EDI Vendor Testing Time line for Upcoming Releases

The Indiana Health Coverage Programs (IHCP) has identified the following three types of system modifications that require prior communications with the electronic data interchange (EDI) vendors.

Each enhancement is carefully reviewed to determine what effect it will have on vendor software. Descriptions of these modifications follow.

System modifications with significant impact on the software

Enhancements that require significant software modifications will have the following time lines built into the project plan:

  • Twelve weeks before the release date - The description of the upcoming system enhancements and the release dates are posted to What's New for EDI Vendors. The IHCP expects that this notification allows for the appropriate planning time for the vendors.
  • Ten weeks before the release date - IHCP Upcoming Companion Guide Changes will be available. The IHCP expects that this notification allows for appropriate software construction time for the vendors. The IHCP support help desk for EDI notifies the vendors of the availability of the IHCP Upcoming Companion Guide Changes and the estimated start date for testing.
  • Vendors are given a minimum of four weeks to construct the needed modifications.
  • Vendors are given a minimum of four weeks to conduct testing. Vendors choosing not to test risk the possibility of failing in production at their own cost.
  • Vendors are given a minimum of two weeks to upgrade the software at their client sites.

System modifications with little or no impact on the software

Enhancements that require minimum to no software modifications have the following time lines built into the project plan:

  • Eight weeks before the release date - The description of the upcoming system enhancements and the release dates are posted to What's New for EDI Vendors. The IHCP expects that this notification allows for the appropriate planning time for the vendors.
  • Six weeks before the release date - The IHCP Upcoming Companion Guide Changes, when applicable, will be available. The IHCP expects that this notification allows for the appropriate software construction time for the vendors.  The IHCP support help desk for EDI notifies the vendors of the availability of the IHCP Upcoming Companion Guide Changes and the estimated start date for testing.
  • Vendors are given a minimum of two weeks to construct the modifications, if needed.
  • Vendors are given a minimum of two weeks to conduct testing. Vendors choosing not to test risk the possibility of failing in production at their own cost.
  • Vendors are given a minimum of two weeks to upgrade the software at their client sites, if needed.

Correction upgrades

For correction upgrades, depending on the impact to the software and the business, the lead time for notifications may vary. However, all correction upgrades and companion guide corrections will be communicated as quickly as possible.