Writing Test cases for EDI Transaction 837

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Hi , I find this very interesting and I think that my experience and skill-set would be right fit for this requirement .I am an expert Healthcare EDI developer. I thoroughly know CMS 5010 , 837 and 837i .I have done tons of X12 payment integrations including 837, 835, 270 & 271. A very in-depth knowledge of the all EDI segments and importance of each segment from Medicaid and medicare point of view even for eligibility checks. Some of my other experience includes Implementation of Insurance gateway integration : •EDI integration for Billing and Insurance gateways •837 message generation •Pre-authorization 270/271 •CMS 1500 claim form, CPT modifiers •835 claim payment message parsing •Medicare & Medicaid adjustments •COB (Co-ordination of Benefits) •Using Mirth connect to parse messages and process it further. I have worked with many cloud EHR vendors to achieve complete revenue cycle management functionality for them . This includes eligibility check(270/271),employee benefit enrollment(834),claim generation and submission(837) , remittance receipt(820),claim resubmission ,CPT modifiers , HCPSCS Codes , CMS 1500 and so on . Also worked on Institutional claims and professional claim.I have deep knowledge of mapping each 837 element with the db field. Please let us know when is a good time for us to connect to discuss further your requirement and how I can help. I am available in for a call tomorrow morning , if you have an opening. Thanks, Nilesh P 302.273.1378

Hello, I have overall 14 Yrs. of Dev. Exp. whereas 6+ Yrs. of Us Healthcare Industry experience, where worked on several EMR,EHR and billing Apps that consumes EDI's Like 277/276, 837, 835, 270/271 etc. Will provide End to End business specific Test cases as per vendor guidance along with HIPPA Compliance. Thanks. Test Phases • X12 837 Compliancy Testing. • Business Specific & Vendor Specific Testing. • Response File Testing. • Voids/Adjustments Testing. • Volume Testing. Testing Parameters • Dental EDI Format Testing through parser. • Third Party Liability payments or 837 CAS segments with insurance denials • Test Pass Crieteria. • ETC. Finally Need to write EDI Transaction Test Cases with pass/fail criteria.