837 EDI Transaction Structure – Functional Group Header (GS) 837 EDI transaction general envelope structure is described in the previous post. Below find the exact description of the Functional Group Header (GS). This is the second segment of all EDI transactions including 837 EDI transaction. The purpose of this segment is to be able to group similar … Read More →
837 EDI Structure – ISA (Interchange Control Header) 837 EDI general envelope structure is described in the previous post. Below find the exact description of the Interchange Control Header (ISA). It is depicted a structural part of an envelope. This is the beginning segment of almost all 837 EDI documents. This is the outermost envelope. All of … Read More →
Envelope Structure of 837 Health Care Claim EDI Transaction 837 Health Care Claim transaction example below will be used to explain EDI enveloping. This particular EDI file contains two 837 claims transmitted on 01/01/2012. 837 Health Care Claim Envelope ISA*00* *00* *12*8586755250 *01*807685339 *120101*0742*^*00501*000001899*0*P*: GS*HC*8586755250*807685339*20120101*0742*685*X*005010X222A1 ST*837*3701*005010X222A1 BHT*0019*00*004545*20120101*135420*CH NM1*41*2*AGILE BILLING SOLUTIONS*****46*1981 PER*IC*ANN GILLIS*TE*8185601000 NM1*40*2*ANTHEM BLUE CROSS*****46*47198 HL*1**20*1 PRV*BI*PXC*207Q00000X … Read More →
UnitedHealthcare EDI requirements for Claim Status Inquiry & Response Transactions UnitedHealthcare EDI 276 transaction (Health Care Claim Status Inquiry) is used to inquire about the status of a claim after it has been sent to a payer. UnitedHealthcare EDI 277 transaction (Health Care Claim Status Response) is used to respond to a request inquiry about the status of … Read More →