Greetings, Oh what fun you are about to have J
Looks like some folks had some good stuff bookmarked already so I'll stop my searching. Actually the files are pretty simple in concept - especially if this is in regards to scripting the data in and I've learned enough about them to be dangerous. They are exactly like HL7 - well in the fact that they are a hierarchical record layout where each line starts with a segment identifier and has delimited fields therein. The DataStation can parse these files using the X.12 file type. There are several examples in the Script library under the DataStation heading geared towards these things. For scripting payment posting, the level of knowledge needed is based on how you have to post - just claim level or claim and line item detail. Most of the stuff in the file is not needed for scripting. At the Claim Level, most of the data you'll need is in the CLP segment - (account number, what you asked for, what you got etc.) The Service (line item) level stuff you start dealing with SVR, DTM and CAS statements, what you did to the person, when you did it, and what you asked for and got paid and why respectively. Determining what to do for each different denial codes in the CAS statement is the most annoying part of the whole process. If this is "I need to change something in the file" so an automated import routine works, that's a whole different ballgame and is <thankfully> WAY outside my sphere of influence so to speak. You want to talk about levels upon levels of details and significant minutiae. Regards, Thom Thom C. Blackwell Product Manager Boston Software Systems (866) 653-5105 ex 807 www.bossoft.com LEGAL NOTICE Unless expressly stated otherwise, this message is confidential and may be privileged. It is intended for the addressee(s) only. Access to this E-mail by anyone else is unauthorized. If you are not an addressee, any disclosure or copying of the contents of this E-mail or any action taken (or not taken) in reliance on it is unauthorized and may be unlawful. If you are not an addressee, please inform the sender immediately, then delete this message and empty from your trash. From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Parish, Jared Sent: Tuesday, August 07, 2007 3:36 PM To: [email protected] Subject: [Talk] X12 Format Howdy, Does anyone have any information on the X12 format? I have a bunch of remit files from payors that are in the X12 format. I am having trouble finding information on the internet about how to read or what each segment means. Does anyone have any good resources? Thanks, Jared Parish Blanchard Valley Health System 1900 South Main Street Findlay, Ohio 45840 Email: [EMAIL PROTECTED] Voice: 419.429.6476 Fax: 419.423.5540 CareTech Solutions, Inc
