SYSTOC_EDI Setup for COB Claims

Configure SYSTOC_EDI to work in tandem with SYSTOC to manage coordination of benefits (COB).

General Tab

Navigate to Settings > Configuration > General. Leave the Include invoice adjustments in claim amounts (Loops 2300, 2400) and Show reversing entries options unchecked.

Professional Tab

Navigate to Settings > Configuration > Professional. Click Always include secondary subscriber and payer info (not just for Medicare).

X12 Standard Tab

Navigate to Settings > Configuration > X12 Standard. Select 5010 from the drop-down list in the Standard column for non-worker's compensation insurance plans, for example Medicare, Medicaid, Blue Cross/Blue Shield, Anthem.

Vendor Information

Navigate to Settings > Vendor Information > Vendor Configuration Tab.

Select Show Patient as subscriber in the Subscriber Type (Company Accounts) field.
Select [Invoice Policy # ] in the Subscriber/Patient ID (2010BA/CA NM109) field.