When have I tested enough?
Testing strategies and approaches differ among trading partners. Our goal is to validate that transactions from a trading partner are processed without error when compared against previously adjudicated claims; therefore, the ACS EDI Team strongly encourages trading partners to submit production-quality and production-quantity transaction batches. This may mean working with one or more provider affiliated with a trading partner.

Providers are also strongly encouraged to request test scenarios/test claims that have particular relevance to them. For this reason, it is important that providers maintain close contact with their vendors, software developers, third party administrators (TPA), or clearinghouses.Please review the Approach to Group 2 Testing document for minimum and maximum testing thresholds.

Who decides when testing is complete?
The trading partner and the ACS EDI Team mutually determine when transaction testing is complete. At a minimum, the following should occur to satisfy testing requirements:

• Demonstrate you can submit a certified transaction
• Submit a minimum number of claims/transmissions, per the Approach to Group 2 Testing document
• Receive notification that test claims passed through the translator and correctly processed in HPMMIS

Trading partners that have successfully completed applicable test cycles should submit an email to the ACS EDI Team at [email protected]

The contents of the email should indicate successful completion of the testing phase by transaction. Med-QUEST will respond with questions or with confirmation, as applicable.

What about trading partner agreements?
Current trading partner agreements for electronic claims submission are sufficient for testing purposes. Please check back later for more information.

What Happens When I Go Into Production?
Trading partners that successfully pass testing will be logged on the Trading Partner Testing Status schedule.