EDI to CMS 1500 or UB 04 Form Tool

Wouldn’t it be great if you could read an 837P or 837I EDI file and overlay that data on top the standard CMS-1500 or UB-04 form? Caliber Health’s X12 Studio Toolbox provides an easy to use application that provides an interface to upload claim EDI files and view them on a PDF version of the CMS 1500 or UB 04 …

What is EDI?

The value of electronic data interchange (EDI) in healthcare Healthcare EDI Transactions provide a standardized messaging format for computer systems.  Those systems should be able to communicate healthcare transactions in a standardized way. This helps healthcare organizations do business together (trading partners) by exchanging information like EDI 834 – benefit enrollment files with speed and accuracy. What is this type …

EDI Validation Tool

Free EDI Validation Tool – 5 Easy Steps

With over 10,000 users, X12 Studio Toolbox is the free EDI validator trusted by the healthcare industry.  Best of all, it’s available as a free trial download! The parsing engine was built from the ground up for speed and easy-to-read validation results. Other tools often give you false/cascading errors, with X12 Studio you see the true EDI validation error. This …

gateway EDI

Top EDI Parsing Solutions for Developers – T-Connect

Our last EDI Parser write up covered general parsing information when understanding how EDI is parsed. In this blog, we will cover some innovative EDI Parser solutions. All of our T-Connect HIPAA EDI Solutions utilize the same enterprise grade ready EDI parser engine. Here are our top 4 EDI parsing solutions: X12 Studio Toolbox T-Connect SDK API for Developers T-Connect …

EDI file Splitter Tool – Split 837 Claims in 4 Easy Steps!

X12 Studio Toolbox is a suite of EDI tools that provides pre-built solutions in a simple to use tool.  The EDI 837 Claim Splitter application is used by 100’s of EDI analysts and developers. The 837 claim splitter, uses a simple configuration to breakout large files into smaller ones. Split files by the 2300 Loop easily with a click of …

An Easy-to-Use Tool for Balancing 837 Claims

Try X12 Studio Tool for Balancing 837 Claims T-Connect’s X12 Studio Toolbox provides a feature-rich EDI editor tool.  One of our most popular features is the ability to perform claim balancing for 837P (professional) and 837I (institutional) claim files. Easily identify unbalanced 2300 claim loops to the 2400 service lines. Ensure that the 837 claim file’s 2300-CLM02 matches the sum …

healthcare edi software Caliber Health

Splitting 835 Healthcare Claim Payment

What Is Splitting 835 Healthcare Claim Payment The Electronic Data Interchange (EDI) consists of a file in a specific format that represents data exchanged in a transaction from a supply chain to EDI Healthcare transactions. EDI 835 Claim Payment transaction provides payments information in reference to claims in EDI 837 Healthcare Claim format. The details include transactions such as charges, …

SNIP 5 HIPAA External Code Set Testing

The healthcare EDI specification allows for the inclusion of code values that may be pertinent to the transaction set, such as a claim or encounter. These code values can represent a data point as widespread as a postal or zip code, or as complex as diagnosis and procedure codes. The Workgroup for Electronic Data Interchange (WEDI) describes seven types of validation, …

A HIX 820 Overview

When the Health Insurance Exchange (HIX) network went online in late 2013, the healthcare insurance industry was challenged. They were tasked with reconciling new benefit subscribers to their related insurance premium payments and subsidies. Having the right EDI Software came in handy as health plans painstakingly assembled Excel eligibility extracts. They looked to invoice their Federally Facilitated Marketplace  (FFM) or State-based Exchange (SBE) …

EDI Onboarding Process: Trading Partner Setup

The Electronic Data Interchange (EDI) process for onboarding new trading partners to exchange Healthcare EDI files can be performed using files conforming to ANSI X12 specifications. This can be done manually with our FREE EDI Editor download or automatically using an EDI Gateway software solution. These Claim, Payment, and Remittance Advice files may originate from payers, providers, clearinghouses, or third party …