TIBCO Connectivity Guide

Important tips for configuring your Secure File Transfer Protocol (SFTP) file:

• Disable “temp file” in your file transfer software.
• The date/time stamp during file transfer should not be updated.
• A file should not be renamed after the last byte of the file has been transferred.

Submitting .ZIP files is supported by First Coast; however, we recommend that they only be submitted to decrease the byte size of larger X12 EDI inbound files. Please follow the below best practices when submitting .ZIP files: 

• Only one large X12 file should be submitted in the .ZIP package.
• The file name should not have spaces or special characters.
• Do not encrypt or password protect the file.
• Only a file should be zipped, not an entire folder.

Free Medicare software 

• Medicare Remit Easy Print (MREP)  is available to translate the 835 ERA for Part B.
• PC Print is available to translate the 835 ERA for Part A.
• PC-ACE is available to create 837 claim files, 837D claim files, and translate the 835 ERA for Part A and Part B for approved PC-ACE users

Setting up the SFTP program

If you have enrolled for SFTP, complete the following steps to set up the program:

• Update the SFTP connection following the SFTP connection section details below.
• Verify that the Interchange Receiver ID (ISA08) contains the contract ID for all 837, 837D, and 276 claim files. Please work with your software vendor to ensure the ISA08 contains the appropriate contract ID prior to submitting claims over the TIBCO EDI Gateway. Provided below are the First Coast contract IDs based on region.
  • Medicare A Florida: 09101
  • Medicare A Puerto Rico/U.S. Virgin Islands: 09201
  • Medicare B Florida: 09102
  • Medicare B Puerto Rico: 09202
  • Medicare B U.S. Virgin Islands: 09302
• Retrieve the TA1, 999 and 277 claim acknowledgement reports from the TIBCO gateway after sending files to the TIBCO gateway.  

NSV - update the host name used when connecting to First Coast.

Providers, Billing Services, and Clearinghouses:

• Set up your initial password.
  • Access the EDI Gateway Password Change tool
  • Enter your Login ID.
  • Enter the initial password, which is assigned as Fcs#LLLL where LLLL represents the last 4 characters of your submitter ID.
  • Enter a new password.
  • Enter the new password a second time to confirm.
  • Click Submit. A message will indicate that your password has been successfully updated.
• Connect to First Coast using your NSV product. Enter your current Login ID and the initial password. 

Steps to transmit a file

To send electronic claim files via SFTP:

• Upload 837 and 837D files to:
  • /outbox/X12/EDI/Inbound/Interchange for X12 files
  • /outbox/EZComm/BC/1.0/Notify for ZIP files

How to download reports

To pull electronic reports via SFTP:

• Retrieve the ANSI X12N 999 report response from:
  • /inbox/X12/EDI/Outbound/Interchange for X12 files
  • /inbox/EZComm/BC/1.0/Notify for ZIP files

If the 999 is not available, retrieve the ANSI X12N TA1 file, correct the errors and resend the ANSI X12N 837 file until accepted. The TA1 report location is: /inbox/X12/00501/EmptyGroup/TA1

• Open the ANSI X12N 999 file and interpret the report. If rejected, please correct the errors, and resend the ANSI X12N 837 or 837D file until accepted. 

When opening files for the first time, you may need to choose a basic text editor program from your computer such as notepad. If you choose a program like Adobe or Internet Explorer, you will receive error messages indicating the file will not open. A text editor program must be chosen for these reports. If your browser defaults to a program that will not read the file, the browser settings will need to be updated to choose a text editor program.

• After receiving an accepted ANSI X12N 999 report, retrieve the ANSI X12N 277CA report from the same location as the ANSI X12N 999 report indicated in step 5.
• Open the ANSI X12N 277CA file and interpret the report.
• Continue to send all 837 electronic claim files and retrieve all electronic reports through the new gateway connection.
• Contact your NSV with any questions or concerns with the new gateway connection.