DATAMAX Installation and Initial use

The additional EDI Module allows batches of claims to be created. These claims are then sent via your modem and phone line (internet access is not necessary) to a service provider - such as Datamax . The service provider then processes and validates the claims and sends them on to the Medical Aids.

To use EDI, make sure that your diagnoses are set up using the valid ICD10 codes. A list of ICD10 codes can be found on http://apps.who.int/classifications/apps/icd/icd10online/

To use Datamax as a service provider, you will need to sign up with them. Ensure that you have the file DCSetup.exe, found on the software CD or available to download from the Downloads section of this website.

For information about Datamax and EDI, please refer to your software documentation, or visit the Information section on this website.

Signing up with DATAMAX

1. Contact Datamax on 0860 515125 and they will give you a Network User ID, password, and mailbox. They will help you to set up your dComm software, if necessary. The setup is very easy. Run the DCsetup.exe file on the software CD or that you downloaded and 3 new icons will be installed on your desktop.

• dComm configuration
• Send & Receive
• Datamax documents

Double click on the dComm configuration icon and enter the supplied User ID, password and mailbox.

2. In MTM Medical Accounting Software, you will need to activate the relevant Medical Aids.

• Go to your list of Medical Aids. For each one that is a valid EDI code (e.g. 125 Discovery), double click on it and click on the QEDI checkbox to activate it.

NB: Regardless of what you may be told, the codes must NOT have a P after them. Discovery is 125, not 125P.

3. If you have treatments on your system that have already been submitted as paper statements, you need to mark them so that they will not get sent again. If not, you can ignore this step. In the software, click on the EDI menu -> Mark as Sent/Unsent. Change the date to the date that you last printed accounts, and mark all these old treatments as Sent. You will not need to do this again - in future any treatments you send will be marked automatically.

4. To create your first batch of claims, click on EDI menu -> New Batch. A list of claims to go will be presented. Click on the Print button to print the batch. Then click on the Create Batch button and then Close. Your claims are now in a file called export.dat in the "LIVEEDI" folder

5. Close the Medical Accounting Software and double click on the Datamax Send & Receive Icon on your desktop. Your claims will be sent.

6. Any feedback will be placed in your "Datamax Documents" folder on the Windows desktop. Open the folder and check for feedback files. Documents in this folder will also keep you updated about Medical Aid changes, billing etc.

7. To resubmit rejected claims: First correct any errors on the patient account (e.g. Date of birth, Medical Aid number etc). Then on every treatment line that you need to resubmit, press the Q key on your keyboard. If you right click on the line it will tell you whether it is sent or unsent. You want it to read "not sent" so that it will be sent again.

8. NB - When entering data for EDI transmission it is important that you don't use commas - ie. in the diagnosis, procedure description, patient name, medaid etc.