837 CLM Segment

837 CLM Segment Facility Code Values On the 837 claim in the CLM segment in position CLM05-1 you will find facility codes also known as Place of Treatment (POT) codes. Place of Treatment (POT) codes are alpha or numeric codes that indicate where a service was performed. The Centers for Medicare & Medicaid Services (CMS) Read More →

837 Receiver Names

837 Receiver Names Examples 837 Healthcare Claim Receiver Name segment is a common segment across all EDI Transactions. This segment is required and it is qualified with ‘40’ for Receiver. This segment is part of LOOP ID 1000B Receiver name. To learn more  about EDI loops visit our course schedule page to sign up for Read More →

REQDOC EDIFACT Message

REQDOC EDIFACT Message (Request For Document) REQDOC EDIFACT Message is used to request the last successful CUSRES of an entry. The LRN and or MRN must be provided in the REQDOC. A CUSRES will be sent to verify if the request can be fulfilled or not followed by the CUSRES in question if available. Note Read More →

EDI Consignment Orders

EDI Consignment Orders (Purchase Order (850)) The Purchase Order (850) not only accommodates standalone, and blanket order business scenarios, the Purchase Order (850) also accommodates consignment order business scenarios. Consignment order business scenarios have a lot in common with stand-alone Purchase order in that the use or inclusion of GTIN and GLN can be accommodated Read More →

HIPAA EDI

EDI Product and Location Identification In Transactions EDI transaction standards support numerous types of identifiers for products and parties/locations, including both GS1 identifiers and Non-GS1 identifiers. The following tables list product identifiers and party/location identifiers that are commonly used in U.S. healthcare EDI transactions today. Product identifiers commonly used in U.S. healthcare EDI transactions Party/location Read More →

EDI Order-to-Cash Transactions

EDI Order-to-Cash Transactions in U.S. Healthcare Using GTINs and GLNs in EDI business messaging instead of proprietary identifiers can help improve transaction accuracy and efficiency, and more fully support traceability from the manufacturer to the patient / end user. GS1 guidelines describe key aspects of Order-to-Cash transactions in U.S. healthcare. 850 Purchase Order Used by the Read More →

862 EDI

EDI 862 Shipping Schedule Basic Data Contents  The Shipping Schedule Transaction Set will supersede certain shipping and delivery information transmitted in a previous Planning Schedule Transaction, but it does not replace the 830 transaction set. The Shipping Schedule Transaction Set  (862) shall not be used to authorize labor, materials, or other resources. The use of this transaction set will facilitate the Read More →

GESMES EDIFACT

GESMES EDIFACT Document (Generic Statical Message) GESMES EDIFACT message helps to download exchange rate onto the EDI gateway where it is constructed into the UN/EDIFACT standard and transmitted to agents. Exchange Rates are received daily from the SARB (Reserve Bank of South Africa) which are then uploaded into the relevant SARS system. These rates used to Read More →

CONTRL EDI

CONTRL EDI Message (UN/EDIFACT) Once CONTRL EDI Message (UN/EDIFACT) message is received the data is automatically translated to ensure the information received conforms to the UN/EDIFACT syntax rules. Once this is established, a CONTRL (Syntax and Service Report) message is sent to the sender of the UN/EDIFACT message, detailing the conformance, or non-conformance of the received Read More →

SARS EDI CUSDEC

SARS EDI CUSDEC (Customs Declaration) Message SARS EDI CUSDEC message must be received by customs for each declaration. This information will be received centrally at the SARS EDI facility at HeadOffice. Once received, the data is automatically translated to ensure the information received conforms to the UN/EDIFACT syntax rules. Once this is established, a CONTRL (Syntax and Read More →