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Learn how ISA and IEA segments form the interchange control envelope in X12 837 (5010) transactions. Includes sample EDI, field-by-field tables, and validation tips.
Learn how ISA and IEA segments form the interchange control envelope in X12 837 (4010) transactions. Includes sample EDI, field-by-field tables, and validation tips.
Learn about the MAO-001 Encounter Data Duplicates Report, which lists duplicate encounters and lines identified by CMS EDPS. Includes report layout, sample file, error codes, and best practices for Medicare Advantage Organizations.
Learn how to read and use the Medicare MAO-002 Encounter Data Processing Status Report, including updated RA fields (May 2022), table layout, flat-file example, and best practices for reconciliation.
Learn how the PRV segment in the 2420A loop of the ANSI X12 837P (4010) defines rendering (performing) provider specialty at the service line level using taxonomy codes like 111N00000X (Chiropractor).
Learn how the PRV segment in the 2420F loop of the ANSI X12 837P (4010) defines referring provider specialty at the service line level using taxonomy codes like 111N00000X (Chiropractor).