Detailed Course Content - EDI Fundamentals and Best Practices – Health Care

Information, Registration and Fees:

      • Designed for HIPAA and Health Care EDI Transactions (e.g. 837,278,835)
      • These are live webinars. You have the opportunity to consult with an expert that has implemented EDI for dozens of companies and trading partners.
      • Every attendee will become a Certified EDI Professional by the EDI Academy if they complete all six webinars listed below.
      • You will also receive a 100+ page course manual along with other educational resources.
      • Previous attendees are very happy with our webinars. Check out our reviews.
      • Some courses have prerequisites.
      • The cost is $250 per session per person for each individual webinar (a la carte).
      • Pay $200 per webinar if you sign up for all six webinars at once. Email us info@ediacademy.com to get the discount or simply register here.
      • Group Discounts: If your company has three or more people willing to take all six webinars, then there is a 40% discount. Your company will only pay $150 per webinar instead of $250 per webinar for each person. For example, 3 people that take all 6 webinars would get one invoice for the amount of $2,700. Minimum of 3 people are required and must take all six webinars to get this discount. Email us for and invoice and attendee details to info@ediacademy.com and we will register you.
      • In Person Training: We can have our instructor fly out and conduct training at your office. Email us for a proposal.

HIPAA EDI 101 - Introduction To The Health Care EDI Environment

Register just for HIPAA EDI 101 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: Mondays at 03:00 PM - 04:30 PM EST – 2021 Dates: March 8th, April 19th, May 24th, July 12th, August 16th, September 27th, November 8th, December 10thth

      • Introduction to the Health Care EDI Environment
      • Health Care EDI Defined
      • Benefits of Health Care EDI
      • X12 Standards and X12N Workgroups
      • WEDI – Workgroup for Electronic Data Interchange
      • EDI Components Overview: Mapper, Translator, Connectivity, ETL
      • EDI Connectivity (e.g. SFTP, HTTPS, Web Services)

HIPAA EDI 110 - EDI Enveloping & TR3 Viewing

Register just for HIPAA EDI 110 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: Tuesdays at 03:00 PM - 04:30 PM EST – 2021 Dates: March 9th, April 20th, May 25th, July 13th, August 17th, September 28th, November 9th, December 13th

    • EDI Enveloping & TR3 Viewing
    • EDI Enveloping ISA-GS-ST-SE
    • Key terms related to the structure of EDI (e.g. qualifier, segment, terminator, delimiter)
    • The Business Need for EDI
    • Instructions on using the TR3 manual to look at transactions, segments and data elements, situational rules and loops.
    • LOOP IDs – Deep Dive (HL,NM1,CLM,etc)
    • Instructions on viewing EDI Implementation Guides and Mapping Specs
    • Health Industry Related Code Sets – Clinical and Non-Clinical

HIPAA EDI 201 – Deciphering HIPAA EDI Transactions – Enrollment & Eligibility

Note: HIPAA EDI 110 is a prerequisite for this class.

Register just for HIPAA EDI 201 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: Wednesdays at 03:00 PM - 04:30 PM EST – 2021 Dates: March 10th, April 21st, May 26th, July 14th, August 18th, September 29th, November 10th, December 14th

    • 834 Benefit Enrollment 005010X220A1
    • 820 Premium Payment 005010X218
    • 270-271 Eligibility Inquiry and Response & 271 005010X279A1
    • 278 Prior Authorizations and Referral Authorizations
    • CAQH Requirements – Real Time & Batch

HIPAA EDI 210 – Deciphering EDI Transactions – 837 Claims

Note: HIPAA EDI 110 is a prerequisite

Register just for HIPAA EDI 210 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: Thursdays at 03:00 PM - 04:30 PM EST – 2021 Dates: March 11th, April 22nd, May 27th, July 15th, August 19th, September 30th, November 11th, December 15th

    • 837 Professional Claim 005010X222A1
    • 837 Institutional Claim 005010X223A2
    • 837 Dental Claim 005010X223A2

HIPAA EDI 215 – Deciphering EDI Transactions – 835 Health Care Claim Payment/Advice and Acknowledgements

Note: HIPAA EDI 110 is a prerequisite

Register just for HIPAA EDI 215 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: Fridays at 03:00 PM - 04:30 PM EST – 2021 Dates: March 12th, April 23rd, May 28th, July 16th, August 20th, October 1st, November 12th, December 16th

    • 277CA Claim Acknowledgment 005010X214
    • 276-277 Claim Status Inquiry & Response 005010X212
    • TA1 Acknowledgement
    • 999 Acknowledgement 005010X231
    • Medicare MAO Acknowledgments
    • Deciphering 835 005010X221A1
    • 835 Matching Logic
    • Claim Adjustment Group Codes
    • Claim Adjustment Reason Codes
    • Line Level Balancing
    • Claim Level Balancing
    • Transaction Level Balancing
    • Provider Level Adjustments

HIPAA EDI 401: Advanced 837 Coordination of Benefits. 277/RFAI & Encounters. SNIP Levels.

Note: HIPAA EDI 110 is a prerequisite for this class.

Register just for HIPAA EDI 401 for $250 Or Register for all six webinars and get a $50 discount per webinar.

Webinar Times: 03:00 PM - 04:30 PM EST – 2021 Dates: March 15th, April 26th, June 1st, July 19th, August 23rd, October 4th, November 15th, December 17th

    • Part 1: SNIP Level Validation Rules 1-7. Critical knowledge for data validation.
    • Part 2: COB In this session we will cover advanced 837 topics with different situational rules. In addition, we will walk you through several scenarios of Coordination of Benefits and show you how the 837 and the 835 are linked when more than one payer is involved.
    • Part 3: Transmitting 837 Outbound to CMS (Center for Medicare and Medicaid Services) is a common practice for most health plans. The Encounter Data System (EDS) Companion Guide contains information to assist Medicare Advantage Organizations (MAOs) and other entities in the submission of encounter data. This class will go through the highlights of the Encounter Companion Guide for institutional and professional claim. We will also some highlights Medicaid claim companion guides for some states. We will show examples of 837 x12 transactions encounters.
    • Part 4: 277/RFAI This combined section will cover the 277 Request for Additional Information along with the 275 Health Care attachments.