EDI Implementation Checklist – Lytec

Action

Resources

Step1: Sign Contract


Call your Value Added Reseller or call us direct at (1-800-333-4747) to obtain a Processing Services Agreement (aka user contract) and Client Registration Form (CRF).

Direct Sales Team Territories
Value Added Resellers


Fill out and sign the Processing Services Agreement (aka end user contract).

Direct Sales Team Territories
Value Added Resellers


Fill out and sign the Client Registration Form.

Direct Sales Team Territories
Value Added Resellers


Fax the Processing Services Agreement and Client Registration Form to (678) 302-4366.

Direct Sales Team Territories
Value Added Resellers

Step 2: Set Up Collaboration Compass


Receive email from the RelayHealth Enrollment Team (enrollrelay@mckesson.com); e-mail will contain your RelayHealth EDI Welcome Packet and the Submitter ID that you will use with Collaboration Compass and to submit claims.

enrollrelay@mckesson.com


Set up log-in and password for anyone the office who will be using Collaboration Compass.

Collaboration Compass User Guide;
Collaboration Compass User Name and Password Instructions;
Collaboration Compass Documentation


To set up Collaboration Compass log-in and password, go to the site at http://www.collaborationcompass.com, click "register" and use the Submitter ID assigned to you by enrollment.

Collaboration Compass User Guide;
Collaboration Compass User Name and Password Instructions;
Collaboration Compass Documentation


Receive confirmation e-mail within 24 hours from RelayHealth indicating that your user account has been activated. If you do not receive this e-mail, first check your junk mail folder. If still don’t have the confirmation e-mail, contact enrollrelay@mckesson.com.

enrollrelay@mckesson.com

Step 3: Enroll Payors


Once your account is activated, log into Collaboration Compass at http://www.collaborationcompass.com/

enrollrelay@mckesson.com


Assess which payors you plan to bill electronically.


Access the Payor Agreement Library through the Payor Connections link on Collaboration Compass to find out which payors require an agreement to submit electronic claims

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation


If none of your payors require agreements, skip to Step 4 (Set Up Software). If one or more payors require agreement, go to the Payor Agreement Library.

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation


Complete the necessary payor paperwork. Complete Claims agreements first. Remittance and Eligibility agreements should be completed after the Claims agreement has been submitted and approved.

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation


Submit payor paperwork as instructed in Payor Agreement Library.

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation


Follow up on agreement status by clicking on "Search Agreements" in the Payor Agreement Library.

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation


Receive approval to submit claims electronically.

RelayHealth Payor Agreements; Using the Payor Agreements Library Documentation

Step 4: Set Up Software


Register Revenue Management using your Serial Number.

This is required to transmit claims.

Via email from Direct Sales

or your Value Added Reseller


Setup Revenue Management.

Lytec 2010 Revenue Management Setup


Set up Lytec Insurance Carriers/Companies with CPIDs from Collaboration Compass payor lists or payor search.

Lytec 2010 Revenue Management Setup


Repeat insurance carrier setup for each insurance carrier that you intend to send electronic claims.

Lytec 2010 Revenue Management Setup

Step 5: Transmit Claims/Receive Reports


Transmit your claims from Claims Management.

Lytec 2010 Electronic Claims Transmission


Receive reports from RelayHealth.

Lytec 2010 Electronic Claims Transmission


Review 997 Report to determine if file was accepted at RelayHealth. If the file was not accepted, you will need to retransmit your claims. Report normally received same day.

Lytec 2010 Electronic Claims Transmission


Review RelayHealth Level 2 rejection report. If claims were rejected, correct rejections and retransmit claims. Report normally received same day.

Lytec 2010 Electronic Claims Transmission


Review CA Report to determine if all claims passed all edits at RelayHealth and were sent to payor. Report normally received same day.

Lytec 2010 Electronic Claims Transmission


Review your payor reports. Payor reports typically received 3-7 business days after your transmission.

Lytec 2010 Electronic Claims Transmission

Step 6: Post ERA Files


ERA files will automatically be downloaded during claims transmission.

Electronic Remittance with Lytec 2010


Access the ERA in Revenue Managment

Electronic Remittance with Lytec 2010


Post ERA file.

Electronic Remittance with Lytec 2010


View the ERA remittance post report to verify that payments posted correctly.

Electronic Remittance with Lytec 2010