edi training day 3
TRANSCRIPT
Transfer Claim from Denormalized table to Normalized table
X12_837_claim_professional
Mup_Transfer4m_X12ToMtabTables
Mtab_x12_837_Claims
Mtab_x12_837_Services
CST01
CST 99
EDI
Claim Submitter Services
Quickcap 7
Fill The Claim Object and Send
Generate The Claims
Apply Level 2 Validation
EDI CLaim Id Portal ClaimNo Errors
254606 2015041083700819
NULL
254607 2015041083700820
NULL
254608 NULL Provider ID not found or empty
254608 NULL Member ID not found or empty
Response
Mtab_X12_837_Claim_Errors
Possible Level2 Rejections
1) Member ID not found or empty.2) Invalid Organization3) Provider ID not found or empty.4) Invalid Provider Vendor Association5) Invalid Diagnosis Code.6) Claim Diagnosis 4 should only be used after using Diagnosis 3, Diagnosis 2 and Diagnosis 1.7) Invalid diagnosis reference number.8) Received Date should not be greater than Today's Date9) Received Date should not be blank
10) Invalid Place of Service11) Admission Date is required for Place of Service 21 - INPATIENT HOSPITAL.12) Ambulance information is required.13) Service code not found or empty.14) Invalid NDC Code.15) Service Line [1] Service code 1 not found or empty.16) Service Line [1] Modifier code 1 not found or empty.