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 electronic transactions acquisition services provide an array of tools that allow clients to:
- Easily submit all of your claims for payers listed in the Xerox EDI Direct claims payer list to one source
- Submit transactions 24 hours a day, seven days a week
- Receive confirmation of receipt of each file transferred
- Receive corresponding remittance notifications on a regular basis (when available).
Insurance companies and health plans that participate with Xerox EDI system are referred to as payers. Transactions are accepted electronically into data center in Tallahassee, Florida and are processed through the Xerox EDI Direct clearinghouse. As an EDI clearinghouse service, Xerox provides connectivity to various health plans and states where Xerox EDI Direct is the fiscal agent, third-party administrator, or contracted clearinghouse.
The Xerox EDI Direct clearinghouse provides connectivity for the flow of medical information and data between medical providers, facilities, vendors, claim payment agencies, and other clearinghouses. Beyond the receipt and delivery of this data, the clearinghouse provides translation to and from ANSI ASC X12N standard formats. The 837 transaction data is submitted to the Xerox EDI Direct clearinghouse for processing. The clearinghouse validates submission of ANSI X12N format(s). If the file contains syntactical error(s), the segment(s) and elements(s) where the error(s) occurred will be reported in a 999 Implementation Acknowledgement. The TA1 report is used to report receipt of individual interchange envelope that contains corrupt data or an invalid trading partner relationship. A 277CA Claim Acknowledgement or 824 Application Advice will be generated and returned to the submitter if the data submitted fails specific business edits.