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 →

GS1 Healthcare Standards

GS1 Healthcare Standards (Identification) The widespread use of GS1 Standards has revolutionized efficiency, accuracy, and cost-effectiveness in a range of industries. Recognizing the impact that industry-wide adoption of a common language can have, GS1 Healthcare US® is committed to helping the industry improve efficiency and quality for lower costs, more streamlined care delivery, and better Read More →

EDI GLN

Map Use of GLN And GTIN in Order-to-Cash Transactions The use of GLN in a transaction will occur in the N1 loop. The N1 loop is used to identify organizational entities associated with the transaction. The N1 loop can be repeated to add more than one entity, and/or more than one identifier per entity. The N1 Read More →

EDI GLN Account

EDI GLN Account Hierarchies (Parties and Locations) GLNs are designed to support unique and unambiguous identification of parties/locations in business processes, which is essential for efficient communication between trading partners. The GLN can be used to identify a functional entity (like a hospital pharmacy or accounting department), a physical location (like a warehouse or hospital Read More →

GLN

GTINs and GLNs Prepare for Implementation Prior to GTINs and GLNs implementation, it is essential to assess the effort needed to implement GTINs and GLNs in current systems and transactions. Key aspects of this effort include assessing internal systems, engaging with trading partners about readiness, and determining the transactions in which GTINs and GLNs are 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 →

Implementing GLNs

Implementing GLNs and GTINs in Order-to-Cash Transactions (GS1 Healthcare US) When identification standards are not widely used across an industry, trading partners often use nonstandard and proprietary identifiers. This practice can result in multiple identifiers for the same product (e.g., buyer’s part number; supplier’s catalog number; vendor’s item number; etc.) or party/location (e.g., DUNS Number; Read More →

835 5010 Mapping

EDI 835 5010 Mapping Excersise Try your HIPAA EDI skills in EDI 835 5010 Mapping Excersise. Find the scenario below. The Outbound 837P, completed in Exercise 1, was sent on to Blue Cross the payer. The Claim was adjudicated and Blue Cross has transmitted the 835 5010A1 transaction directly to the receiving billing provider, Abuncha Physicians. Within Read More →

EDI 834 Exercise

EDI 834 Exercise: Check Your HIPAA Mapping Skills EDI 834 transaction set (Benefit Enrollment and Maintenance Transaction) has been specified by HIPAA 5010 standards for the electronic exchange of member enrollment information, including benefits, plan subscription and employee demographic information. It is used to establish communication between the sponsor of the insurance product and the payer. Also in EDI Read More →