EDI BASICS for how to read healthcare 837 claim and 835 remittance files

Basics for how to read and understand an #837 healthcare EDI Claim and 835 Remittance #EDI file.
Take the HIPAA EDI Course here: • HIPAA EDI Course
For EDI BA's and SME's: Basic EDI Flow WITH Data Examples; this has an excellent walk-through (at the end of the video) for how to understand 837 Encounters: • Basic EDI Flowchart wi...
For Testers: Minimum Set of 837IPD Test Cases: • Minimum Set of 837 Tes...
For Developers: EDI Programming Code Examples: • EDI Programming Code ...
For Python EDI users: • Develop your own Healt...
Diversify what you SELL: • Be MORE than just EDI ...
How to Build and Test JSON Code: • Basics on How to Build...
[e-mail] www.RemoraBay.com

[@mrlee2020]

Great Intro on How to read EDI 837, Very helpful for Claim Processing.

[@viviansendling-ortiz6680]

YOu rock! I didn't understand loops. THis was very helpful!

[@devidharmalingam9950]

Thanks you so much for this video it has helped me a lot

[@staceypagan993]

Thank you!! This is clear to me now!

[@sushantsurankar4831]

Great Video. Very helpful. Can you also cover 834 files as well ?

[@ericklawrence5582]

Thank you!

[@karthikmurali1004]

Your videos are awesome!!! But would like to know to learn entire transaction set of all the edi x12 format, since this is my bread and butter..what type of course I can choose in my career.
Special thanks for your videos!!!!

[@remorabay]

ANSII X12 guides are available for all the transactions supported. This channel is primarily for healthcare EDI transaction. Additionally, we do have our own style of EDI Guides, called DG's (Data Guides), which combine data with outlines and rules - for rapid development. Guides are sold. IF you want, you could look for "Companion Guides", to get some free ones - just pick a transaction.

[@syedhussain1228]

Hello Remora Bay,Good day,Could you please provide 270 and 271 implemenration guide,where we can find.could ypu please help me the same.

[@21babyjoker]

Does anyone know where I would get the sender and receiver ID?

[@karthikvadlakonda24]

In ISA_5 , ISA_6 are sender ID’s and ISA_7, ISA_8 are receiver ID’s

[@shanmugapriya7755]

Hello. Thanks for sharing..Can you tell me in which segment date of service is given? Is that both start date and end date segments are same or different?

[@remorabay]

DOS (Date Of Service) is DTP*434* in the 2300 loop of the 837 INST and DTP*472* in the 2400 loop of the 837 PROF

[@solanki0412]

Can you explain on the HL segments and the possible details that can come inside in a 837

[@remorabay]

HL segments show what level, or loop area the data is located in. The HL-03 element will equal 20 if this loop contains Billing Provider info; 22 for Subscriber and 23 for Dependent info. HL-01 is a running counter. HL-02 is a parent pointer. HL-04 will tell you if there are subordinate loops - example: HL*?*?*22*1~ ....that "1" tells you that there is a subordinate loop; in this example, because HL-03 = 22 (Subscriber), you KNOW that there is a Dependent (ie a child)...so, expect an HL*?*?*23*0~ AND related NM1*QC*1*Dependent Last name*Dependent First Name*....~ etc.

[@solanki0412]

@@remorabay Now I understand, so i guess in most cases for Billing provider HL, there won't be any subordinate loop

[@remorabay]

@@solanki0412 ...For the HL...20..~ you will always have a 1 = Subordinate (ie, the doctor has patients)...however, the HL....22..~ may have a 0 = no dependent

[@solanki0412]

@@remorabay cool, thanks

[@solanki0412]

Hey, can you do a video explaining the process flow of the HIPPA edi transactions with real life examples

[@remorabay]

Possibly.....there are several transactions in that scenario. Do you have a focus? Ex. 837 and 835....or something wider: 834 Enrollment, 270/1 eligibility, 837 claim, 276/7 claim status, 835 Remittance...? A flow diagram and explanation may be easier to visualize.

[@solanki0412]

@@remorabay yes, a flow diagram of health care life cycle with edi transactions and real life examples.

[@remorabay]

@@solanki0412 Let me see what I can do...

[@solanki0412]

@@remorabay thanks!!

[@solanki0412]

@@remorabay Ok, will wait and watch

[@Esmemukhi]

Great video. How do I get in touch with you ?

[@remorabay]

Sameer, you can find me at [e-mail]

[@Santo-i9h]

Hi

[@hasengarcia]

837 838

[@remorabay]

838 is for Trading Partner Profiles. What are you looking for, in these transactions (837 or 838)?

[@boubacarsbtoure2036]

Ejgqjqey

[@hasengarcia]

838 839

[@remorabay]

838 is a Trading Partner Profile; 839 is Project Cost Reporting. Are you using either of these?