Florida Health X12 834

Florida Health Care Plan X12 834 Transaction

FHCP processes the ASC X12 834 transaction for Benefit Enrollment and Maintenance. These 834 brief mapping guidelines help FHCP trading partners to supplement the 834 TR3. It briefly describes the global data content, business rules, and characteristics of the 834 transaction.

All Segments. Only loops, segments, and data elements valid for the 834 HIPAA-AS TR3 Guides ASC X12 005010X220 & ASC X12 005010X220A1 will be used for processing.

Negative Values. Submission of any negative values in the 834 transaction will not be processed or forwarded.

Date fields. All dates submitted on an incoming 834 5010 Enrollment transaction must be a valid calendar date and use the appropriate date format based on the respective HIPAA- AS TR3 qualifier. Failure to do so may cause processing delays or rejection.

Batch Transaction Processing. Generally, FHCP accepts transmissions 24 hours a day, 7 days a week.

Multiple Transmissions. All Segments Any errors detected in a transaction set will result in the entire transaction set being rejected.

Interchange Control Header Functional Group Header/ Functional Group Trailer. GS-GE ISA-IEA FHCP will only process one transaction type per GS-GE (functional group). However, we will process multiple ST’s within one (1) GS segment as long as they are all the same transaction type.

To learn more about EDI transactions mapping and become a certified  EDI Professional please visit our course schedule page.

Leave a Reply

Your email address will not be published.

Post Navigation