What is EDI 278 transaction?

Use the Authorization and Referral Request (278) transaction to electronically submit authorization and referral requests. An authorization is a review of services related to an episode of care, and a referral is used to refer a member to a specialty provider.

What is X12 parser?

A parser for ANSI ASC X12 documents. This project was originally based on the Python project pyx12. The library takes ANSI X12 claim files and reads the data into a Loop object that replicates the X12 structure described in the standard’s specifications.

What is EDI parsing?

Parsing EDI means that each segment in an EDI transaction can be uniquely mapped to a segment in its corresponding EDI format. The parser compares segments from the EDI file to segments from the EDI guideline to find a match.

What is EDI translation?

An EDI translator allows companies to take one document that was customized in-house and convert it to an EDI standard to then send to another business who will convert the EDI standard into the format that is necessary for their enterprise.

What do you need to know about EDI 278?

EDI 278 Specification. This X12 Transaction Set contains the format and establishes the data contents of the Health Care Services Review Information Transaction Set (278) for use within the context of an Electronic Data Interchange (EDI) environment.

What are the errors in X12 EDI parsing?

EDI parsing errors include data type mismatches, invalid records, incorrect values, incorrect segment and element usages, etc. While X12 EDI formats are based on the published standards – in the real world, deviations and differences between X12 EDI transactions are the norm. What is EDI Mapping?

What is the ANSI X12 EDI standard format?

The ANSI X12 EDI standards include three versions of the 278 transaction set. Of these, the Health Care Services Review and Response document was chosen by HIPAA as the standard format for EDI transmission of authorizations and referrals.

Which is the best open source EDI parser?

Edival is a simple EDI file parsing amp; validation library for the EDIFACT and X12 EDI standards. It is a stream-based parser in which an application defines event handlers for structures that the parser will find in a file, e.g. elements and segments.