What types of editing will be preformed on the ANSI ASC X12N transactions?
There will be four levels of editing performed by the EDI System on the X12N 837 transaction. These include: Level 1 – Syntax level editing will perform validation of the format, syntax and structure. This could include element attributes, sequencing, and segment/element usage. Level 2 – Implementation Guide Editing will validate the contents of elements to insure they match the allowed values in accordance with the IG. This will include any code values expressly stated by the IG with the exception of external code sources such as HCPCS, ICD9-CM, etc. Level 3 – Common payer specific edits will validate information at a claim level and includes data that is common for any payer. Level 4 – Payer specific edits requested specifically by a payer. Other transactions will vary in the level of editing dependent on the payer and the transaction.
