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Welcome to your data technology services

  • edi solutions

    EDI Translation Services

    At GEDIMS we provide EDI services and solutions to companies who want to implement EDI in their business.

    Using our experience and knowledge of EDI we can help your business to start sending electronic documents over the web. Our goal is to get you up and running with EDI quickly so your business can benefit from the accuracy and efficiency that sending data electronically provides.

  • edi industries

    Industries

     We provide EDI solutions to companies across all industries such as:

    AccountingGrocery
    AerospaceHealthcare
    AutomotiveLegal
    EducatorsLogistics
    Finance/BankingRealtors
    GovernmentRetail

  • benefits of edi

    Solutions

    We also provide data translation solutions other than EDI which will guarantee accuracy based on the data translated, this will improve efficiency by limiting the amount of time consumed by human interaction and reducing labor costs associated with this process.

Global EDI Management Services



EDI Translation Services

 At GEDIMS we provide EDI services and solutions to companies who want to implement EDI in their business.

 Using our experience and knowledge of EDI we can help your business to start sending electronic documents over the web. Our goal is to get you up and running with EDI quickly so your business can benefit from the accuracy and efficiency that sending data electronically provides.



Industries

 We provide EDI solutions to companies across all industries such as:

AccountingGrocery
AerospaceHealthcare
AutomotiveLegal
EducatorsLogistics
Finance/BankingRealtors
GovernmentRetail

Our Services

  • All Inclusive EDI Solutions

    All inclusive EDI solutions with no minimum fees, we only charge for the service provided.
  • Professional EDI Staff

    Our professional EDI staff will ensure accuracy to promote growth and efficiency within your organization.
  • Cutting Edge Programmers

    Cutting edge programmers that perform translations of any type of electronic document format to your requirements.
  • Long Term Strategic Partner

    We are the long-term strategic partner that you need to guarantee success in your industry.
  • 1

x12 837 Health Care Claim

837 Specifications

 The x12 Transaction Set contains the format and establishes the data contents of the Health Care Claim Transaction Set (837) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to submit health care claim billing information, encounter information, or both, from providers of health care services to payers, either directly or via intermediary billers and claims clearinghouses. It can also be used to transmit health care claims and billing payment information between payers with different payment responsibilities where coordination of benefits is required or between payers and regulatory agencies to monitor the rendering, billing, and/or payment of health care services within a specific health care/insurance industry segment. For purposes of this standard, providers of health care products or services may include entities such as physicians, hospitals and other medical facilities or suppliers, dentists, and pharmacies, and entities providing medical information to meet regulatory requirements. The payer refers to a third party entity that pays claims or administers the insurance product or benefit or both. For example, a payer may be an insurance company, health maintenance organization (HMO), preferred provider organization (PPO), government agency (Medicare, Medicaid, Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), etc.) or an entity such as a third party administrator (TPA) or third party organization (TPO) that may be contracted by one of those groups. A regulatory agency is an entity responsible, by law or rule, for administering and monitoring a statutory benefits program or a specific health care/insurance industry segment.

 The EDI 837 transaction set is the format established to meet HIPAA requirements for the electronic submission of healthcare claim information. The claim information included amounts to the following, for a single care encounter between patient and provider:

⇰ A description of the patient
⇰ The patient’s condition for which treatment was provided
⇰ The services provided
⇰ The cost of the treatment

 As of March 31, 2012, healthcare providers must be compliant with version 5010 of the HIPAA EDI standards. The 5010 standards divide the 837 transaction set into three groups, as follows: 837P for professionals, 837I for institutions and 837D for dental practices. The 837 is no longer used by retail pharmacies.

 This transaction set is sent by the providers to payers, which include insurance companies, health maintenance organizations (HMOs), preferred provider organizations (PPOs), or government agencies such as Medicare, Medicaid, etc. These transactions may be sent either directly or indirectly via clearinghouses. Health insurers and other payers send their payments and coordination of benefits information back to providers via the EDI 835 transaction set.

837 Example

ISA*00* *00* *ZZ*99999999999 *ZZ*888888888888 *111219*1340*^*00501*000001377*0*T~
GS*HC*99999999999*888888888888*20111219*1340*1377*X*005010X222~
ST*837*0001*005010X222~
BHT*0019*00*565743*20110523*154959*CH~
NM1*41*2*SAMPLE INC*****46*496103~
PER*IC*EDI DEPT*EM*This email address is being protected from spambots. You need JavaScript enabled to view it.*TE*3305551212~
NM1*40*2*PPO BLUE*****46*54771~
HL*1**20*1~
PRV*BI*PXC*333600000X~
NM1*85*2*EDI SPECIALTY SAMPLE*****XX*123456789~
N3*1212 DEPOT DRIVE~
N4*CHICAGO*IL*606930159~
REF*EI*300123456~
HL*2*1*22*1~
SBR*P********BL~
NM1*IL*1*CUSTOMER*KAREN****MI*YYX123456789~
N3*228 PINEAPPLE CIRCLE~
N4*CORA*PA*15108~
DMG*D8*19630625*M~
NM1*PR*2*PPO BLUE*****PI*54771~
N3*PO BOX 12345~
N4*CAMP HILL*PA*17089~
HL*3*2*23*0~
PAT*19~
NM1*QC*1*CUSTOMER*COLE~
N3*228 PINEAPPLE CIRCLE~
N4*CORA*PA*15108~
DMG*D8*19940921*M~
CLM*945405*5332.54***12>B>1*Y*A*Y*Y*P~
HI*BK>2533~
LX*1~
SV1*HC>J2941*5332.54*UN*84***1~
DTP*472*RD8*20110511-20110511~
REF*6R*1099999731~
NTE*ADD*GENERIC 12MG CARTRIDGE~
LIN**N4*00013264681~
CTP****7*UN~
NM1*DK*1*PATIENT*DEBORAH****XX*12345679030~
N3*123 MAIN ST*APT B~
N4*PITTSBURGH*PA*152181871~
SE*39*0001~
GE*1*1377~
IEA*1*000001377~

Solutions


 We also provide data translation solutions other than EDI which will guarantee accuracy based on the data translated, this will improve efficiency by limiting the amount of time consumed by human interaction and reducing labor costs associated with this process.

 All of our solutions are scalable, and we don’t require you to work through online forms. The entire process is streamlined. First, we receive and translate your documents. Then we deliver them to the destination you require. It’s a simple approach designed to make your business life easier and more efficient.

Data translation solutions
No more manual keying of data

Support


 Technology is a dual edge sword, it either significantly contributes to the success, profitability and efficiency of your organization or it ends up being a huge headache and drain of your resources.

 The high quality of our customer support personnel provide consistent and accurate advice on data translation issues or advancements.

 We have the professionals you can trust to support the technology that runs your business.

About Us

 Based in Southern California, our management team has been delivering EDI solutions and services for over 20 years. We provide file translation services, data integration and trade EDI documents with major trading partners in a variety of industries. This requires the commitment that we provide to each of our customers on a daily basis.

 As your data technology service, our mission is to guarantee accuracy, efficiency and profitability by ensuring that we provide the best solutions for your business.

 Our ability to take EDI beyond compliance will improve your business process strategically, resulting in lower costs and increased revenue. This is accomplished by offering solutions that meet other aspects of your business, such as converting data files to printable documents and changing their layout to meet accounting system requirements for importing, automating emails with specific data attached, and many more.

 We support all transactions, data formats, label requirements and workflow. As your vendor we are able to perform all of the tasks of a targeted operation to maximize your solution’s efficiency. A specific example of what we support is related to the retail/logistics industry which requires the following (purchase orders, advanced shipping notices, invoices, UCC-128 labels, branded packing slips) and specific workflow scenarios that require shipment to distribution centers or vendor managed inventory.


Please contact us on the email form below to discuss your requirements.

Please contact us directly by email at contactus@gedims.com or you can complete the form below.

Also we can be reached by Tel: (909) 494-2134 where we can answer questions directly.

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Contact an Expert Today


 We want you to contact us!

 The field of EDI covers a wide range of industries and can sometimes be difficult to understand.

 We have been providing EDI services and solutions for over 20 years and our team’s knowledge covers more than we could ever put into a website. With that in mind, let our experience fast-forward you to exactly the information you need right now.

 Our EDI professionals are here to support you with your EDI research, because that's what we do.

 We will spend as much time as it takes to educate you on both the EDI industry and our company capabilities.
.
 Our goal is to earn your respect so that we are the clear choice as the company that you trust to be your EDI partner.

Address

   Global EDI Management Services
   1900 W Redlands Blvd #13035
     San Bernardino CA 92423

   (909) 494-2134
   Email Us Here
   Mo-Fr: 07.00 - 17.00 PST
  www.gedims.com



It's your destination for data translation.

    

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