ANSI X12 837P - 5010 GS & GE Functional Group Header
November 05, 2025Learn how the GS and GE segments form the functional group envelope in the X12 837 5010 claim format. Includes a sample GS/GE loop, control number rules, and field-by-field breakdown.
ANSI X12 837P - 5010 ISA & IEA Interchange Control Header and Trailer
September 22, 2025Learn how ISA and IEA segments form the interchange control envelope in X12 837 (5010) transactions. Includes sample EDI, field-by-field tables, and validation tips.
ANSI X12 837P - 4010 ISA & IEA Interchange Control Header and Trailer
September 21, 2025Learn how ISA and IEA segments form the interchange control envelope in X12 837 (4010) transactions. Includes sample EDI, field-by-field tables, and validation tips.
Medicare Encounter MAO-001 Duplicates Report – Layout, Example, and Best Practices
September 17, 2025Learn about the MAO-001 Encounter Data Duplicates Report, which lists duplicate encounters and lines identified by CMS EDPS. Includes report layout, sample file, error codes, and best practices for Medicare Advantage Organizations.
Medicare Encounter MAO-002 Processing Status Report – Layout, Example, and Best Practices
September 14, 2025Learn how to read and use the Medicare MAO-002 Encounter Data Processing Status Report, including updated RA fields (May 2022), table layout, flat-file example, and best practices for reconciliation.