PROMISe™ Certification with OMAP
The Purpose of Certification with Pennsylvania Medical Assistance:
PROMISe™ Provider/Payer Certification assures the compatibility between Providers and the Pennsylvania Medical Assistance Payer (PA Department of Public Welfare) when processing HIPAA transactions. This certification process confirms the ability of software products and users to submit readable, HIPAA compliant transactions. Certification cannot ensure that claims will be paid.
Certification benefits submitters in many ways. Without certification, submitters have no assurance that their files will be accepted or processed correctly. Certification eliminates unnecessary processing and payment problems when the submitter begins to send production transactions.
Certification is not intended to be used as the clearinghouse's, submitter's or software vendor's initial HIPAA testing. Each entity must complete its own internal testing prior to submitting transactions to HP for PROMISe™/HIPAA certification. Providers and software developers are free to contract with third-party certification vendors individually for initial testing purposes. However, clearinghouses and submitters who certify through third-party certification vendors must also certify through HP.
If you are Re-Certifying or a New Trading Partner (1st time certification) with PROMISe™, and wish to certify with the new ANSI X12 v 5010 OR NCPDP Interactive D.0 or Batch 1.2, select:
For recertification and new trading partners (first time certification) with the new ANSI X12 v 5010 or NCPDP Interactive D.0 or Batch 1.2
(For currently certified submitters, all must recertify by January 1, 2012. Any new submitters, who have not certified on 4010 prior to January 1, 2012, will only have the option to certify on 5010/D.0 from January 1, 2012 and beyond.)