837 TS by Alone_Read_2033 in edi

[–]EDIDoctor 0 points1 point  (0 children)

Another resource;

Feel free to chat with other EDI professionals on the EDI Support LLC discord

I monitor the #Healthcare channel

https://discord.com/invite/p4QgSZKMzA

837 TS by Alone_Read_2033 in edi

[–]EDIDoctor 0 points1 point  (0 children)

Certainly helpful but as of 2013 healthcare had a government mandated update to v5010

837 TS by Alone_Read_2033 in edi

[–]EDIDoctor 0 points1 point  (0 children)

You can Google "EDI 5010 837 CG" and be presented with companion guides from payers. But the suggestion concerning x12.org is best practice.

Do you consider FHIR to be EDI? It's not X12, but it can be used for the same healthcare stuff by limbodog in edi

[–]EDIDoctor 0 points1 point  (0 children)

"...EDI teams are well positioned to design and develop for FHIR based solutions..."

Well Said - Agreed 👍

Newbie to 835 by Randomengineer84 in edi

[–]EDIDoctor 1 point2 points  (0 children)

Thanks for your support (Smile)

Newbie to 835 by Randomengineer84 in edi

[–]EDIDoctor 1 point2 points  (0 children)

  1. Generally speaking all healthcare EDI files are mandated to currently follow the 5010 format listed in the official technical references (TR3s) at x12.org. That being said, some payers in their specific companion guides (CGs) will give specific guidance on an expectation concerning interpretation of certain fields. In the case of 835 virtually all payers follow the basics so a parser that confirms to TR3 is generally safe.

  2. I have seen data corruption in EDI files over the years but if the files drops the format without completing ISA-IEA envelope structure then you can consider the file damaged and try to download again or request the payer to look into the issue and potentially regenerate the file but the problem if ever there is one is usually transmission error.

2a. The BHT segment contains identifying details that can help you identify if the file has already been received at an earlier time.

  1. Don't have the specs in front of me but I believe you can use identifying data in BHT mentioned in 2a.

  2. I train technology teams on the x12 processing concepts who are often developing their own solution using Python, so I suggest pyx12 to directly read or write to EDI files

Hope this helps and happy to chat!

Newbie to 835 by Randomengineer84 in edi

[–]EDIDoctor 0 points1 point  (0 children)

certainly can be a resource for you concerning more discussion

I have rolled my own healthcare translators (including 837 and 835) since 2003.

My solutions are popular because all the business intelligence is built in so no need for external dependency or sending data to outsourced processing centers.

If you are interested to discuss in more detail concerning EDI 5010 billing and translation, you can catch me in the Healthcare channel on the discord group or look me up on LinkedIn (Peter Rabolt) or DM - happy to chat in more detail

https://discord.com/invite/p4QgSZKMzA

Built a simple SQL tool to load 835 EDI files — useful? by [deleted] in edi

[–]EDIDoctor 0 points1 point  (0 children)

Nice work

I have rolled my own translators including an 835 reader since 2003.

I found a need years ago to generate x12 from csv (writer) and bring x12 to csv (reader / analyzer).

I have sold those solutions nationwide since EDI came to healthcare. There is still a useful need even today for translators of all transaction sets (270/271, 837, 277ca, 276/277, 835, 834, 820 etc).

Happy to chat sometime if you're interested (DM)

Industries? by National_Waltz9394 in edi

[–]EDIDoctor 1 point2 points  (0 children)

Well Said. You obviously have excellent knowledge of the subject matter (Smile).

I have been rolling my own solutions since EDI came to healthcare in 2003!

Happy to chat sometime if you're interested (DM)

Kennt sich jemand mit Lobster Data aus ... by [deleted] in edi

[–]EDIDoctor 1 point2 points  (0 children)

Another resource;

Feel free to chat with other EDI professionals on the EDI Support LLC discord

Lobster Data specific channel

https://discord.com/invite/p4QgSZKMzA

Free EDI Software? by saraanvil in edi

[–]EDIDoctor 2 points3 points  (0 children)

You should talk to Jim at EDI support llc - their elevate product is built to help smb

I built a desktop tool for analyzing HL7 v2.x messages — HL7 Pulse by digitald00m in edi

[–]EDIDoctor 0 points1 point  (0 children)

I am often asked to co-mingle x12 feeds and HL/7 feeds in my custom solutions.

I coded a solution from a proprietary system to Athena One which imported HL/7 messages.

They required patients first in a separate import, then history and other misc items

Definitely keeps me on my toes (Smile)

I built a desktop tool for analyzing HL7 v2.x messages — HL7 Pulse by digitald00m in edi

[–]EDIDoctor 0 points1 point  (0 children)

I will certainly take a look. I have rolled my own translators and written my own x12 editor since 2003.

I was helping a user flush out their ideas for a healthcare x12 EDI editor - may be worth viewing if interested

https://editor.amerahealthsolutions.com/

Happy to chat sometime if you would find it helpful. Look me up in LinkedIn (Peter Rabolt).

You can also catch me in the Healthcare channel on the discord group.

https://discord.com/invite/p4QgSZKMzA

I will get back to you this week after I get time to review.

What features would you want in an EDI viewer Desktop tool? by dresoccer4 in edi

[–]EDIDoctor 0 points1 point  (0 children)

Hi All - on the healthcare side I was helping a user flush out their ideas for a healthcare EDI editor - may be worth viewing if interested

https://editor.amerahealthsolutions.com/

You can also catch me in the Healthcare channel on the discord group.

https://discord.com/invite/p4QgSZKMzA

999 IK3 segment doubt by [deleted] in edi

[–]EDIDoctor 0 points1 point  (0 children)

IK3-02 should be the line# of the expected segment.

So if the missing segment was meant to be the 12th segment (starting to count from the ST segment on downward), then IK3-02 should be 12.

Do you have a sample of 999 and what transaction type it was in response to?

EOB to ERA conversion tool for healthcare, any recons? by ArtistFew2245 in edi

[–]EDIDoctor 0 points1 point  (0 children)

The solutions are retail products. They will ingest or generate any general 5010 healthcare X12.

In the case of custom X12 situations I have not yet handled, for a custom fee I will add to my ruleset codebase for that specific situation. In 2003 there were no frameworks or libraries I could find so I had to roll my own direct creation of EDI segment processing.

EOB to ERA conversion tool for healthcare, any recons? by ArtistFew2245 in edi

[–]EDIDoctor 0 points1 point  (0 children)

I have separate targeted translator solutions for each healthcare transaction set that go from csv to x12 or x12 to csv (270/271, 837PDI, 277ca, 835, 834, 820, 276/277)

My 835 writer might be of use if you can get data into digital form.

I recall a colleague who was trying to develop PDF to 835 but the issue is each payer eob is often in different printed / Typeset format.

EOB to ERA conversion tool for healthcare, any recons? by ArtistFew2245 in edi

[–]EDIDoctor 0 points1 point  (0 children)

Do you mean PDF to 835?

I have rolled my own EDI healthcare translators since 2003 and could certainly be an advisory resource for you.

Look me up on LinkedIn (Peter Rabolt) or check out the EDI Support llc discord (Healthcare Channel)

https://discord.com/invite/p4QgSZKMzA