Added a "Claim Filing Indicator" section to the INI file to allow for additional mappings from CA0-23/DA0-05 to SBR field 9

The 2300-level CRC*ZZ segment could in some cases list the same condition code twice. This has been corrected.

If the [Claim Level Notes] section of the INI file contains the procedure code in FA0-09, then the corresponding charge-level (2400) notes will be copied to the claim (2300) level.

Only show loop 2430 if the claim has a loop 2320 that is NOT crossover (i.e. previously paid insurance)

Process DA0 segments in the order of the "sequence_no" regardless of physical DA0 order.

Adding [NSF]/FA0-42=ROUND in the INI file will cause the FA0-42 value, which has one implicit decimal in NSF, to be rounded to the nearest integer.

When loop 2320 is generated for a payor that has not yet adjudicated the claim, the various AMT segments will no longer appear.

[ANSI]/REF4N can now specify the NSF source for the value to go into loop 2300's REF*4N segment.

[Receiver Default] section as a default for all of the various [Receiver XXX] sections in the INI file.

Customization for Illinois Medicaid 2010AA/AB loops.

Ability to override type of EA0-23 in [NSF] section

FA0-42 now makes the last position the decimal part, so 234 is 23.4 grams

Added [ANSI]/Require2430 to INI to show loop 2430 even when FB0-07 and FB0-08 and not defined

look in both the startup directory and the application directory for provider_taxonomy.ini and dmerc_forms.ini

nsf2ansi would crash in loop 2310B if looking for FB1-17 for the REF segment and the FB1 segment did not exist.

Added a [Reason Code Default] section to the INI file to allow for specification of the WRITEOFF, DEDUCTIBLE, and COINSURANCE reason codes generated in loop 2430. Also, the default for writeoff if not specified in the INI file has changed from 42 to 45, since this was changed by CMS on 6/1/2007.

Setting INI value [Receiver XXX]/SkipZeroPaymentSecondary to "Y" will cause secondary insurance information with a $0 payment to not convert into the ANSI document.

Loop 2310B will no longer display if NPI is turned on and loop 2310B's NPI matches loop 2010AA's NPI.

Fixed a number of places where NPI=Y was still generating the legacy ID in addition to the NPI

Loop 2010AB will no longer have a REF segment using BA0-09 when NPI is turned on.

Loop 2010AA will no longer have a REF segment using BA0-09 when NPI is turned on.

Updated algorithm for loop 2310B to handle hybrid SSN correctly.

Fixed some errors related to using NPI mode with no FB1 segments.

In NPI 'Hybrid' mode, if EA0-22 is set to 'X', loop 2310A will NOT display the 999999999 SSN if EA0-23 is blank.

Added an NPI_PLAN setting to the [ANSI] section of the INI file, which defaults to 'N' regardless of the 'NPI' setting.

Added a [CONSTANTS] section to the INI file for overriding defaults values for certain constants (mostly quantity type indicators)

If not using NPI and FB1-17 is blank, the rendering provider loops (2310B/2420A) will not print

Support either FA0-58/FA0-56/DA0-13/DA0-28 for use as the REF segment in loops 2310B & 2420A. Define ONE in [NSF] section of INI file.

Enhanced NPI support: loop breakdown

Enhanced NPI support

Loop 2430 will only show if FB0 segment has good values in FB0 fields 7 or 8 OR if an FB3 segment is present.

Secondary claim '42' and '2' adjustments will have fixed group codes of 'CO' and 'PR', respectively.

The [GS]-02 field in the INI file will now be used even when SeparateProvidersByGroup is set to "Y"

When using NPI, loops 2310B & 2420A will now show Tax ID info as a REF segment.

Non-standard FB3-30 support added for secondary claims.

In the [Receiver XXX] section of INI, adding "Partner=PPN" will add a REF*2U segment to loop 2010BB using DA0-32 as defined by PPN.

In loop 1000A, if no BA0-19 defined, org in BA0-18 is used instead.

Corrected erroneous error message when using trailing zero in [Adjustment Group Code]

[NSF] section of INI now supports EA0-20=PRV and EA0-21=PRV, which will cause the specified values to be used in the 2310A PRV segment.

Added diagnosis codes 5-8 from EA1

Added [Special Program Codes] section to split EA0-43 between CLM-12 and REF*P4 in loop 2300.

Adding the '0' to the [Adjustment Group Code] will now only affect the 2430 loop, not the claim-level loop.

Adding a '0' to the [Adjustment Group Code] mapping will allow $0 CAS adjustments.

Won't generate CAS*03 copay unless positive value

New EPSDT support. To enable this, FB0-22 must be either 'V', 'U', '2', or 'T'

Added required DTP segment to loop 2430

Added required SVD segment to loop 2430

Added FB1-13 support to the [NSF] section in INI

When "Separate Providers By Group" is enabled, loop 1000A will now contain provider information from BA0 segment instead of org info from AA0 segment.

If NSF BA1 fields 07-11 match fields 13-17, loop 2010AB will not print unless [ANSI]/Require2010AB is set.

If 2310B UPIN (FB1-17) matches 2010AA UPIN (BA0-10), skip loop 2310B unless marked required in [ANSI]/Require2310B

If 2420A UPIN (FB1-17) matches 2310B UPIN (FB1-17), skip loop 2420A unless marked required in [ANSI]/Require2420A

If 2420C Lab Name matches 2310D Lab Name, skip loop unless marked required in [ANSI]/Require2420C

If 2420D LastName/FirstName matches 2310E LastName/FirstName, skip loop unless marked required in [ANSI]/Require2420D

If 2420E UPIN (FB1-09) matches 2310A UPIN, skip loop 2420E unless marked required in [ANSI]/Require2420E

If 2420F UPIN (FB1-13) matches 2310A UPIN (usually EA0-21), skip loop 2420F unless marked required in [ANSI]/Require2420F

When "Separate Providers By Group" is enabled, IEA segment was giving incorrect value.

DA0-32 will now generate loop 2300 REF*9F if defined for all carriers.

For 837I, added [ANSI]/RenderingDocCode for determining the loop for rendering provider

For 837I, put 2310 referring doc AFTER rendering

Added loop 2300 REF*9F for GBHC FL (already had GA)

Show AMT*D even when value is 0.

For 837I, show RB8 for DTP*434

For 837I, use MA instead of MB in SBR09

Added [ANSI]/CLM20 option

Loop 2320 SBR field 4 will use DA0-09 if DA0-11 is blank

CR3 segment was adding decimal point at end

Fixed problem with patient weight

Support for [ANSI]/SeparateProvidersByISA

Loop 2320 OI06 field now comes from NSF EA0-13

Ability to specify [NSF]/EA0-53 for loop 2310D

Added patient name to the log file

Added loop 2300 REF*9F just in GBHC case

NTE segment now has trailing spaces trimmed

Added AMT segments to loop 2320

2310D: If [NSF]/EA1-04 is something other than '24', '34', 'XX', '1C', the REF segment was not showing. This has been fixed.

Don't show CTP segment when FB0-05 is '0' (per Quest)

Ignore [ANSI]/NPI and always assume NPI is 'N'

CTP05 was showing 1 characters instead of 2

Loop 2310C/2420B now has NM102=2 instead of 1

If "Partner=PERSE", use DA0-07 + DA0-08 for payor ID

Loop 2410: don't show CTP if FB0-05 is blank

If [Receiver XXX] section has Partner=WEBMD, and claim is for Champus, below functionality will happen.

If [Receiver XXX] section has Partner=WEBMD, Type=CHAMPUS, and [NSF]/FA0-23 is 1H or G2, then three REF segments will be written for loops 2310B / 2420A (1H/G2/N5)

Added support for loop 2410

Changed IL to LI in loop 2310D (typo..)

Can now create loop 2310C

Added [Facility Type] section to INI for FA0-07

Loop 2310C/2420B will now read [NSF]/FB0-11 from INI

Loop 2310D: If FA0-07 has '41' or '42', NM101='77'.

Support for 2310E REF segment and [NSF]/EA1-16 entry

ST-02 now unique across whole ISA, not just GS

Loop 1000A NM109 can be set by [Submitter ID]/NM109

Loop 2310D: If FA0-07 has '12', use NM101='77'.

Loop 2310D: If FA0-07 has '81', use NM101='IL'.

Some minor date issues.

HA0 information was not being processed correctly.

If there are multiple GS segments, IEA segment now reports correct number

If license not specified in INI file, look in AA0-24 (don't use dashes there)

If DA0-06 is MG, make SBR-05 MI regardless of DA0-05.

NSF taxonomy codes of 3 chars beginning with 0 will strip leading zero in INI search

Ability to set [ANSI]/SeparateProvidersByGroup to 'Y' to generate a new GS segment for each BA0 (for Noridian)

Use provider_taxonomy.ini to translate old NSF taxonomy codes to new values

Ability to specify licensing information in license.ini file instead of nsf2ansi.ini

Show a warning in the log if individual provider does not have BA0-19 defined.

If BA0-08 is 'S', provider is individual. If BA0-08 is 'X', a group. Otherwise, default logic.

2000A PRV segment not displayed for provider group if BA0-22 and INI specialty not set

Ability to mark a provider ID as "Group" in the INI file

Log Message about 12/31/2003 expiration changed from ERROR to WARNING

Licensing support built in for ISA06 and dealer level

Added [Organization ID]/SOURCE OF PAY PREFIX option to add DA0-05 before DA0-07

In SCO build, now only '-' is supported as a command-line prefix; not '/'.

Can now specify [NSF]/EA1-04 entry for use in loop 2310D

Logic for calculated G5 REF segment in loop 2010AA has changed. First, look for 'SiteNumber' in [Provider XX] section. Then look for 'SiteNumber' in [Receiver XX] section. Then, use AA0-17 if BCBS IL or BCBS GA. Otherwise, don't display it.

In [Receiver XXX] section, can now specify ETIN=nnnnn to override the default ISA08 value in loop 1000B NM109

In loop 2010AA, REF of type 1B will appear before all other provider REF segments (except G5 where applicable)

If [Receiver XXX] section has Type=BCBS and State=IL or State=GA, then loop 2330B NM109 will have ISA08 value

If [Receiver XXX] section has Type=BCBS and State=IL or State=GA, then loop 2010AA will have REF G5 followed by REF 1B followed by rest of REF segments

Added INI option [Submitter XXX] to specify information to loop 1000A.

Added INI option [NSF]/Source. Default value is 'MM'. 'Millbrook' will allow FA0-57=E

Added INI option [Defaults]/AccidentClaimState to deal with missing EA0-07.

Command line parameters after first one were being ignored.

Completed UNIX support

When 2010AA PER segment is created, PER02 will now be populated

If BA1 defined but BA1-12 is empty, 2010AA now uses AA0-14 for the phone number

Don't show 2400 DTP segment types 304/431/453/454/455 if match 2300 counterparts

Don't show 2000CA/NM108-NM109 when the same as 2000BA/NM108-109

Better error message when FA0-57 has an invalid value

Output ANSI document in binary mode to avoid extra CR/LF problems

Omit CAS entries where the amount is 0.

Added \l (lowercase L) option for generating linefeed-only as line/segment terminator

Added -log command line option to specify an alternate log file

When [ANSI]/UseCurrentDate is 'Y', ISA09/10 and GS04/05 will use current system date

When [ANSI]/TypeOfService is 'Y', TOS code in SV106 will now have leading zero stripped (required by THIN)

Loop 2320 CAS segment will only show COPAY value if DA1-11/12/13/14 all are defined

New Y/N INI option [ANSI]/TypeOfService defines if SV106 should be populated

Added INI option [ANSI]/PostalCodeDashes to allow for stripping dashes from N403 field.

Only show loop 2420F if FB1-10 is defined

If PS101 is not defined (from FB0-11), do not display the PS1 record at all

Translator now accepts NSF input with no carriage returns at the end of each segment.

SV106 in loop 2400 will now fill in TOS code from FA0-08. Required for some systems.

PRV segment in loops 2310B/2420A now uses Specialty Info from INI

ISA08 logic changed: if AA0-17 does not begin with a letter, AA0-18 value is automatically prepended

If FB1-15 is blank, 2310B/2420A will now use an organization name

Iowa now will show AA0-18|AA0-17 in the ISA08 field

INI file will no longer be re-ordered when running the translator

Proper decimal layout in AMT-02

[NSF Defaults] section added to INI. Allows defaults for ANY field.

Fixed problem with HL segment values in loop 2000C

If service facility address same as billing prov address, skip 2310D

Only show SV105 value in 2400 if different from CLM05-1 in 2300

Only show CLIA number in 2400 if different from value in 2300

Proper decimal layout in CAS-03/06/09/12/15, SV102, CLM02 (remove extraneous .00)

Support in [ANSI] section for Require2010AB, Require2310B, Require2420A

[NSF] section of INI now supports BA0-02, BA0-16, BA0-17, FA0-23

INI file option to enable/disable extended character sets

Restrict values to basic and extended character sets

log file now shows line number in the NSF file where error/warning occurred

Fix references to GA0-22/23 (fields are 'Y'/'N', not dates)

Loop 2420E will now only display if FB1-06/07 are not blank.

Loop 2420D will now only display if FB1-18/19 is not blank.

SBR-09 was using invalid values 'SA' and 'MH'. These are now 'ZZ'.

In loop 2000C, PAT segment was not showing up

In loop 2310A, don't show an error when the referring provider Tax ID is unknown.

Allow [Defaults]/DateOfBirth in INI file to specify a default date-of-birth

Added [NSF] section for specifying the type of IDs in EA0-20 and EA0-21. These will be used to generate the correct NM1/REF information for loop 2310A.

Changed expiration date to 6/30/03.

Loop 1000A PER02 will use NSF AA0-06 if AA0-13 not defined.

Loop 2010AA will now use INI value as an override in REF segments to avoid having duplicate REFs with the same code.

Log file will now indicate the value of ISA13.

Show a warning if an invalid gender code is in NSF. And auto-convert empty gender to 'U'.

Add option to print each claim as part of a separate transaction

Numeric processing fixed so that numbers with leading zeros in NSF do not have the leading zeros retained in ANSI. In particular, this will now have the LX records come out LX*1 instead of LX*01.

AA0-18 will be pre-pended to AA0-17 in the ISA07 record for states MD, DE, VA, DC.

Supported values are 4010 and 4010A1.

4010A1 is the default.

Loop 2310D: only show this if the name and address are both defined in NSF

Only show 2400/PWK when there is a DMERC certificate included with the claim

ISA08 is different for Illinois than for the other states

nsf2ansi now fails if the NSF file does not begin with a valid AA0 line.

nsf2ansi now fails if any line in the NSF file has a length other than 0 or 320

nsf2ansi now fails if the NSF document is not of type 3.x

nsf2ansi log now shows the loop in which the error occurred (still needs more testing...)

New option in INI file: [ANSI]/NPI, with default value 'Y'

1.0.1: FB1/FB2/FB3 now children of FA0 instead of FB0

Extended expiration until 5/15/03.

Allow '-' or '/' to identify command line parameters.

Allow for specification of an [Organization ID] in the INI file.

Fix "required" component of NM108/109 in loops 2010BB and 2330B (DA0-07/DA0-08) 2010AA_NM1/09 in INI file will be treated as literal unless it begins "BA0-"

Sub-component printing logic was incorrect. Fixed.

Changed default time to '1200'

Updated INI structure if .exe at the end of the filename, ignored for determination of INI & log filenames

Loop 2330A change NM108 from ZZ to MI

Extended expiration until 4/30/03.

Fixed 2010AB loop up

Don't show NM108/109 if no 109 value in one of the NM1 records Improved logging of missing fields

Units of Service trailing .0

Dont show 2010AB when same as 2010AA

If no BA1, use address from AA0