EDI Testing in Healthcare: Why Certification Is Not Enough In healthcare EDI, certification matters. But it is not the finish line. Many teams treat payer certification or initial transaction approval as proof that an interface is fully complete. In reality, certification only shows that a transaction passed under specific conditions at a specific moment in time. … Read More →
HIPAA Administrative Simplification in 2026: What EDI Teams Should Watch Now If you were expecting a brand-new wave of HIPAA transaction operating-rule deadlines in 2026, the plot twist is: not yet. As of March 12, 2026, the federally mandated HIPAA operating-rule compliance dates for core administrative transactions remain the same. CMS still lists January 1, … Read More →
How Companion Guides Work with ASC X12 TR3s in Real Medicare EDI In Medicare EDI, the ASC X12 TR3 implementation guide is the main rulebook. It explains the standard format of a transaction, including what data elements can be used, where they go, and which ones are required. But in real life, the TR3 … Read More →
What Companion Guides Are and Why They’re Essential for Medicare EDI If you work with Medicare EDI, you already know the official X12 implementation guides are the foundation. But they are not the whole machine. The machine also needs its local wiring diagram. That is where companion guides come in. A companion guide is a … Read More →