Techno-functional 15 Years EMR/PMS experience.Love to work in EMR, e-Prescription, HL7, Medical Billing, EDI 4010, EDI 5010, CMS 1500 FORM, etc. Email : vbsenthilinnet@gmail.com
X12 EDI Examples
ZK List Box : How to show particular row in different color in MVVM
In this example, we will see how to change the color based on some conditions.
ZK MVVM List Box Select All and Unselect all Records
I have a list box with multiple selection allowed and paging. Actually it means I have 'select all' checkbox in list box header, which allows me select all entries that shown on the current page.
Problem statement: I did not find a way how to catch events from 'select all' checkbox. Actually, I need select all entries (on all pages and not on displayed page!) when 'select all' checked. And deselect all entries on all pages when 'select all' unchecked.
Since 6.5.5, The Select all checkbox on listheader now support onCheckSelectAll event that can determine whether it is checked or not.
ZK Reference
EDI 835 Health Care Claim Payment/Advice
Looking for best Practice Management software ? Please email at vbsenthilinnet@gmail.com
If you are new to Medical Billing, then please read this article first.
If you are new to EDI, then read the following articles
1. What is an EDI ?
2. EDI Transactions
3. Understanding EDI Structure
4. EDI Instruction
EDI 835 Health Care Claim Payment/Advice
The 835 is used primarily by Healthcare insurance plans to make payments to healthcare providers, to provide Explanations of Benefits (EOBs), or both. When a healthcare service provider submits an 837 Health Care Claim, the insurance plan uses the 835 to detail the payment to that claim, including:
- What charges were paid, reduced or denied
- Whether there was a deductible, co-insurance, co-pay, etc.
- Any bundling or splitting of claims or line items
- How the payment was made, such as through a clearinghouse
A particular 835 document may not necessarily match up one-for-one with a specific 837. In fact, it is not uncommon for multiple 835 transactions to be used in response to a single 837, or for one 835 to address multiple 837 submissions. As a result, the 835 is important to healthcare providers, to track what payments were received for services they provided and billed. And also one EDI 835 File, may contain multiple Checks i.e Multiple EOBs
Before going into detail, Let us understand how insurance Payer make the Payment. Please understand and have good understanding on the following topics.
1. What is Copay, Co Insurance and Deductible in Insurance Payment Posting ?
2. EOB – Explanation of Benefits
The following EDI Parser for 835 Developed by me using java Spring Boot . Please contact me for source code .
The following video demo explain how to make restful web service api for the service.
To Demonstrate the various use cases of EDI 835, I've developed an internal Web application tool to test my own API. Here are some use cases.
Example 1: One Claim with Co-pay Amount
Example 2: Coinsurance and Deductible Example
I have developed a small Parsing tool in VB.NET/VB.6/Java . This tool will take the EDI File and convert into PDF File as shown here.
Looking for best Practice Management software ? Please email at vbsenthilinnet@gmail.com
Questions or feedback are always welcome. You can email me at vbsenthilinnet@gmail.com