Encounter Submission

Using EDI for Capitated Encounter Submission (Health Net) Capitated participating physician groups (PPGs), hospitals and ancillary providers are required to provide complete encounter data about professional services rendered to Health Net members. To comply with the requirements of the U.S. Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS), Read More →

LWC EDI Production Claim

LWC EDI Production Claim JCN Assignment LWC EDI Production Claim JCN assignments will be used for the EDI Production Process that will be applicable in the daily business in the production environment use of JCN within LWC. Data Population Format: 4 digit year (based on calendar year) followed by a unique 6 digit number using Read More →

LWC EDI Submission

LWC EDI Submission Options For Trading Partners LWC EDI Submission for reporting IAIABC Claims Release 3 FROI to LWC and receiving the acknowledgments includes three options. Direct Reporting SFTP. The Trading Partner has the ability and experience to create (using the IAIABC Standards and LWC Requirement Tables), edit and send via SFTP to LWC a clean edited IAIABC Read More →

LWC EDI Partner Guides

LWC (Louisiana Workforce Commission) EDI Partner Guides LWC EDI Partner Registration provides each trading partner the ability to create and submit a New Profile or Updated Trading Partner Profile. This form will uniquely identify a trading partner as the sender of the data and how the data will be sent, the business and technical contacts, Read More →

Health Net EDI

Health Net EDI (Frequently Asked Questions) EDI claims submission has many options. Depending on the needs of your organization, there may be costs associated. Clearinghouses should be contacted directly so needs and options can be discussed. CAN CLAIMS BE PAID FASTER IF I SUBMIT THEM ELECTRONICALLY? Yes. Electronic claims are generally received in less time than those Read More →

Health Net EDI

Health Net EDI Provider Claims Submission And EDI Exchange Health Net EDI technology is used to communicate claims, electronic remittance, claims payment, eligibility, and other information, providing a paperless and efficient process. Quicker claims payment, confirmation reports, and elimination of paper and associated expenses are just a few of the reasons why nearly 80 percent of Read More →

AHCCCS EDI FAQs

AHCCCS EDI FAQs (Frequently Asked Questions regarding EDI communication) Following the series of posts for AHCCCS EDI partners, find below Part 2 Frequently Asked Questions regarding EDI communication. Q: Our clearinghouse sent a request to be setup for 835, 270/271, 276/277. Why was the ticket closed without being setup? A: A request for setup must Read More →

AHCCCS EDI

AHCCCS EDI FAQs (Frequently Asked Questions regarding EDI communication) Following the series of posts for AHCCCS EDI partners, find below Part 1 Frequently Asked Questions regarding EDI communication. Q: What are the different types of batch EDI transactions AHCCCS exchanges? A: The following are the EDI transactions AHCCCS exchanges: • 270 005010X279A1 Eligibility, Coverage, or Read More →

COARRI EDI

COARRI EDI Transaction (EDIFACT Container discharge/loading report message) COARRI EDI is a message by which the container terminal reports that the containers specified have been discharged from a seagoing vessel (discharged as ordered, overlanded or shortlanded), or have been loaded into a seagoing vessel. This message is part of a total set of container-related messages. Read More →

EDI logistics training

COPARN EDIFACT Message (Container announcement message) COPARN EDIFACT Message contains an order to release, to make available, to accept or to call down containers or to announce the impending arrival of containers. COPARN EDIFACT Message Raw EDI Data: UNB+UNOC:2+MSC+BRPNGTC+160225:1048+000024609 UNH+1+COPARN:D:00B:UN:SMDG20 BGM+11+MSC160225647885+9 RFF+BN:241ISZ0779329 DTM+137:201602251040:203 TDT+20+FI608R+1++MSC:172:20+++D5CC9:103::MSC ANCHORAGE RFF+VON:1728613 LOC+9+BRPNG:139:6:PARANAGUA+BR:162:5:BRAZIL DTM+133:201603050400:203 NAD+CF+MSC NAD+MS+MSC EQD+CN++4510:102:5++2+5 RFF+BN:241ISZ0779329 RFF+SQ:1 EQN+1:2 LOC+9+BRPNG:139:6:PARANAGUA+BR:162:5:BRAZIL LOC+11+CNSHA:139:6:SHANGHAI+CN:162:5:CHINA Read More →