EDI Transmission Structure (EDI Documents) EDI transmission structure can contain a single document or multiple documents, commonly referred to as “Transaction Sets”. These transaction sets are enclosed by “Header” segments and “Trailer” segments. These header and trailer segements make up the EDI “Envelope” for addressing the documents to and from trading partners (EDI transmission). The records between … Read More →
HIPAA 837 Institutional Claim Mapping Guides For HAP Midwest Health Plan Partners HIPAA 837 Institutional Claim EDI transaction set is used to exchange institutional health care claim information from providers of health care services. HIPAA 837 Institutional Claim transaction can be submitted either directly or via intermediary billing services and/or claims clearinghouses. HIPAA 837 Institutional Claim … Read More →
HIPAA 837 Professional Claim Mapping Guides For HAP Midwest Health Plan Partners HIPAA 837 Professional Claim transaction set is used to exchange institutional health care claim information from providers of health care services. HIPAA 837 Professional Claim can be submitted either directly or via intermediary billing services and/or claims clearinghouses. Please note that Professional and Institutional … Read More →
EDI 837 And EDI 999, 277CA Transactions Guides (Part 3) EDI 837 And EDI 999, 277CA Transactions are among other EDI transactions supported by Cigna. Cigna is currently using EDI 837 And EDI 999, 277CA Transactions in support of 5010 compliance and is committed to helping physicians and hospitals successfully use and implement EDI 837 And EDI … Read More →