This link may be of interest. http://www.pgedi.com/maps.shtml
Richard Owen - Assistant Vice President Architect / Prof. Planner NJM Insurance Company 301 Sullivan Way West Trenton, NJ 08628 609-883-1300 ext. 7900 [email protected] ________________________________ From: [email protected] [mailto:[email protected]] On Behalf Of MDRD Sent: Thursday, February 26, 2009 9:36 AM To: [email protected] Subject: [RBASE-L] - Re: General EDI question I need to add 835 and 837 to my app sometime in the future. Marc ----- Original Message ----- From: Rachael Malberg <mailto:[email protected]> To: RBASE-L Mailing List <mailto:[email protected]> Sent: Thursday, February 26, 2009 8:15 AM Subject: [RBASE-L] - Re: General EDI question EDI stands for Electronic Data Interchange (ie take data from one database, plop it into a text file, and then suck that file into (import) an other database) . The text file data is in some sort of format (tab delimited, fixed width, comma seperated with a double quote text qualifier (the csv type), and so on.. and the fields will be in a strict order and often they have data formats for dates (yyyy/mm/dd or dd-m-yy or some other odd combo), numbers, names, address, what ever the primary system defines (if you can be that primary system more power to you). Also they may require header or footer infomation letting the system know how many records they are importing and where they came from. To me the ickiest part of some EDIs (like Jan's 820 and 852 which are from insurance co's regarding claims) is you may only need to send/load 50 fields of data but the EDI file spec calls for 800 fields which means you need to create/import an EDI file with 800 fields written to it. So you have understand what all 800 fields are and which 50 you will actually include data you have/need. So I too have been requested to add a process to import and process an 820 for a DME (which is sometimes call an EOB) but it is a file from an insurance co telling a provider how much they have paid, denied, and adjusted and was wondering Jan if you've already done that fun, would you mind sharing? ~Rach ----- Original Message ----- From: jan johansen <mailto:[email protected]> To: RBASE-L Mailing List <mailto:[email protected]> Sent: Wednesday, February 25, 2009 8:07 PM Subject: [RBASE-L] - Re: General EDI question Karen, I created a routine in 7.6 last year for a client to input EDI types 820 and 852. However, that being said, each company seems to have their own "standard" so I'm not sure there is a universal one. Jan ========================================================= The information in this transmission is intended for official use only and may contain information from NJM Insurance Group that is privileged, confidential and exempt from disclosure under applicable law. It is intended for the exclusive use of the persons or entities to which it is addressed. If you are not an intended recipient or the employee or agent responsible for delivering this transmission to an intended recipient, be aware that any disclosure, dissemination, distribution or copying of this communication, or the use of its contents, is strictly prohibited. If you received this transmission in error, please notify the sender by return e-mail and delete the material from any computer. =========================================================
