EDI 837 Dental Healthcare Claim Set-up, Directory and File Naming Notes EDI 837 Dental Healthcare Claim set-up requires establishing connections through the SFTP server with further instructions on SFTP usage. SFTP Directory Naming Convention There would be two categories of folders under Trading Partner’s SFPT folders: TEST – Trading Partners should submit and receive their test files … Read More →
Announcing a Public Review Period for the 270/271 Health Care Eligibility/Benefit Inquiry and Information Response Announcing A Public Review Period for Health Care Eligibility/Benefit Inquiry and Information Response (270/271) Implementation Guide (007030X332) and the Code Value Usage in Eligibility Benefit Inquiry and Subsequent Response (007030X347) is planned for public review beginning July 16, 2018. The review period will … Read More →
HIPAA 271 Premium Grace Period Notification: Determining Transaction Compliance with Industry Usage Requirements HIPAA 271 Premium Grace Period Notification transmitted transaction complies with the governing implementation guide when it satisfies the requirements as defined within the implementation guide. Specifically, the presence or absence of an item (loop, segment, or element) complies with the industry usage specified by this implementation … Read More →
271 Premium Grace Period Notification: Industry Usage Instructions 271 Premium Grace Period Notification (HIPAA 007030X344) industry usage instructions describe when loops, segments, and elements are to be sent when complying with the transaction implementation guides. The three choices for usage are required, not used, and situational. To avoid confusion, these are named differently than the X12 standard … Read More →