healthcare-technology

EDI 837 Common Ground Healthcare Cooperative Highlights EDI 837 Common Ground Healthcare Cooperative transaction requires efficient and accurate electronic transaction processing. To promote this EDI partners should note: Each user is assigned a 6-digit EDI Direct Trading Partner ID. Logon User Name is 8 characters. Logon User ID (password) is 9 characters. All dates are in the CCYYMMDD format. Read More →

EDI Trading Partner

Xerox EDI Trading Partner Testing Procedures Xerox EDI Trading Partner testing requires trading partners to engage in two phases of testing for each payer/transaction type. Find below Xerox EDI Trading Partner testing steps. Go to the Xerox EDI Direct website to download the applicable Companion Guides which details Payer Business Edits and requirements. Each Trading Read More →

Xerox EDI Direct Testing

Xerox EDI Direct Testing Requirements And Guidelines Xerox EDI Direct testing is required in order to submit claims in the X12 standard format. A majority of payers have additional business requirements in addition to the X12 standard. The business requirements could be due to system limitations or utilized to properly adjudicate a claim. Therefore, Xerox EDI Direct testing Read More →

Transmission Responses

Transmission Responses: Interchange Level Errors, Transaction Set Level Syntax Results and 999-Implementation Acknowledgement Transmission Responses (acceptance/rejection reports) provide information about the validity of EDI transaction format syntax and implementation guide compliance. The type of report returned depends on the edit level that is invalid. A transaction contains four levels where edits are present. The edit level in which Read More →

Xerox EDI transmission

Xerox EDI transmission methods: Secure FTP/MOVEit DMZ Xerox EDI transmission methods for Trading Partners include the following: Xerox EDI Direct, FTPs or sFTP, MOVEit DMZ, WINASAP5010. Xerox EDI transmission is available twenty-four hours a day, seven days a week. This availability is subject to scheduled and unscheduled maintenance downtime. It is operational policy to schedule preventative maintenance periods on weekends Read More →

Xerox EDI Direct

Xerox EDI Direct: Healthcare Solutions Xerox EDI Direct, a leader in healthcare technology, provides EDI clearinghouse services to providers enrolled with various insurance companies and in contracted healthcare plans. We’ll outline the procedures necessary for engaging in Electronic Data Interchange (EDI) with Xerox EDI system and supplies specific data clarifications where applicable. Xerox EDI Direct Read More →

EDI training schedule

EDI training schedule for the fall of 2018 EDI Training schedule – online and on-site classes are offered by the EDI Academy for new and advanced EDI learners. We invite individual students and groups of interested staff. EDI Academy is proud to announce the EDI Training class schedule for the fall of 2018. Please let us know if you are interested in registering Read More →

Optum EDI Eligibility

Optum EDI Eligibility Service: Eligibility and benefit verification, Referrals and authorizations, Transaction testing and validation, Remittances Optum EDI Eligibility Service helps to connect to an extensive group of payers to verify patient eligibility and benefit information. The solution integrates with payers to allow you to verify coverage for the patients, identify discrepancies in provider databases to eliminate inconsistencies and identify patient responsibilities to collect Read More →

Optum Intelligent EDI

Optum Intelligent EDI: The new benchmark for EDI performance Optum Intelligent enables organizations to benefit from higher levels of automation and efficiency by embedding additional functionality into the EDI data stream. With a single solution, providers and facilities can manage the complete lifecycle of their claims, eliminating multiple systems and inefficient processes used to accomplish these business functions in Read More →