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docs(sp33): update reference docs to CO_TXIX (per HCPF 837P Companion Guide)

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docs/reference/837p.md line 48: the CO Medicaid trading-partner line
was still saying 'SKCO0 (sender) <-> COHCPF (receiver)'. The HCPF
837P Companion Guide (June 2025 - Version 2.5) requires
NM1*PR NM109 = CO_TXIX; SKCO0 causes Gainwell to reject the SET
('2010BB NM109 must equal CO_TXIX or CO_BHA').

docs/reference/co-medicaid.md line 118 + the Trading Partner table at
the top: same fix, with a pointer to the SP33 spec for the
root-cause story.

No code changes. Pure doc fix to match what the source now emits
(PayerConfig.co_medicaid().payer_id = 'CO_TXIX').
This commit is contained in:
Nora
2026-07-02 21:07:12 -06:00
parent 0625c83a45
commit 3bf5622010
2 changed files with 8 additions and 5 deletions
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docs/reference/837p.md
+1 -1
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@@ -45,7 +45,7 @@ full walker.
## CO Medicaid specifics
- Trading partner: `SKCO0` (sender) ↔ `COHCPF` (receiver) on `NM1*PR` / `NM1*40`
- Trading partners: `COMEDASSISTPROG` (NM1*40 NM109, 1000B receiver) and `CO_TXIX` (NM1*PR NM109, 2010BB payer). See `docs/goodclaim.x12` for a canonical example and the HCPF 837P Companion Guide for the full segment table.
- `CLM05` is a composite of three components: place of service, facility code
qualifier, and frequency code (in that order)
- `CLM05-1` = place of service (any valid CMS POS code)
docs/reference/co-medicaid.md
+7 -4
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@@ -9,11 +9,14 @@ Financing (HCPF) requires.
| Role | 837P | 835 |
|---|---|---|
| Sender | `SKCO0` | (varies; usually the clearinghouse) |
| Receiver | `COHCPF` | (varies) |
| Sender (submitter, `NM1*41`) | `Dzinesco` (TPID `11525703`) | (varies; usually the clearinghouse) |
| Receiver (`NM1*40`) | `COMEDASSISTPROG` | (varies) |
| Payer (`NM1*PR`) | `CO_TXIX` (per HCPF 837P Companion Guide) | (varies) |
These appear in the `NM1*PR` (payer) and `NM1*40` (receiver) segments of
the 837P file.
the 837P file. The legacy codes `SKCO0` / `COHCPF` are no longer
accepted by Gainwell (HCPF error: "2010BB NM109 must equal CO_TXIX or
CO_BHA"); see [SP33](../superpowers/specs/2026-07-02-cyclone-co-txix-payer-fix-design.md).
## dzinesco's TPID (clearinghouse identity)
@@ -115,7 +118,7 @@ ls -la "./var/sftp/staging/CO XIX/PROD/coxix_prod_11525703/ToHPE/"
### 837P (claims)
- `NM1*PR N104 = "SKCO0"` (COHCPF)
- `NM1*PR NM108 = "PI"`, `NM1*PR NM109 = "CO_TXIX"` (per HCPF 837P Companion Guide, June 2025 — Version 2.5). dzinesco submits against this code under dzinesco TPID `11525703`. The legacy trading-partner ID `SKCO0` is no longer accepted as the payer identifier.
### 835 (remittance)