Mark, there is going to be an update to the front-end white paper. The issue of responses is still disputed within X12 itself. Some members believe that the 997 is enough others believe it is the combination of the 997 coupled with the 824 that provide for the level of syntax checking necessary to properly report on pre-application-level discrepancies. We are going to add the 824 back into the front-end edit white paper with the caveat that the decision on which of the two ways mentioned above is actually the right way for the industry to go. Given that, I believe there will be the capability of reporting back syntactical problems at the claim level. X12 people, correct me if I am wrong. The reason we kept application level editing out of this paper is because in the front end we were only concerned with the file integrity. Will this file be able to be processed in our application without creating problems? Getting into application level editing is a much more diverse and complex discussion and I don't think we want to go there with this particular paper.
> Mark
>
> Mark McLaughlin
> Regulatory Policy Analyst
> McKesson
> 700 Locust St. Suite 500
> Mail stop IADU-7
> Dubuque, IA 52001
> (563) 557-3654 phone
> (563) 557-3334 fax
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, August 29, 2001 12:46 PM
To: [EMAIL PROTECTED]
Subject: Front end edits
The SNIP white paper on front-end edits refers to different levels of
edits. The paper attempts to classify appropriate use of front-end edits.
The edits (according to SNIP) fall roughly into 2 broad categories. X12/IG
and application edits. X12 and IG edits relate to syntax and
implementation guide compliance editing. Application level edits (both pre
and during adjudication) are not considered appropriate
for front-end edits.
One of the reasons for using standard EDI transactions is to provide a
layer of
isolation between the transmission of data and the processing of data by
the
application or adjudication systems. Therefore, front-end edits should
only
relate to EDI transaction syntax and transaction implementation guide
issues.
Application-level edits should be kept separate and communicated using
the
appropriate EDI transaction for each application.
Is this view of front-end edits, the consensus of this group?
Assuming front-end edits were extended to include some "application level"
edits, and given the "draft" status of the 277 (unsolicited claim status
txn), what responses to an edit in an incoming 837 (other than an 835) are
available at the claim level?
Regards, and thank you,
Mark
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