How to read an 835 Electronic Remittance File
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- čas přidán 24. 07. 2024
- A step by step look at parsing an 835 remittance file, at a very high level, and a discussion of how the files are structured. Followed by a quick look at how you can view 835 files using our EDI Power Reader.
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Where can I obtain the spec document you used in the video? I'm not able to find it via google by searching for "835 health claim payment advice"
x12.org/products/technical-reports
They are maintained by the X12 organization on behalf of Washington Publishing. The guides have to be purchased, so somewhere on that website you should be able to find a page to purchase/download.
Is there a way to map 835 data with 837?
Depending on what you mean, yes it is possible. (1) If you are looking to take values from an 837 and use them to create an 835, there are some fundamental holes (the payments and adjustments) that would need to be provided from another source, but the payer/provider/subscriber/claim and service loops would contain much of the same data. (2) If you mean compare the results of the 835 against the originating 837, yes that is possible as this is the source of your accounts receivable management.
In either case you can acquire the technical guides for the formats from Washington Publishing and start mapping (heads-up, they charge for the guides). www.wpc-edi.com/
We provide these types of services in our application development and our consulting, so feel free to visit www.emscorp.biz where you can connect with us directly.