report Rejection Conditions are included within the Technical Specifications Interface to Health Systems manual 13 D 2 Rejection Conditions
21. Electronic Data Transfer User Manual Ontario Electronic Data Transfer User Manual All possible measures are exerted to ensure accuracy of the contents of this manual however the manual may contain typographical or printing errors The public is cautioned against complete reliance upon the contents hereof without confirming the accuracy and currency of the information contained herein The Crown in Right of Ontario as represented by the Minister of Health and Long Term Care assumes no responsibility for any person s use of the material herein or any costs or damages associated with such use Ministry of Health and Long Term Care Registration and Claims Branch Business Operations and Claims June 2004 EDT User Manual 1 2 3 4 TABLE OF CONTENTS INTRODUCTION About TAS MAL A as 1 1 MNP it A Ee Se hol ee eed E 1 2 TECHNICAL REQUIREMENTS Access nase A A A ai 2 1 Bile CL Ompr Le E 2 1 Hardware Software Confgeuraton nenne 2 2 Keyboard DENIA i le 22 SECURITY INFORMATION System CUINA n 3 1 HUSA EE 3 1 GONet EDT User Identification zes aan A In 3 1 INTE EE 3 2 Sec rity Code WO ita 3 5 Forgotten User ID and or Pass Wow ra iat Ss 3 5 NetWork ACCESS ra ale RT 3 5 EDT SERVICE AND SCREEN LAYOUTS Overview of the GON EDT Service ana Neun an 4 1 GONet EDT Service Screen Layouts sinne I 4 3 Log ONM SOS EE 4 3 LOTON Status Sree sieno e A A AA ne 4 4 Password Change Mask Screen siii 4 5 Main Meni Serei
22. S is entered the files are removed and the deleted files are no longer displayed on the Download File Menu Note If the files could not be deleted the following message will display The selected files could not be deleted This message indicates a problem with the GONet EDT service Please contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 6 2 Download and or Delete Files EDT User Manual T SEND FILE TO AN EDT USER Send File to an EDT User Procedures Governnent of Ontario 2001 06 07 Electronic Data Transfer Systen Send File to an EDT user Fron MOHXXXXX To H Subject File Fornat T T Text B Binary File Nane Protocol Press ENTER to accept or press F3 to cancel The GONet EDT service allows you to send receive files to and from other authorized EDT users You will need to provide your GONet EDT user ID to other GONet EDT users who want to send you files You will need to obtain the GONet EDT User ID from other GONet EDT user s to whom you want to send files An invalid EDT user ID will not be accepted 1 All fields on the screen must be populated The From field is automatically populated with your user ID You will see a system message if any fields are missing information Invalid To field please re enter Subject Field must be present press enter Invalid File Format must be T or B Missing File Name field cannot be empty Invalid Protoc
23. Supporting Documentation c cscceacscassccsstosecsesesessecesatecscsssaceonebevacdersdesecsesatenss 8 6 File Comptession ana HE u 8 6 9 OVERNIGHT BATCH ELIGIBILITY CHECKING OBEC Send OBEC File Procedures ococonoconccocococononononenocinncananananonanocnononannnnnnononcononnananonenanicnos 9 1 10 LOGOEERROCEDURES 10 1 11 GENERAL INFORMATION SCHPL PCS ere aah A A A A ee 11 1 System Maintenanee sss sass asserts cee O ots dia tartan Sued Arg eae ng A 11 3 MIS TRY Office Listings An ys see cane A oe 11 4 ii EDT User Manual 12 ZER EN EE 121 13 APPENDICES AL System Status Messages sisi ito 13 A 1 Password Message eye 13 A 1 Log On Off Messages na ta 13 A 2 Men EE 13 A 3 Download Delete Messages naar a aaa 13 A 4 Upload Messages ee RN 13 A 5 B OBEGC Response Codes assis stele a a Ei Er 13 B 1 C OIC Rd eege Ee 13 C 1 Dr Ee E idilio id dls 13 D 1 iii EDT User Manual 1 INTRODUCTION About This Manual The Ministry of Health and Long Term Care MOHLTC is promoting the Electronic Data Transfer EDT service for submission of claims using the Government of Ontario Network GONet If you have already registered for EDT service you will have received your EDT user ID and temporary password on the Approval Notification for GONet EDT Service form accompanying this manual The specifications in this manual are subject to change The purpose of this manual for users of the EDT service is to
24. aims Batch Edit Report is sent to acknowledge receipt of each batch submitted This report is sent to the user ID specified by you at time of application and notes whether or not the batch was accepted or rejected This is the only notification that you will receive if a batch is rejected Claims Batch Edit Reports have a filename that begins with B and a subject of Claim Batch Acknowledgement Claims Error Report Rejected claims or claim items to be corrected by the health care provider appear on a Claims Error Report This report is sent to the user ID specified by you at time of application Once rejected claims are corrected they should be resubmitted for processing on a subsequent claims file This is the only notification that you will receive if claims are rejected Claims Error Reports have a filename that begins with E and a subject of Claim Error Report Remittance Advice Claims approved for payment during the applicable processing cycle appear on the Remittance Advice This report is sent to the EDT user ID specified by you at time of application Remittance Advices have a filename that begins with P and a subject of Remittance Advice It is important that users check the File Reject Message and Batch Edit Report as the ministry will no longer contact the EDT user if a filed batch has been rejected If these reports are not checked claims from the rejected batches will remain unprocessed for payment
25. anual 5 LOG ON PROCEDURES Log on procedures to the GONet EDT service for the production and test environments are described here for Direct Dial Access and for Datapac Access Direct Dial and Datapac access are the two methods of approved connectivity to the ministry GONet EDT service Direct Dial Access Production The direct dial telephone number for the production environment will be provided upon EDT registration Note As a first time user you must key the temporary password found on your Approval for Notification of GONet EDT Service The system will then prompt you to enter a NEW password Key in your NEW password and press lt enter gt You will be asked to verify your NEW password Re enter your NEW password and press lt enter gt 1 Turn your modem on and start your communication software The following log on screen will display BRRRRER BRERERER BRR BER GELEIER ARRA 7 BRAA ALCEE bee ARBRE aeee JERERE BRS BR BER H BRERER BRERER BRRERE Topp BE BER CARRARA BRRERERERE BRBRRR EBRBBBA BARBRA ERBEN RRR ER BAA BER BB BEBER e8 BERER BEBER BER BE BAA ERBRARARA WII 8a CL BBB EBBBR BB RABBBBBA i ARARARRARA BBB 0808 BEBBBBBA RBBB HINA HIRO bie He HELI Hili GOVERNMENT OF ONTARIO NETWORK ELECTRONIC DATA TRANSFER SERVICE userid lt ENTER gt To log on to the systen userid np lt ENTER gt To log on and set a neu passuord Unauthorized Access to this Systen is Prohibited Plea
26. ation Choose your access method to the EDT service Direct Dial ministry recommended e Supports up to a 56K modem e Connects directly to the GONet Log On screen e Requires no set up fees or monthly administrative fees however long distance charges from your location to Kingston will apply You can choose the long distance carrier with the best rate The telephone number for the production environment and the test environment will be provided upon EDT registration Datapac The other access to the EDT Service is through Bell Canada Datapac You must contact a Datapac business office to register for a Datapac Network User Identifier NUI There is a one time registration fee to obtain this NUI and it will be used to bill you monthly Datapac is older technology with a maximum transfer speed of 9600 baud File Compression You can register to receive a compressed Remittance Advice but you will require compression software in order to unzip or extract the file The file extension for compressed files is zip To register to receive the Remittance Advice in a compressed format contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Technical Requirements 2 1 EDT User Manual Hardware Software Configuration It is important to configure all hardware and software for hardware flow control and to ensure that all software flow controls are turned off For most systems this means turning RTS CTS on
27. creen menus will not affect your script The following commands can be entered from the EDT Main Menu screen or the Ministry of Health Menu Screen the commands are not case sensitive and may be entered in uppercase or lowercase Command Description Command Description Command Description Command Description Command Description Command Description Command Description Command Description Command Description MOHMenu This command takes you directly to the EDT Ministry of Health Menu EDTMenu This command takes you directly to the EDT Main Menu LO This command ends the GONet EDT session log off Download This command takes you directly to the EDT Download File Menu EDTUP This command takes you directly to the EDT Send File to an EDT User screen MOHCLAIM This command takes you directly to the Send Claim File screen in the production environment MOHCARD This command takes you directly to the Send OBEC File screen in the production environment HTUCLAIM This command takes you directly to the Send Claim File screen in test HTUCARD This command takes you directly to the Send OBEC File screen in test Uploads that miss any ministry processing deadline because of failure of automated scripts are the EDT user s responsibility General Information EDT User Manual System Maintenance The GONet EDT service is available to authorized EDT users 24 h
28. d file will be returned to the originator if any of the following conditions exist 1 1 Not an acceptable Media Type 1 2 Not readable 1 3 First record in the file is not a Batch Header Record 1 4 Record count on the Identification Label must correspond to actual records within the file Magnetic Tape 3480 3490 Cartridge Only 1 5 Not standard label 3480 3490 Cartridge Only 1 6 Data Records not 79 bytes Magnetic Tape 3480 3490 Cartridge only 2 0 Rejection of a Batch Batches will be rejected to the Batch Edit Report if the following error conditions occur FIRST REC ON FILE NOT BATCH HDR INVALID DIST CODE ON BATCH HDR e NO CLAIMS ENCOUNTERED ON FILE CLM HDR1 DOES NOT FOLLOW BATCH HEADER TRAILER RECORD MISSING BATCH HEADER MISSING CLM HDR2 REC NOT AFTER REC TYPE H TRANSACTION IDENTIFIER MUST BE HE Rejection Conditions 13 D 1 EDT User Manual Rejection Categories Continued 2 0 Rejection of a Batch Continued e RECORD IDENTIFIER MUST BE B H R T E e INVALID COUNTS IN TRAILER RECORD e GROUP MISSING OR NOT ZEROS e PROVIDER MISSING e GROUP PROVIDER BOTH MISSING OR ZEROS e CREATION DATE INVALID OR NOT YYYYMMDD e GROUP PROVIDER NOT APPROVED FOR MRI e GROUP PROVIDER OPERATOR NUMBER INVALID e ITEM REC NOT AFTER REC TYPE H R ORT e SOLO PROVIDER NOT APPROVED FOR MRI e CLM HDR1 NOT AFTER REC TYPE B OR T e INVALID CREATION DATE NOT NUMERIC e TRAILER REC NOT AFTER REC TYPE T e CREATION DATE gt SYSTEM D
29. days of date of birth advise client to contact local ministry office 20 Not eligible no eligibility for this health number on the ministry database no payment for services advise cardholder eligibility does not exist under this number request the voluntary surrender of the health card return to ministry bill cardholder directly refer cardholder to local ministry office 25 Unknown card card swipe does not have proper Issuer Identification no payment for services verify health card appears to be ministry issued health card and not a hospital card request voluntary surrender of the health card return to ministry notify the MOHLTC Fraud Line where applicable 1 800 265 4230 bill the cardholder directly refer cardholder to local ministry office 50 Card passed validation indicates valid health card with current eligibility no action required request additional identification 1f it is suspected that the health card holder is not the person to whom the health card was issued 13 B 2 System Status Message EDT User Manual CODE RESPONSE 51 52 53 54 55 60 65 Card passed validation Card passed validation holder must contact ministry Card passed validation card is expired Card passed validation card is future dated Card passed validation update cardholder address Expired card Incorrect version code
30. ddress and press lt enter gt de The GONet EDT Datapac address will be provided upon EDT registration The GONet Test Log On screen will display CaA eeeeeeee 0009 000 EE ege 0000 00008 00A 000 00000 GO pp 400 00 000 id 000000 GOOO OCO 990 CG eee GOOO OALA GOOO 066008 OCO OCO 004 00 eee aaa 00 00000 e 00008 O 004 eG ACM aP QUO 00 0000 aaa QU9 GAA Q0 00 QQEEEEEE 7 0AA QU Q000 GGG QUA LLLLLLL LLLLLLLLL ALL LLLL LLLLLLLL LLLLL GOVERNMENT OF ONTARIO NETWORK ELECTRONIC DATA TRANSFER SERVICE xxx TEST NETWORK userid lt ENTER gt To log on to the system userid np lt ENTER gt To log on and set a new password nauthorized Access to this System is Prohibited Please log on Log On Procedures 5 7 EDT User Manual Datapac Access Continued 5 8 Test Continued 7 At the GONet EDT Test Network screen key your GONet EDT Test User ID and press lt enter gt ep HTUXXXXX lt enter gt The following message will display password H HHHHHHHHH 8 Key your GONet EDT password and press lt enter gt The Log On Status Screen will appear press lt enter gt to arrive at the EDT Test Main Menu 3 attempts to enter your EDT user ID and password will be allowed If you are unsuccessful you will be disconnected from the GONet EDT Service and you will have to reconnect and try again To reconnect key the GONet EDT Datapac address and press l
31. ease form advise cardholder to contact local ministry office check for keying errors request cardholder sign a Health Number Release form advise cardholder to contact local ministry office 13 B 3 EDT User Manual CODE RESPONSE EXPLANATION RECOMMENDED ACTION 70 Stolen card health card reported as request additional identification stolen health card is no supporting evidence of Ontario residency longer valid replacement e g driver s licence cardholder may may have been issued have recovered the card but neglected to advise ministry advise cardholder of status of card eg payment cannot be made under this number version code combination ask if cardholder has another health card if unable to confirm photo on health card bill cardholder directly advise cardholder to contact local ministry office request the voluntary surrender of the health card return to ministry notify the MOHLTC Fraud Line where applicable at 1 800 265 4230 75 Cancelled card card cancelled by ministry ask if cardholder has another health card replacement may have if another health card carried by the been issued cardholder is valid request voluntary surrender of old card return to ministry if the cardholder does not have another card and the appointment cannot be rescheduled request the cardholder sign a Health Number Release form to obtain the right version code advise cardholder t
32. ect you to the GONet Log On screen Log on using the procedures in Section 4 EDT Service and Screen Layouts If you have been disconnected from Datapac redial your regional Datapac number After a connection is made log on using the procedures in Section 4 EDT Service and Screen Layouts You are not You have selected a function you have Press return to continue authorized for this no authority to use service please make another selection Invalid selection You keyed the wrong selection number Re key the correct selection number entered from the menu Contact your System System error Call the EDT Help Desk at Administrator 1 800 262 6524 or in Kingston call selection unavailable 548 7981 Command entered is You keyed a number letter that the Re key the correct selection number not a registered system will not accept system command Contact your System System error Call the EDT Help Desk at Administrator 1 800 262 6524 or in Kingston call cannot transfer to 548 7981 application Invalid Key Pressed You have pressed a key the system Press F3 or ENTER to complete the please use F3 or won t accept function ENTER key only Invalid Data was You may be attempting to Delete a file Check the command field entry found in the but you may not have selected a file to Command field delete or you may have entered an invalid character in the command field System Status Messages 13 A 3 EDT User Manual Dow
33. efault for the next time you select the download function Exit returns to the Main Menu Scrolls to the previous 10 entries in the mailbox list Scrolls to the next 10 entries in the mailbox list Selects all undelivered files listed on the current screen up to 10 files to be included in a download batch An asterisk is placed next to each selected file Deletes selected files You will be prompted to confirm if the selected files should be deleted Download selected files 4 12 EDT User Manual Send File to an EDT User Screen EDTUP Governnent of Ontario 2001 06 07 Electronic Data Transfer Systen Send File to an EDT user MOHXXXXX To I Subject File Fornat T T Text B Binary File Hane Protocol Press ENTER to accept or press F3 to cancel The System Message Line displays status information Send File to an EDT User Screen Functions Use this function to send a file s to another EDT user At the Main Menu key 2 and press lt enter gt to arrive at the EDT User screen Field Name Field Description The first field is automatically populated and cannot be changed From automatically populated with your GONet EDT user ID The last five fields must be filled in but can be changed as required To blank key in destination GONet User ID Subject blank key a subject name File Format blank or populated with the last value received T or B key T for a text ASCII file or B
34. einstate your account please contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 3 4 Security Information EDT User Manual Security Code Word Note You provided this word to the ministry when you completed your application for the GONet EDT service This word is on your Approval Notification for GONet EDT Service form The EDT Help Desk will require your security code word to verify your identity when you call If you forget your unique security code word you may be required to complete a new application for another GONet EDT user ID This may cause a delay in receiving and or sending files Forgotten User ID and or Password If you have forgotten your user ID and or password call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 When you call have your unique security code word ready to enable the EDT Help Desk staff to verify your identity Once your identity has been verified you will be given a temporary password that will allow you access to the GONet EDT service This password must be replaced with one of your choosing the next time you log on the GONet EDT service Network Access Authorized users of the GONet EDT service can e transfer files to authorized applications e receive send files from to the ministry e receive send files to other authorized EDT users The network may not be used for e unauthorized access to other networks BBS or e mail systems e a
35. em Error Call the EDT Help Desk at Mail Message 1 800 262 6524 or in Kingston call 548 7981 13 A 4 System Status Message Upload Messages MESSAGE Please Begin Your Upload This message appears when all Now conditions have been met to either Send File to an EDT User Send Claim File or Send OBEC File The file did not reach the specified destination File Transfer Failed You may also receive this message if you have aborted the file transfer EDT User Manual EXPLANATION ACTION Invoke your communications software Ensure that the file transfer protocol you are using matches the file transfer protocol entered on the screen Ensure that both your hardware and software are set for hardware flow control Ensure the baud rate setting in your software matches your modem Ensure you are using the correct option T for ASCII text files or B for compressed and non ASCII text files After checking the above settings try the transfer again Ifa file transfer failure occurs again call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 File lt filename gt File has been successfully delivered No action TRANSFER SUCCESSFUL _ to the specified mailbox File lt filename gt COULD File could not be delivered NOT BE DELIVERED Invalid TO field please re enter The destination EDT ID keyed in this field is not correct or the field has been left blank Call the EDT Help Desk
36. ented by the appropriate ASCII characters so that the computer can interpret them Consult your specific communication software for details on how to define your keyboard Technical Requirements EDT User Manual 3 SECURITY INFORMATION System Security Enhanced security is provided through the GONet EDT service and the following features e Only authorized users with the appropriate ID and password have access to the ministry s GONet EDT system e The chance of files being lost misplaced or damaged is minimized because there is no manual handling of the files being transferred by EDT e Ministry files are routed to the electronic mailbox specified by you during the EDT registration process This mailbox can only be accessed by using the authorized ID and password e You will be required to select a SECURITY CODE word during the EDT registration process This security code word is used to authenticate and identify callers contacting the EDT Help Desk File Security Computer files uploaded sent by the user or downloaded received by the user from the GONet EDT service are not opened or altered in any way during the file transfer The contents and format remain exactly as transmitted from the user or from the ministry s mainframe computer GONet EDT User Identification Once you have registered with the ministry you are given a GONet User Identification user ID and temporary password To access the GONet EDT service you
37. ey your GONet Production EDT User ID and press lt enter gt e g MOHXXXXX lt enter gt The following will display password HHHHHHHHHR 8 Key your GONet EDT password and press lt enter gt The Log On Status Screen will appear press enter to arrive atthe EDT Main Menu Log On Procedures 5 5 EDT User Manual Datapac Access Continued Note 5 6 Production Continued 3 attempts to enter your user ID and password will be allowed If you are unsuccessful you will be disconnected from the GONet EDT Service and you will have to reconnect and try again To reconnect key the GONet EDT Datapac address and press lt enter gt The GONet log on screen will display 5 consecutive unsuccessful log on attempts will result in your account being revoked To reinstate your account contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Refer to Section 3 Security Information for more information on passwords Test You must dial a Datapac number and establish a connection for communication before you can access the GONet EDT test service A Datapac Network User Identifier NUT is necessary before the GONet EDT test environment can be accessed Contact the Bell Canada Datapac business office in your area if you do not have your personal NUI refer to Section 2 Technical Requirements for more information Speedy response to prompts is required or you will be disconnected from Datapac A no carrier me
38. for a binary file File Name blank key in the name of file to be uploaded Protocol blank or populated with the last value received X Y Z or K EDT Service and Screen Layouts EDT User Manual Send OBEC File Screen OBECUP NOHCARD Governnent of Ontario 2001 06 07 Electronic Data Transfer Susten Send OBEC File Fron MOHXXXXX To hepcard Subject OBEC Subnission File File Fornat T T Text B Binary File Nane Protocol z H Y Z K Press ENTER to accept or press F3 to cancel The System Message Line will display status information Send OBEC File Screen Functions Use this function to send or transfer your OBEC file to the ministry At the Ministry of Health Menu key 2 and press lt enter gt to arrive at the Send OBEC File screen Field Name Field Description The first three fields are automatically populated and cannot be changed From automatically populated with your GONet EDT user ID To automatically populated to deliver file to MOH for OBEC processing Subject automatically populated with OBEC Submission File The last three fields are mandatory but can be changed as required File Format blank or populated with the last value received T or B key T for a text ASCID file or B for a binary file File Name blank key in the name of file to be uploaded Protocol blank or populated with the last value received X Y Z or K EDT Service and Screen Layouts 4 13 EDT User M
39. glected to advise the ministry advise cardholder of status of health card e g payment cannot be made under this number version code combination ask if cardholder has another health card if unable to confirm photo on health card bill cardholder directly advise cardholder to contact local ministry office request the voluntary surrender of the health card return to ministry notify the MOHLTC Fraud Line where applicable at 1 800 265 4230 retry system access access IVR Bulletin Board to obtain system maintenance and downtime information and periodic status updates call the MOHLTC Help Desk at 1 800 262 6524 call the MOHLTC Help Desk at 1 800 262 6524 13 B 5 EDT User Manual CODE RESPONSE EXPLANATION RECOMMENDED ACTION 99 System not available cannot access the ministry system may be undergoing maintenance database access IVR Bulletin Board to obtain system maintenance and downtime information and periodic status updates call the MOHLTC Help Desk at 1 800 262 6524 13 B 6 System Status Message EDT User Manual QUICK REFERENCE Appendix C PRODUCTION LOG ON Direct Dial Access Note The direct dial telephone numbers for the test environment and the production environment will be provided upon EDT registration e Invoke your communication software e At the GONet Log On screen e Key your GONet User ID lt enter gt e Key your GONet Password lt enter gt Datapac Access Note T
40. he GONet EDT Datapac addresses for the test environment and the production environment will be provided upon EDT registration e Dial your local Datapac number and wait for a connection e Key lt enter gt e Key NUI lt space gt Datapac user ID lt enter gt e Key Datapac Password lt enter gt and wait for NUI active message e Key the GONet EDT Datapac address lt enter gt the GONet Log On screen will appear e At the GONet Log On screen e Key your GONet User ID lt enter gt e Key your GONet Password lt enter gt Quick Reference 13 C 1 EDT User Manual Quick Reference Continued LOG OFF At the GONet Log Off Screen es Key 4 and press lt enter gt or key LO and press lt enter gt at the Main Menu or Ministry of Health Menu Direct Dial e Exit from the Communication Software refer to your communication software manual Datapac e Hang Up or end the Datapac session and exit from your Communication Software refer to your communications software manual 13 C 2 Quick Reference EDT User Manual REJECTION CATEGORIES Appendix D Claims data in machine readable form may be subject to rejection by the ministry at three 3 levels 1 0 Rejection of entire file submission 2 0 Rejection of batch within a file 1 0 Rejection of a claim within a batch Warning messages will be issued when the fields designated as fillers are not spaces 1 0 Rejection of Entire Submission The entire unprocesse
41. he date and time of your last log in and provides a message 10 days before your password is due to be changed Press lt enter gt to arrive at the EDT Main Menu EDT Service and Screen Layouts EDT User Manual Password Change Mask Screen This screen describes the password mask that defines which characters may be used in a password The current mask is set with 16 x s and is shown on the second last line of this screen x any character therefore your password may contain a maximum of 16 characters and be any character userid np lt ENTER gt To log on and set a new password nauthorized Access to this System is Prohibited Please log on bach CC Gau he following list describes the password change mask he letter in the string describes the type of character that must be entered for the new password V gt aeiou gt bedfghjklmnpqrstvwsyz gt any character gt 1234567890 gt abedefghijklmnopgqrstuvwxyz gt space character UKW CEMA Ka ETGEN bet A PL After keying the new password you will be asked to enter it again for verification How to change your password e At the GONet EDT Service log on screen e Key your user ID press lt space gt key np and press lt enter gt e Enter your current password and press lt enter gt Note The Password Change Screen will automatically display if you are a new user or if your current password has expired EDT Service and Screen Layouts 4 5 EDT User
42. he minimum 8 character requirement of a valid password Other guidelines for choosing a good password remove all vowels from a common word or phrase e g ARTICHOKE RTCHK use the first or last letters from each word of a phrase e g TO BE OR NOT TO BE TBRNTB incorporate numbers letters and special characters e g A5 form a compound word from two smaller words e g SOURTEA 3 3 EDT User Manual Passwords Continued Never use the following types of common passwords as statistics have proven that they are most vulnerable to detection e your given name nickname e family or pet s names e your favourite make of automobile e name or make of your pleasure craft e any work related name or logo e any other items that bear a strong personal association with you Some passwords such as ministry and MOHCLAIM as well as common passwords used to break into computer systems are restricted by the GONet EDT service Refer to Section 4 EDT Service and Screen Layouts for direction on password change procedures cS Password management and confidentiality are your responsibility You will be held responsible if access is gained by an unauthorized individual using your user ID 3 attempts to enter your password will be allowed If you are unsuccessful you will be disconnected and you will have to redial and try again 5 consecutive unsuccessful log on attempts will result in your account being revoked To r
43. is Prohibited Please log on Regular log on to GONet EDT userid lt enter gt This command is used to log on to the GONet EDT service After keying your user ID and pressing lt enter gt you will be prompted to key your password Change Password log on to GONet EDT userid np lt enter gt This command is used to log on to the GONet EDT service when you wish to change your password After keying this command you will be prompted to key your current password and then your new password The Password Change screen will automatically display if you are a new user or if your current password has expired EDT Service and Screen Layouts 4 3 EDT User Manual 44 Log On Status Screen This screen will appear after the GONet Log On screen mohxoox lagged in at 2001 06 21 14 47 43 last login 2001 06 21 12 44 11 TE FE FE FE FE FE FE FE FE JE FE FE FE FE FE FE FE FE FE DE HE HE HE FE FE FE IE EE EE EHH IE DE HM HMM HMMM IE IE TE IE IE TE TE TE TE TE E HE E E HHH elcome to the Government of Ontario Electronic Data Transfer Service his area is used to display important information for EDT users Contact the EDT Helpdesk toll free at 1 800 262 6524 or in Kingston call 548 7981 should you have any questions FE FE TE HE HE TE FE FE FE FE HE HE HE HE HE HEHE HE HE HHH HHH HHH HHA AHHH IE IE IE IE IE IE HEHE IE IE ME IE IE IE HE HEHE NE IE E E HE E E E E HE Press lt RETURN gt to continue gt This screen shows t
44. ld be a result of trying Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 If you are still connected to Datapac key the GONet EDT Datapac address Disconnect correctly before you are disconnected This will re connect you to the GONet from the GONet EDT service Log On screen refer to Section 4 EDT Service and Screen Layouts Five consecutive unsuccessful log on attempts will result in your EDT User If you have been disconnected from ID being revoked Datapac redial your regional Datapac number After a connection is made log on using the procedures in Section 4 EDT Service and Screen Layouts Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 13 A 2 System Status Message EDT User Manual Menu Log Messages MESSAGE EXPLANATION ACTION Exceeded Log on The GONet EDT system currently Access the GONet EDT system on Threshold allows for 20 log on attempts per day the next calendar day This message means you have exceeded that number of log on Call the EDT Help Desk at attempts 1 800 262 6524 or in Kingston call 548 7981 Invalid Input please You have keyed something the system Re key appropriate input re enter will not accept Terminal Session Idle You will automatically disconnect from If you are still connected to Datapac Automatic the EDT system after five minutes has key the GONet EDT Datapac address Disconnect lapsed without any activity This will reconn
45. le transfer process your communications software will usually prompt you for the path and filename of the file that is to be transferred Follow the instructions in your communications software The status of your file transfer should display in a status box during the transmission Note The box below is only an example of a status box Your status box may differ depending on your communications software Sending File Name HA123456 001 File Size 648 Bytes sent 598 completed 92 Sending 5 After successful completion of the file transfer you will be returned to the Ministry of Health Menu 6 Ifthe file transfer is unsuccessful you are returned to the Send Claim File screen MOHCLAIM where another file transfer can be tried Or you can press F3 to exit the Send Claim File screen and return to the Ministry of Health Menu 7 If delivery to the MOH claims mailbox fails you will see the message File lt Filename gt could not be delivered This message means there is a problem with the GONet EDT service Call the EDT Help Desk for assistance cS If you disconnect the file transfer before completion the file will not be delivered to the mailbox and the transaction will be cancelled 8 2 Claims Information EDT User Manual Other Information About EDT Fee for Service Claims Submission Transition to Electronic Data Transfer To assist providers who are switching to EDT the ministry will continue sending paper
46. llowed three attempts to enter your EDT User ID and password correctly before you are disconnected from the GONet EDT service Five consecutive unsuccessful log on attempts will result in your EDT User ID being revoked Log on is not Allowed Contact your System Administrator After 5 consecutive log on attempts GONet denies access You must obtain assistance from the EDT Help Desk to successfully log on again Log on is not Allowed at this time Automatic Disconnect System error Log on is not Allowed at this port Automatic Disconnect You are not able to log on to this port EDT User Manual ACTION Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Invalid Log on This message means you have For log on procedures refer to Section Access Denied attempted to log on incorrectly 4 EDT Service and Screen Layouts Inactive User Tried to Log on to log on again after receiving the message Log on not allowed Contact your System Administrator This message could occur if you have not accessed the GONet EDT system within 90 days Log on Error Limit Exceeded Automatic You are allowed three attempts to enter your EDT User ID and password This message cou
47. must not be repeated with a previously used password When you change your password you will be prompted to re enter your new password This message will appear if you do not enter the exact character sequence as the original entry Your password must be a minimum of 8 characters and a maximum of 16 characters The password must not have two identical characters beside each other for example the word addition is not valid The system will not accept your password as it is too similar to a registered EDT User ID You need to contact the EDT Help Desk for assistance with your password change You need to contact the EDT Help Desk for assistance with your password change Enter a password that meets the guidelines set out in this manual refer to Section 3 Security Information Re enter the new password exactly as you entered it the first time Enter a password with a minimum of 8 characters refer to Section 3 Security Information Enter a password that does not contain double letters refer to Section 3 Security Information Re enter another password refer to Section 3 Security Information Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 13 A 1 Log On Off Messages MESSAGE EXPLANATION Contact your System Administrator number of log on errors have exceeded your limit You are a
48. n a sau ee Ei 4 7 Main Menu EA a 4 7 Ministry of Health Menu Screen u a ka 4 8 Ministry of Health Menu Functpons nennen 4 8 Send Claims File Screen MOHCLAIM 0 ccscccssscecssscessssecsssceessscesssecessees 4 9 Send Claims File Screen MOHCLAIM Functions oocccocccooccconononnconncconocannnnnnoos 4 9 Download Fil STSCI su eigenen lea 4 10 Download File Screen Functions ana EE 4 10 Send File to an EDT User Screen BD PUP tas 4 12 Send File to an EDT User Screen Functions cooocccoooccconanononcnononncinnononnnononnnoninnss 4 12 Send OBEC File Screen OBECUP asus 4 13 Send OBEC File Screen FUCSIA 4 13 i EDT User Manual 5 LOGON PROCEDURES Direct POC SS nee aa ang 5 1 Production A ia 5 1 EE 5 2 RE 5 3 PEU NANA ia 5 3 LE di E 5 6 6 DOWNLOAD AND OR DELETE FILES Download Procedures cion ee EES 6 1 Delete ProCedures il td td geg edel gece 6 2 7 SEND FILE TO AN EDT USER Send File to an EDT User Procedure cccnnonooccnocococnnanannnonenccnonannananonononccnonnanannncccn n n 7 1 8 CLAIMS INFORMATION Send a Claims File to MOH Procedures nee 8 1 Other Information About EDT Fee for Service Claims Submseton 8 3 Transition to Electronic Data Transfer 8 3 Corection of Eto bi AA EA aa 8 3 Files from th MIS tly ann si 8 4 Claims Processing Schedules rauen Reese 8 5 CUO TED ale se Reisen 8 6 Re Creates of Electronis Data Transfer Outputs ooooconoccnicccnocnconncconoconoconnncnncnnnnos 8 6
49. nder of health card return it to ministry notify the MOHLTC Fraud Line where applicable 1 800 265 4230 bill the cardholder directly refer cardholder to local ministry office 10 Incorrect health health number not found number on ministry s Registered Persons Database no payment for services check for keying errors confirm number confirm cardholder identity request surrender of health card return to ministry notify the MOHLTC Fraud Line where applicable 1 800 265 4230 bill the cardholder directly refer cardholder to local ministry office Response Codes 13 B 1 EDT User Manual CODE RESPONSE EXPLANATION RECOMMENDED ACTION 15 Pre assigned newborn health number parent guardian must complete registration health number released as a pre assigned health number for newborns registration process is incomplete no payment for services until registration completed Patient less than 3 months old NOTE Patient should not have a plastic health card Request the surrender of health card and return to the ministry advise parent guardian health number registration incomplete infant registration may be in process request supporting evidence of Ontario residency e g parent s health card driver s licence payment will not be processed until registration is complete advise client direct billing may result if registration not completed within 90
50. nload Delete Messages MESSAGE EXPLANATION ACTION File Transfer Failed The file did not reach the Ensure that the file transfer protocol specified destination you are using matches the file transfer protocol entered on the screen You may also receive this message if you have aborted the Ensure that both your hardware and file transfer software are set for hardware flow control Ensure the baud rate setting in your software matches your modem Ensure you are using the correct option T for ASCII text files or B for compressed and non ASCII text files After checking the above settings try the transfer again If failure occurs again call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Please Prepare for This message appears when all Invoke your communications Download conditions have been met to begin software to download the file s the download of file s you have selected File Successfully The file has been transferred to Access file through your personal Downloaded your PC software The Selected Files Have The files you selected have been No action Been Deleted successfully deleted The Selected Files Could The files you selected have not Follow the procedures in Section 6 Not be Deleted been successfully deleted Download and or Delete Files to be sure you haven t missed a step Call the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Failed Cannot Retrieve Syst
51. ny transactions that contravene the acts and regulations governing the provision of health care in the province of Ontario e any transactions not authorized by the MOHLTC Security Information 3 5 4 EDT User Manual EDT SERVICE AND SCREEN LAYOUTS Overview of the GONet EDT Service Note The GONet EDT service allows authorized users to send and receive files 24 hours a day 7 days a week with minor exceptions for system maintenance on Sundays between 5 am and 8 am Users must register with the ministry and be assigned a GONet EDT user ID and password The GONet EDT service works on a mailbox principle with the GONet EDT user ID used as the address All registered users are able to transfer upload files to any EDT user ID In addition users who are authorized can transfer claims and or Overnight Batch Editing Check OBEC files to the ministry Users can send to other user IDs with the same prefix A test environment EDT user ID begins with HTU and may send to any other HTU EDT ID A production environment EDT user ID begins with MOH and may send to any other MOH EDT ID A HTU EDT user ID cannot send to a MOH EDT user ID and vice versa All files sent to a user will appear in that user s mailbox Files in a user s mailbox can be downloaded or deleted In addition all files have an expiry date Files remain in the mailbox until they are downloaded deleted or expire Downloaded claim and user to user files are kept for 5
52. o contact local ministry office to obtain a new health card follow up with your internal business practice regarding billing with follow up reimbursement if appropriate NOTE Jf the appointment is not urgent and can be rescheduled you may wish to postpone the appointment until the Health Number Release form is returned with a current version code 13 B 4 System Status Message EDT User Manual CODE RESPONSE 80 Damaged card 83 Lost card 90 Information not available 95 Health care provider facility not authorized for HCV Response Codes EXPLANATION card cancelled by ministry replacement may have been issued health card has been reported as stolen card is no longer valid replacement may have been issued ministry system may be undergoing maintenance health care provider or facility is not currently authorized for HCV or there is a problem with their User ID and or password RECOMMENDED ACTION try to key health number manually if a health card is presented request voluntary surrender of card return to ministry if cardholder does not have another health card advise cardholder to contact ministry to resolve problem request cardholder complete a Health Number Release form to obtain correct version code request additional identification supporting evidence of Ontario residency e g driver s licence cardholder may have recovered the card but ne
53. oad File Screen Functions Use this function to download or delete files from your mailbox At the Main Menu key 1 and press lt enter gt to arrive at the Download File Screen Field Name Field Description Mailbox Your User ID UNDELIVERED Number of messages not downloaded on the current screen SEL File number of displayed files up to 10 files can be displayed at a time STAT Status of Files U Undelivered file has not been downloaded D Delivered file has been downloaded Undelivered files are listed first followed by the Delivered files ITEM File name assigned to the file by the sender SUBJECT The file subject is used by the sender to further identify the contents of the file EDT Service and Screen Layouts EDT User Manual Download File Screen Functions Continued Field Name SIZE DATE TIME End More PROTOCOL F3 F4 F6 F8 F9 F10 EDT Service and Screen Layouts Field Description Size of the file in kilobytes Date the file was delivered Time the file was delivered 24 hour clock Files are displayed in increments of 10 or less End will be displayed if there are less than 10 files or there are no additional files to be found Files are displayed in increments of 10 or less More will be displayed when there are exactly 10 files or more than 10 in the mailbox File transfer protocol used to download files A value of X Y Z or K is required Input will be saved as the d
54. ol must be X Y Z or K 2 Press lt enter gt when all the fields on the Send File to an EDT User screen are completed The following system message will display Please begin Your Upload now Send File to an EDT User 7 1 EDT User Manual Send File to an EDT User Procedures Continued 3 Initiate the file transfer from your communications software Check your software manual for further information 4 After initiating the file transfer process your communications software will usually prompt you for the path and filename of the file that is to be transferred Follow the instructions in your communications software The status of your file transfer should display in a status box during the transmission Note The box below is only an example of a status box Your status box may differ depending on your communications software Sending File Name HA123456 001 File Size 648 Bytes sent 598 completed 92 Sending 5 After successful completion of the file transfer you will be returned to the Main Menu 6 Ifthe file transfer is unsuccessful you are returned to the Send File to an EDT User screen EDTUP where another file transfer can be tried Or you can press F3 or ESC 3 to exit the Send File to an EDT User screen and return to the Main Menu 7 Ifdelivery to the MOH claims mailbox fails you will see the message File lt Filename gt could not be delivered This message means there is a
55. on of participation in the GONet EDT service Passwords When you receive your GONet EDT user ID you will also receive a temporary password from the ministry This temporary password will have to be replaced with one of your choosing the first time you log on to the GONet EDT service Your user ID and password restricts others from accessing your files Select your password carefully so that it is easy to remember The EDT Help Desk staff cannot see or look up your password if you have forgotten it If you write your password down secure it like you would your banking machine number i e do not leave your password on your computer or under your keyboard or deskpad Your password must e be changed regularly passwords expire every 35 days e bea minimum of 8 characters and a maximum of 16 characters e not contain any double characters e g woodchuck is not acceptable 3 2 Security Information EDT User Manual Passwords Continued Note Security Information Your password should be confidential never be the same as your user ID be designed to be easily remembered be randomly chosen not use progressive passwords e g numberl number2 Identification of a common string usually results in the breaking of the password by outsiders not be repeated The same password cannot be used for up to 14 occurrences The following password examples outline how you can choose a password The examples do not contain t
56. ours a day 7 days a week except for scheduled downtime when system maintenance is required The weekly scheduled downtime is Sunday 5 am to 8 am The GONet EDT service may not be available during this time period The ministry does not recommend authorized EDT users to invoke automated script files during this time period General Information 11 3 EDT User Manual Ministry Office Listings Fax Numbers and Addresses for Supporting Documentation OFFICE MAILING ADDRESS FAX NUMBER Toronto P O Box 1700 416 314 7748 Station A Toronto Ontario M5W 1G9 Oshawa P O Box 635 905 434 3725 Oshawa Ontario L1H 8L4 Mississauga P O Box 7020 905 896 6029 Station A Mississauga Ontario L5A 3M1 London P O Box 5700 519 675 6832 Station A London Ontario N6A 4L6 Hamilton P O Box 2280 905 521 7605 Hamilton Ontario L8N 4C8 Ottawa Fuller Building 613 237 3246 75 Albert Street Ottawa Ontario KIP 5Y9 Kingston P O Box 9000 613 545 4399 Kingston Ontario K7L 5A9 Sudbury 199 Larch Street 705 675 4015 8th Floor Suite 801 Sudbury Ontario P3E 5R1 Thunder Bay 435 James Street South 807 475 1424 Suite 113 Thunder Bay Ontario PTE 6T1 11 4 General Information 12 Note EDT User Manual EDT HELP DESK The ministry has established an EDT Help Desk for EDT user support and to respond to any questions or technical problems you may have concerning e uploading or downloading file s e OBEC Overnight Batching
57. problem with the GONet EDT service Call the EDT Help Desk for assistance cS If you disconnect the file transfer before completion the file will not be delivered to the mailbox and the transaction will be cancelled 7 2 Send File to an EDT User EDT User Manual 8 CLAIMS INFORMATION Send a Claims File to MOH Procedures NOHCLAIN Governnent of Ontario 2001 06 07 Electronic Data Transfer Systen Send Clain File Fron MOHXXXXX To hepclain Subject Clain Submission File File Fornat T T Text B Binary File Nane Protocol 3 CHOY Z K Press ENTER to accept or press F3 to cancel Note This is an EDT Production Environment screen In the EDT Test Environment the screen ID MOHCLAIM would read HTUCLAIM 1 All fields on the screen must be populated The first three fields are automatically populated You will see a system message if any of the other fields are missing information Invalid File Format must be T or B Missing File Name field cannot be empty Invalid Protocol must be X Y Z or K 2 Press lt enter gt when all fields on the Send Claims File Screen are completed The following message will be displayed Please begin your upload now 3 Initiate the file transfer from your communications software Check your software manual for further information Claims Information 8 1 EDT User Manual Send a Claims File to MOH Procedures Continued 4 After initiating the fi
58. rocessing offices can be found in Section 11 General Information The ministry is investigating using the EDT service to transfer supporting documentation File Compression If you register to receive a compressed Remittance Advice you will require compression software in order to unzip or extract the file The file extension for compressed files is zip To register to receive the Remittance Advice in a compressed format contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Claims Information EDT User Manual OVERNIGHT BATCH ELIGIBILITY CHECKING OBEC Send OBEC File Procedures NOHCARD Governnent of Ontario 2001 06 07 Electronic Data Transfer Systen Send OBEC File MOHXXXXX To hepcard Subject OBEC Submission File File Fornat T T Text B Binary File Nane Protocol Press ENTER to accept or press F3 to cancel This is a production screen In the EDT Test Environment the script command screen ID MOHCARD would read HTUCARD 1 All fields must be populated The first three fields are automatically populated You will see a system message if any of the other fields are missing information Invalid File Format must be T or B Missing File Name field cannot be empty Invalid Protocol must be X Y Z or K 2 Press lt enter gt when all fields on the Send OBEC File screen are completed The following message will be displayed Please begin your
59. roduction You must dial a Datapac number and establish a connection for communication before you can access the GONet EDT service A Datapac Network User Identifier NUI is necessary before the GONet EDT service can be accessed Contact the Bell Canada Datapac business office in your area if you do not have your personal NUI refer to Section 2 Technical Requirements for more information Speedy response to prompts is required or you will be disconnected from Datapac A no carrier message may display Information that you key will not be displayed As a first time user you must key the temporary password found on your Approval for Notification of GONet EDT Service The system will then prompt you to enter a NEW password Key your NEW password and press lt enter gt You will be asked to verify your NEW password Re enter your NEW password and press lt enter gt Log On Procedures 5 3 EDT User Manual Datapac Access Continued Production Continued 1 Turn your modem on and start your communication software 2 Using your communications software key the telephone number of the Datapac public dial port nearest your location to make a connection Contact your local Bell Canada Datapac business office for the telephone number of the local public dial port After a connection has been made you may receive a connect message similar to the example below or you may only see a blank screen e g Connect 9600 3 Key ee and
60. se log on 2 At the GONet Log On screen key your GONet Production EDT User ID and press lt enter gt e g MOHXXXXX lt enter gt Log On Procedures 5 1 EDT User Manual Direct Dial Access Continued Note 5 2 Production Continued 3 Key your GONet password and press lt enter gt The Log On Status Screen will appear refer to Section 4 GONet EDT Service Screen Layouts Log On Status Screen 4 Press lt enter gt to arrive at the EDT Main Menu refer to section 4 GONet EDT Service Screen Layouts Main Menu Screen 3 attempts to enter your user ID and password will be allowed If you are unsuccessful you will be disconnected from the GONet EDT service and you will have to reconnect and try again 5 consecutive unsuccessful log on attempts will result in your account being revoked To reinstate your account contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Test The direct dial telephone number for the test environment will be provided upon EDT registration As a first time user you must key the temporary password found on your Approval for Notification of GONet EDT Service The system will then prompt you to enter a NEW password Key your NEW password and press lt enter gt You will be asked to verify your NEW password Re enter your NEW password and press lt enter gt 1 Turn your modem on and start your communication software The following log on screen will di
61. sed to allow unattended access when uploading or downloading files on the GONet EDT service S The ministry does not support scripting and does not recommend scripting with escape sequences An automated script may include the key strokes necessary to LOG ON e Turn on your modem e start the communication software e dial the direct dial number e log on to the GONet EDT service UPLOAD e upload a file s DOWNLOAD e download a file or all files DELETE e delete a file s LOG OFF e log out of the GONet EDT Service e exit the communications software For your own benefit if script files are used they should be developed to recognize and respond to system messages and prompts that appear System messages could be the Change Password Screen that appears when a user s password expires or the reminder message that appears 10 days before the password is due to expire on the Log On status screen refer to Appendix A System Status Messages The ministry does not recommend scripting for password changes It is also important to use commands instead of menu selections whenever possible when using scripts This will ensure that any future updates or changes to menus will not require script changes General Information 11 1 COMMANDS EDT User Manual Most functions can be achieved directly from the Command Line using commands instead of menu selections When scripting using commands is the preferred method to use so that any changes to s
62. splay POLA CaA aAA eee EE 0000 0000 GPA eee gg eeee OAA 0400 00 000 ER GOOO 0 999 Ce Gea Bgpgpgngng MAALLA EXCEL OAC ACCOA QCCC OCAQ Yee CM eee ee 777 00 0000 e 00008 EGG aa 000 2 ALLALOVA 00 0000 Qu 0000 ORAA 000 QALA 909 QU 70A 770A 009 00080 RAEEEEEE 0A COOOEEL COOOEEELL COC 1112 LLLLLLLL PAREL GOVERNMENT OF ONTARIO NETWORK ELECTRONIC DATA TRANSFER SERVICE xxx TEST NETWORK ess userid lt ENTER gt To log on to the system userid np CENTER To log on and set a new password nauthorized Access to this System is Prohibited Please log on Log On Procedures EDT User Manual Direct Dial Access Continued Test Continued 2 At the GONet Log On screen key your GONet Test EDT User ID and press lt enter gt e g HTUXXXXX lt enter gt 3 Key your GONet password and press lt enter gt The Log On Status Screen will appear 4 Press lt enter gt to arrive at the Test EDT Main Menu 3 attempts to enter your user ID and password will be allowed If you are unsuccessful you will be disconnected from the GONet EDT Service and you will have to reconnect and try again 5 consecutive unsuccessful log on attempts will result in your account being revoked To reinstate your account contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Refer to Section 3 Security Information for more information on passwords Datapac Access Note P
63. ssage may display Information that you key will not be displayed As a first time test user you must key the temporary password found on your Approval for Notification of GONet EDT Service The system will then prompt you to enter a NEW password Key in your NEW password and press lt enter gt You will be asked to verify your NEW password Re enter your NEW password and press lt enter gt 1 Turn your modem on and start your communication software 2 Using your communications software key the telephone number of the Datapac public dial port nearest your location to make a connection Contact your local Bell Canada Datapac business office for the telephone number of the local public dial port After a connection has been made you may receive a connect message similar to the example below or you may only see a blank screen e g Connect 9600 Log On Procedures EDT User Manual Datapac Access Continued Test Continued 3 Key ee and press lt enter gt A Datapac herald will appear e g Connected Datapac 12345678 4 Key NUI press lt space gt key in your unique Datapac NUI and press lt enter gt e g NUI lt space gt AXXXXXXX The following will display Datapac Password XXXXXXXX 5 Key your Datapac password and press lt enter gt The following will display Datapac Network User Identifier XXXXXXX Active If you do not receive this message repeat steps 4 and 5 6 Key the GONet EDT Datapac a
64. t enter gt The GONet Test log on screen will display 5 consecutive unsuccessful log on attempts will result in your account being revoked To reinstate your account contact the EDT Help Desk at 1 800 262 6524 or in Kingston call 548 7981 Refer to Section 3 Security Information for more information on passwords Log On Procedures 6 EDT User Manual DOWNLOAD AND OR DELETE FILES Download Procedures Note DOWNLOAD Government of Ontario 2001 06 21 Electronic Data Transfer Download File Menu Mailbox mohxoox UNDELIVERED 2 SEL STAT ITEM SUBJECT Size K DATE TIME U test20aa test2Daa 504 20 Jun 2001 13 59 U test20bb test20bh 504 20 Jun 2001 14 02 D test20ce MOHLTC FILE RETURNED 504 20 Jun 2001 14 07 PROTOCOL Z end Place next to the item to select it for DOWNLOAD or DELETE PFKEYS 3 EXIT 4 BACK 6 FORWARD 8 SELNEW 9 DELETE 10 DOWNLOAD If the function keys do not operate as indicated in these procedures please refer to section 2 Technical Requirements Keyboard Definitions for more information The files on your mailbox list are always numbered from one to ten The SEL field is used to indicate whether a particular field has been selected 1 Select the file s you want to download Press F8 or ESC 8 to select all undelivered file s listed on the current screen or tab to the file s to be downloaded and select the file s with an 2 Press F10 or ESC 0 to begin the download process You will

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