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837 Medical Claims question
I have been using EDI X12 for several years in business organizations
using po's, invoices, acknowledgements... I have just started working
on Medical claims... when i have asked our trading partners for specs
on what they are sending, 90% of the them are referring me to the 857
standard x12 format.... In the past, I have mapped each tp according
to their specs of what fields within what segments they were
sending... easy, precise.... what I am finding here is that nobody
seems to have their own specs, although some are choosing
different 'optional' segments.. I find myself having to look thru the
file they have sent, deciphering what fields are in what segments ...
Some tp's are even sending segments that according to the
837 'standard' mapping are 'not used'... ??? is this typical of
medical claims? I feel like there is something here I am
missing ... any suggestions? thanks much!
Karen
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