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EDI Enrollment Form Application for Electronic Remits 835 Enrollment

EDI Enrollment Form Application for Electronic Remits 835 Enrollment

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basics of EDI I'm going to go over the basics of EDI at a high level I will discuss envelope segments elements loops and actually give you an example of India of an EDI file so you can understand how these work when you see or hear the word segment it's basically a record if you hear elements it's basically a field if you heard hear the word composite that's basically a subfield EDI alpha has loops for this example I'm going to use a cat claim adjudication system which works the same as any payor you know Medicaid Blue Cross Cigna you'll have a process called adjudication when a claim comes in its adjudicated that means that it's going to be paid or pinned it or partially paid I'm going to go right to the data and let's look at one of these EDI files this particular one is called an 837 you'll know it's in 837 because you'll have an ST segment and in the ST segment there's actually going to be an sto one that will show you that this is in 837 now if it was a remittance file would say

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