About x12
About x12
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Stedi is really a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing and advertising reasons which is free of charge. All names, logos, and types of third events outlined on our website are emblems of their respective owners (including “X12”, which is a trademark of X12 Incorporated).
A targeted medication therapy management (MTM) assessment is session with a affected individual regarding their medication therapy relevant to a particular analysis, sickness state or medication
Applies each time a provider has remitted an above payment to a overall health plan in excess of the quantity requested because of the health approach.
It's a few primary branches: detachable prosthodontics, fastened prosthodontics and maxillofacial prosthetics.
X12 maintains guidelines and strategies that govern its company, committee, and subordinate group actions and posts them on the net to ensure They can be conveniently available to users as well as other materially-intrigued functions.
Permitted quantity has been diminished for the reason that a part of the basic process/take a look at was paid. The beneficiary is not answerable for a lot more than the charge Restrict for the basic course of action/test.
Payment denied/diminished as the payer deems the knowledge submitted would not help this volume of support, this lots of providers, this duration of services, this dosage, or today's supply.
This represents the amount gained in the company for an overpayment based on payments from other payers. This code is just not used for other supplier refund adjustment amounts.
The CMG has regarded as and authorised the ask for, this doesn't indicate it had been accredited particularly as submitted, this means upkeep connected with the request was authorized. Requests Within this status will be placed on another Model.
EDI doesn't use white House or indentation like YAML, all white Place figures may be discarded from an EDI file.
Composite x12 factors are conceptually comparable to segments. The main difference is they can exist only inside a section.
Laboratory expert services furnished by a physician or other healthcare service provider for the goal of preventative care.
Did you know that EDI was motivated via the 1948 Berlin airlift as well as troubles of exchanging data more than three hundred baud teletype modem? Certainly, the EDI format is that outdated.
The relevant fee program/price database isn't going to include the billed code. Please resubmit a Invoice with the suitable fee program/price database code(s) that most effective describe the service(s) delivered and supporting documentation if essential. To be used for Property and Casualty only.