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X12 refers to business documents, such as invoices or order orders, as "transaction sets." You will discover greater than 300 described transaction sets spanning five practical subsets, including finance, insurance, and provide chain transactions. These transaction sets supply a framework for companies to exchange info on prevalent ground.

Transaction sets: A transaction set is a group of segments that depict a particular organization doc or transaction. Each individual transaction set has a unique identifier, along with the transaction established identifier establishes the type of transaction established.

'Not normally categorized' or 'unlisted' course of action code (CPT/HCPCS) was billed when There exists a selected technique code for this process/provider

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Money establishments use the EDI X12 typical to exchange many different files, from straightforward payment instructions to delicate account statements.

Prior contractual reductions relevant to a recent periodic payment as Section of a contractual payment plan when deferred amounts have already been previously claimed. (Use only with Team Code OA)

The applicable rate plan/cost database would not incorporate the billed code. Please resubmit a Invoice with the appropriate cost timetable/fee database code(s) that best explain the services(s) supplied and supporting documentation if demanded. (Be aware: For use for Home and Casualty only)

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This claim/service are going to be reversed and corrected in the event the grace interval finishes (as a result of top quality payment or lack of premium payment). (Use only with Team Code OA)

Blockchain technological innovation underpinning EDI information and facts flows for shipments to offer a shared version of the truth that will quickly resolve and perhaps steer clear of chargeback disputes.

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