As a payer that handles individual health insurance, we are all new to EDI and went from receiving no EDI to being ready to accept 837 HIPAA Compliant EDI. However, we currently do not have error handling guidelines in place. Can someone assist me with how error handling is handled in the EDI world?
* If you receive a transaction that is syntactically correct but has other errors, do you as the Payor handle those errors on your end or do you send the batch back to be corrected? * If you receive a transaction that has 50 CLM segments and all are syntactically correct except 1, can you accept all 49 and just send notification that the 1 was rejected or do you reject the whole batch? Do you have an option? * How are telecommunication errors handle. My thought is if you are doing FTP and you as the payer can not pick up the file, you would notify your trading partner. Any other thoughts? * Are there other transactions that help with error handling besides the 997 and the 277 Unsolicited Claim? * Does anyone know if the 997 is a HIPAA standard transaction? Thanks, Teresa Howeth, Business Analyst DP Admin [EMAIL PROTECTED] UICI http://www.uiciinsctr.com 817-255-3338 Office ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
