VA-FSC Internet

FSC Electronic Data Interchange Services

Vision Statement:

To be the Government's choice for Electronic Commerce products and services by delivering outstanding customer support and solutions. 

Mission Statement:

Our Mission is to deliver cost-efficient Business to Business (B2B) and Electronic Data Interchange (EDI) solutions that equip our customers to provide Veterans world-class support through economical, efficient, and scalable electronic solutions for financial, healthcare, and technical services and support.

The Financial Services Center (FSC) Electronic Commerce Branch (ECB) offers consolidated central resources to handle a wide range of EDI transactions.  As a branch of the FSC Operations and Maintenance Division (O&MD) within the Financial Technology Service (FTS), ECB follows a tiered model support for EDI issues which are triaged and escalated as needed for resolution.

ECB enables various types of connectivity and the sharing of data between systems amid the FSC’s customers, trading partners and clearinghouses.

ECB supports: 

• FSC healthcare claims processing
• VA commercial invoices
• Office Acquisition Logistics (OAL)
• Denver Logistics Center (DLC)
• VA’s Subsistence, Medical Surgical, and Pharmacy Prime Vendors
• Veterans’ Health Administration (VHA) Chief Business Office (CBO) Revenue Operations

In an average month, over 17 million Healthcare and Financial EDI transactions are processed using a robust IT infrastructure and industry-recognized processes which are implemented and managed by a team of healthcare and financial EDI experts.

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If you would like additonal information or wish to discuss EDI solutions, please contact us as shown below:

• ECB Healthcare Team: EDI-TEAM@va.gov
  • Healthcare providers interested in submitting electronic healthcare claims for Non-VA Care (formerly Fee Basis) through Change Healthcare, please contact them at (877) 363-3666 or by their web site at https://www.changehealthcare.com/contact/
• ECB Financial Team: vafscedifinteam@va.gov or (512) 460-5311
  • Commerical Medical Supplies Purchase Orders and Invoices
  • Service Purchase Orders and Invoices
  • Telecommunication Invoices
  • Hearing-aid Purchase Orders and Invoices

Announcements

• VA FSC is working towards migrating all commercial EDI vendors to ANSI X12 version 5010 transactions.  All new vendors will be tested in version 5010.  Please contact us for more details at vafscedifinteam@va.gov

• On June 3, 2020, the Department of Veterans Affairs (VA) Financial Services Center (FSC), transitioned their Value-Added Network (VAN) services to Hixardt Technologies, Inc. OpenText Trading Grid Messaging System (TGMS).

• Recently the ECB Financial Supply Chain team completed the successful deployment for new functionality in support of the Medical Supplies Program Office (MSPO), Veterans Health Administration (VHA). The sole purpose for this new functionality is to provide a way for stations to identify the “Core items” in their inventory system and on the purchase order. The primary performance metrics for Medical Surgical Prime Vendor (MSPV) contracts revolve around whether or not the items on the purchase order are “Core items” or “Non-Core items”. By MSPV-Next Generation/ Bridge (and follow on MSPV 2.0), Under the MSPV-NG/ Bridge (and follow-on MSPV 2.0) contract ,VHA Medical Centers are required to identify the inventory items that they consider “Core”. The resulting list of these items is referred to as the “Core List”. This “Core List” tells the vendors which items they are required to stock for that medical center and identifies which items are subject to the 95% fill-rate required by contract. The fill-rate for Non-Core items is 80%.

Supported Communication Protocols

• Applicability Statement 2 (AS2)
• File Transfer Ptotocol/Virtual Private Network (FTP/VPN)
• File Transfer Protocol Secure (FTPS)
• Secure Shell (SSH) File Transfer Protocol (SFTP)
• Hypertext Transfer Protocol/Hypertext Transfer Protocol Secure (HTTP/HTTPS)
• Simple Mail Transfer Protocol Secure (SMTPS)

Supported EDI - X12 Transactions

ECB Healthcare	ECB Financial/Medical Supplies
270,271  - Eligibility, Coverage and Benefits	214 - Transportation Carrier Shipment Status Message
277CA - Claims Acknowledgement	810 - Invoices
278 - Healthcare Prior Authorizations	811 - Consolidated Service Invoice
837P - Professional Healthcare Claim	820 - Payment Order/Remittance Advice
837I - Institutional Healthcare Claim	832 - Price/Sales Catalog
837D - Dental Healthcare Claim	842 - Invoice Status
275RFAI - Request for Additional Information	850 - Purchase Order
835 - Electronic Remittance Advice (ERA)	855 - Purchase Order Acknowledgement
	856 - Advance Ship Notice
	860 - Purchase Order Change Request
	865 - Purchase Order Change Acknowledgement
	997 - Functional Acknowledgement

National Council for Prescription Drug Programs

The VA FSC interchanges data related to pharmacy services which supports the National Council for Prescription Drug Programs (NCPDP). The NCPDP is a Standards Development Organization whose mission is to create and promote data interchange standards for the pharmacy services sector of the health care industry.

Clearinghouses and Trading Partners

 

ECB Healthcare
Clearinghouses/ Trading Partners	VA Programs	Process
ClaimsNet	VA Choice	ECB Healthcare Receives/Sends and validates for HIPPA compliance ANSI X12 files to FSC’s claim adjudication system.
	Dialysis National Contract (DNC)
	Camp LeJeune Family Member Program (CLFMP)
	Other Government Agencies (OGA)
Change Healthcare	Veterans Health Administration Office of Community Care (VHA OCC)	ECB Healthcare receives, translates proprietary flies into ANSI X12 and validates for HIPPA compliance which is then sent to Change Healthcare to submit to Health Insurance Payers.
	Community Care Non-Network Claims
ECB Financial
Financial/Medical Supplies	Customers	Portfolio
e-Invoice Trading Partners (187)	Financial Ops System (FOS)  Veterans Benefit Administration (VBA)      Veterans Rehabilitation and Education (VR&E)      General Operating Expenses (GOE)      Veterans National Contract (VNC)	ECB Financial/Medical Supplies processes:
		Commercial Invoice
		VBA Invoice
		Telecom Invoice
		PO Flip Commercial
		Remittance Advice
		Invoice Status
Hearing-Aid Trading Partners (5)	Denver Logistics Center (DLC)	ECB Financial/Medical Supplies processes:
		Hearing-aid Purchase Orders
		Hearing-aid Order Acknowledgments
		Hearing-aid Purchase Order Change
		Hearing-aid Purchase Order Change Acknowledgment
		Hearing-aid Payment Vouchers
		Hearing-aid Billing Documents
Medical Supply Trading Partners	Office Acquisition & Logistics (OAL)/ Procurement & Logistics Office (P&LO)	ECB Financial/Medical Supplies processes:
		Medical Supply Chain Purchase Order
		Medical Supply Purchase Order Acknowledgment
		Medical Supply Advance Ship Notice
		Medical Supply e-Invoice
EDI Supply Chain Partners		Process
Hixardt Technologies, Inc.	Value Added Network (VAN)	Securely exchange business documents between the VA FSC and commercial vendors

 

Helpful Links

X12 Membership
Health Insurance Portability and Accountability Act (HIPAA)
Workgroup for Electronic Data Interchange (WEDI)