EDI Transactions
EDI transactions use this kind of electronic exchange of data between computers.
What is standardized?
This is the type of listening that you should provide on provider calls.
What is active listening?
EDI is computer to computer exchange of this between organizations.
What is data?
Long Term Care (LTC) is provided here and provides this kind of assistance.
What is in a nursing home and daily support for an extended period of time? Services may include help with eating, dressing, and bathing.
This internet celebrity cat was famously known for her irritable expressions, but was, in reality, quite sweet.
Who is Grumpy Cat?
If a provider needs to submit a claim for a recent patient surgery to Medicaid, the claim will be submitted using this transaction type.
What is an 837?
While VUE360 is used for recoupment research, in this alternate application you can view and edit Call Log Activity, Notes, and Provider Contact History, check claim status, history, and related data, and access beneficiary eligibility, benefits, and enrollment details.
What is Gainwell Workspaces?
This is the intermediary that routes EDI data between providers and Medicaid and that submits the Trading Partner Agreement.
What is a clearinghouse?
Electronic Visit Verification (EVV) collects data from this group.
Who are caregivers?
A famous animated gecko named Martin represents this insurance company.
What is GEICO?
This is the number of successful test files per transaction type needed to gain production authorization for X12 File Exchange.
What is 3?
This is the tab and subtab under the Member Tile in VUE360 that are used to find the Medicaid level for a beneficiary.
What are Benefits and Eligibility?
You can unlock a Trading Partner account by clicking this option in the Trading Partner tile in VUE360.
What is Unlock Account?
These types of payments are triggered by delivery and newborn claims.
What are kick payments?
She was the first mammal cloned from an adult somatic cell.
Who is Dolly the sheep?
This transaction rejection report summarizes the EDI rejections.
What is the BRR?
These types of claims handle services related to medical equipment.
What are DME claims?
You can research recoupments for a provider here in VUE360.
What is the Finance Tile?
This is the Golden Rule of HIPAA.
What is the Minimum Necessary Rule?
This famous dog was rescued from a World War I battlefield by an American soldier and went on to star in 27 Hollywood films.
Who is Rin Tin Tin?
This transaction file confirms the claim transaction is properly formatted and compliant.
What is the 999 transaction file?
In the TA1 report, this letter indicates that the inbound transaction was accepted, along with a value of 000.
What is A?
These are a grouping of data elements that start with an ID or a code.
What are Transaction File Segments?
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This Russian dog was the first animal to orbit the Earth.
Who is Laika?