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837 preparation for testing

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Section 2 837: Preparation for Testing
Section 2 Topics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Section 2 837: Preparation for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Is EDI? ,[object Object],[object Object],[object Object],[object Object]
Benefits of EDI ,[object Object],[object Object],[object Object],[object Object]
EDI Health Care Claims Standards ,[object Object],[object Object]
EDI Health Care Claims Standards (cont’d) ,[object Object],[object Object],[object Object],[object Object]
Section 2 837: Preparation for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Is the 837? ,[object Object],[object Object],[object Object],[object Object]
What Is the 837? (cont’d) ,[object Object],[object Object]
Types of 837 Electronic Claims ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of 837 Electronic Claims (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Section 2 837: Preparation for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Software Requirements: Install RPMS Patches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 2 837: Preparation for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation Guides ,[object Object],[object Object],[object Object]
Don’t Cut Corners ,[object Object],[object Object],[object Object],[object Object]
Washington Publishing Company ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Washington Publishing Company (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Understanding 837 Implementation Guides (IGs) ,[object Object],[object Object],[object Object],[object Object],[object Object]
List of Key Basic Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Data Element ,[object Object],[object Object],ISA * 00* ..........* 01 * SECRET.... * ZZ * SUBMITTERS.ID.. * ZZ * RECEIVERS.ID... * 930602 * 1253 * U * 00401 * 000000905 * 1 * T * :~ Data elements
Types of Data Elements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Data Segment ,[object Object],[object Object],[object Object],[object Object],ISA * 00* ..........* 01 * SECRET.... * ZZ * SUBMITTERS.ID.. * ZZ * RECEIVERS.ID... * 930602 * 1253 * U * 00401 * 000000905 * 1 * T * :~
Control Segment ,[object Object],[object Object],[object Object],[object Object]
Delimiter ,[object Object],[object Object],[object Object],[object Object],ISA * 00* ..........* 01 * SECRET.... * ZZ * SUBMITTERS.ID.. * ZZ * RECEIVERS.ID... * 930602 * 1253 * U * 00401 * 000000905 * 1 * T * :~ Delimiters
Loop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transaction Set ,[object Object],[object Object],[object Object],[object Object]
Headers and Trailers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Review
Section 2 837: Preparation for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Get to Know Health Plans and Payers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Gather Important Information on Testing Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gather Other Important Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Companion Guide ,[object Object],[object Object],[object Object],[object Object],[object Object]
Companion Guide (cont’d) ,[object Object],[object Object],[object Object]
Get Your Companion Guide Don’t Start Testing Without It!
TPA and BAA ,[object Object],[object Object],[object Object]
Benefits of a TPA ,[object Object],[object Object],[object Object]
Contents of a TPA ,[object Object],[object Object],[object Object],[object Object]
TPA Tips ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lessons Learned ,[object Object],[object Object],[object Object],[object Object],[object Object]

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837 preparation for testing

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  • 37. Get Your Companion Guide Don’t Start Testing Without It!
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  • 42.