EDI 5010

EDI 5010 Version Changes EDI 5010 recent updates can influence correspondence in healthcare claims exchange and flow between partners. It is recommended that both parties take part in EDI 5010 updates testing procedures in order to prevent delays or issues in processing your claims cycle. EDI 4010 to EDI 5010 basis The centers for Medicare and Read More →

X12

ASC X12 standard examples – transaction set, segment, element ASC X12 body meets to develop and maintain EDI standards that facilitate electronic interchange relating to business transactions such as order placement and processing, shipping and receiving information, invoicing, payment and cash application data, and data to and from entities involved in finance, insurance, transportation, supply chains Read More →

277CA

277CA transaction example and description The purpose of the 277CA (Claims Acknowledgement) transaction is to provide a claim level acknowledgement of all claims received in the pre-processing system before submitting claims into a payer’s adjudication system. It is believed that most payers are using the 277CA as their standardized reporting mechanism for 5010. The 277CA Read More →