Test EDI files  Submission and Validation Guides The process of submitting test EDI files  varies based on the selected platform and the implementation method. During EDI implementation, you will log a ticket to the ON24/7 application that includes the following information: Tracking/Reference number Number of claims submitted Time and date of submission Submitter ID Line of Business Read More →

Emdeon EDI Testing and Certification Overview Emdeon EDI Testing consists of submitting EDI claims, validating the EDI data, and certifying multiple electronic transmissions. Emdeon EDI Certification for a new implementation requires the successful submission of 100 test EDI claims with a validation percentage that meets or exceeds 95%. Emdeon EDI Certification for a conversion project begins Read More →

278 Health Care Services Review Information – definition and purpose The 278 Health Care Services Review Information transaction belongs to HIPAA EDI documents. A health organization can send 278 Health Care Services Review Information (patient data, diagnosis or treatment data) for the purposes of requesting a review. Typically the requestor (the sending party) is the Read More →

Healthcare Eligibility, Coverage and Benefit Request (270) and Response (271) additional notes concerning batch and timing Healthcare Eligibility, Coverage and Benefit Request (270) and Response (271) EDI transactions were already discussed earlier in the blog. You can find general information about these healthcare EDI transactions as well as the description of the relationship during the Read More →