Food Supply Chain EDI: Lot Codes, Expiration Dates, Traceability, and ASN Data (Walmart’s and General Mills’ Examples) In most retail categories, a mismatched EDI field means a rejected document or a chargeback. In food, it can mean a recall team can’t find the product fast enough. That’s what makes food supply chain EDI different: lot codes, … Read More →
270/271 Eligibility Verification: Best Practices for Fewer Denials and Faster Answers Before a claim ever gets submitted, there’s a question that determines a lot of what happens next: is this patient actually covered? The 270/271 transaction pair is how that question gets answered electronically — the 270 is the eligibility inquiry a provider sends, and … Read More →
837 Claims: Common Rejection Causes and the Acknowledgment Cycle Every EDI Team Should Track The 837 is the workhorse of healthcare EDI — the HIPAA-mandated transaction that carries claim data from providers to payers. But “837” isn’t one document. It’s a family of three: 837P (Professional, for physicians and outpatient providers) 837I (Institutional, for hospitals … Read More →
Healthcare EDI Best Practices: Staying HIPAA-Compliant While Keeping Transactions Moving Healthcare EDI operates under more regulatory weight than almost any other industry using electronic data interchange. Every 837 claim, 835 remittance, and 270/271 eligibility check carries electronic protected health information (ePHI), which means HIPAA compliance isn’t a separate workstream from EDI operations — it’s built … Read More →