HIPAA EDI 835

HIPAA EDI 835 transaction and balancing formula description The HIPAA EDI 835 example given in the post is for two institutional claims. It is a remittance advice and it’s submitted by BCBS DISNEY (payer) to UCLA MEDICAL CENTER (payee). BPR-01 = “I” which means “Remittance Advice Only” The payment is for patient Mickey Mouse and Donald Read More →

997 FA

997 FA Segments description The description of 997 FA segments continues our previous post where we spoke about 997 FA basic definition and recoinciliation. Below you will find the main 997 FA segments, their description and purpose. AK1: This 997 FA segment refers to the (GS) group level of the original document. AK101 is equal to Read More →

997 Functional Acknowledgement

997 Functional Acknowledgement basic definition and notes The 997 Functional Acknowledgement transaction is a response that confirms a file was received and could be properly read by the translator. The 997 can also report on exactly what caused any errors on the original document. It can notify the sender whether the document was accepted or rejected. Read More →

820

820 Payment Order / Remittance Advice (RA) definition and important notes The 820 Payment Order / Remittance Advice can be used in three ways: (1) It can be used as a remittance advice to describe detailed information about a payment. (2) It can be used to authorize financial institutions to electronically transfer funds (EFT) from Read More →

GS1

GS1 – 128 Label description and purpose The GS1 – 128 (formerly known as the UCC-128 label) is the most often used in the retail and manufacturing industries. This label is placed on the packaging container, usually on a pallet or a carton. When the carton is received, the recipient scans the label (usually on Read More →

835 billing

835 billing scenarios examples 835 billing scenarios  describe what meaning and purpose can 835 transaction bring to the receiver. The 835 (similar to the 820) can be transmitted from the payer just as a remittance advice (and EOB explanation of benefits) letting the provider know what is being paid. It can also be transmitted as an Read More →

835 EDI Transaction

835 EDI Transaction Reconciliation process description 835 EDI Transaction is an important transaction type in electronic documents exchange. Today EDI speeds and simplifies many transactions. Then there’s the world of healthcare remittance advice. The systems, standards and processes currently in place at healthcare payers’ companies are so profoundly behind those of other industries. Depending on the provider, Read More →

Mobile EDI

Mobile EDI – an efficient supply chain approach Mobile EDI solutions appeared as a comfortable instrument for using electronic data interchange in full power. Unfortunately, mobile EDI applications were not prior when developers were thinking about successful EDI implementation. However, as EDI grows and develops, the need for comfortable control instruments becomes urgent. Earlier it Read More →

EDI via FTP

EDI via SFTP and FTPS basis and advantages Previously we have already mentioned the related to SFTP and FTPS main EDI transport protocols. EDI via SFTP and FTPS belong to the most commonly used communication protocols for electronic data interchange. EDI via SFTP and FTPS allow to connect business partners directly as well as via Read More →

EDI import

JCPenny Import Shipping Container Requirements In previous posts we have already spoke about shiping requirements for JCPenny partners. Today’s post contains examples of the required JCPenny Import Shipping label formats for ‘standard pack’ (assorted sizes and single size) and ‘odd pack’ cartons. JCPenny Import Shipping Label Stock Authorized label size is 4 inches by 7 inches Read More →