The Complete List of EDI Transactions and Codes
Companies have struggled to overcome the inherent problems associated with paper-intensive commercial transactions for years. From profit-killing delays and inaccuracies in budget estimates to budget overruns, and labor cost spikes – not to mention labor cost increases. Since paper transactions don’t keep pace with today’s digital era. Many consumers and business partners expect things to be done instantly and securely, failing which rival businesses could gain an edge and leave yours in their wake – and this is where EDI services come into play.
What Is Electronic Data Interchange (EDI)?
Electronic Data Interchange (EDI) software enables the structured exchange of documents and data among trading partners via computers using platforms or programs; its primary goal is the facilitation of information among companies as well as customers or suppliers.
EDI allows companies to electronically send and receive information in a standardized format from one another – thus eliminating paper communication processes like emailing or snail mailing documents directly between systems of business operations.
Businesses Require EDI
Nearly everything businesses do requires some form of electronic data interchange in some form or another – from purchases, government filings, and insurance filings, even text message send-outs requiring some type of EDI for functioning properly.
EDI transaction set plays an integral part in connecting external B2B systems and their partners for paperless operations and automating/streamlining business communication.
B2B communication can often be found within industries characterized by highly automated exchanges of standard business documents or supply chain management processes, with messages being exchanged using documents that are tailored specifically for one geography or industry.
Benefits of Electronic Data Interchange in Business Transactions (EDI).
- Cost Reducing Capabilities.
Through electronic data interchange (EDI), companies can reduce expenses related to paper use: printing, storage, and postage expenses as well as working capital (stock holding costs; receivables processing); this also contributes towards reduced working capital usage costs associated with items like stock holding, receivables processing fees, etc. EDI has been estimated to save UK grocery sector businesses up to PS650 million annually!
- Improve communication
Communication between customers and suppliers through electronic data interchange (EDI). Furthermore, this tool facilitates smoother relationships among different audiences within an organization by first improving collaboration among these audiences; and then eliminating friction caused by delays or careless behavior related to traditional communication channels.
- EDI improves security
Compared to email, which can easily be altered, EDI uses encrypted systems that enhance document interchange security and record transactions as proof against fraud or tax evasion. Furthermore, its transaction log serves as an anti-fraud and tax evasion check against businesses and governments alike.
- Paper usage reduction.
While its benefit may seem obvious, cutting paper consumption has numerous positive ramifications for any organization – not only will associated costs decrease significantly while processing times (staff may spend as much as six hours a day looking for and handling paper documents) are reduced and so too is their environmental footprint.
Understanding EDI Transactions and Codes
Electronic Data Interchange (EDI) is a standard for exchanging business documents electronically. It allows companies to automate the process of sending and receiving data, eliminating manual paperwork and streamlining the entire transaction process. EDI transactions are based on a set of standard codes that allow computers to understand the data being exchanged.
A common Electronic Data Interchange (EDI) transaction between seller and buyer involves sending invoices in EDIFACT format; other EDI activities could include orders, payments, inventory updates, and shipping notices among many more.
- Overview and Purpose of Electronic Data Interchange
Transactions Electronic data interchange transactions involve exchanging business documents such as purchase orders, invoices, and shipping notifications between multiple organizations electronically. As one of the primary tools used by businesses today for exchanging information between their partners quickly and safely EDI has quickly become one of the primary ways of exchanging info across business lines.
Electronic Data Interchange (EDI) refers to a digital exchange of documents among trading partners and allows businesses to securely and efficiently transfer documents such as order details, invoices, shipping notices, and other transaction-related paperwork between trading parties. Companies utilize EDI codes in this process for secure data transmission between each partner; each code represents one specific message used during this transaction process.
EDI transactions utilize standard codes known as X12 or EDIFACT that allow computers to read the data being exchanged between businesses and individuals. Each type of transaction utilizes different formats; an invoice sent using EDIFACT would contain different information than one sent using X12.
Complete List of EDI Transactions and Codes
EDI Staffing has assembled an exhaustive list of common Electronic Data Interchange (EDI) transaction codes used throughout different industries. While certain transactions might only apply in specific instances, others can be applied across industries as a whole.
ANSIX12 standard chartered by the American National Standards Institute in 1971 and chartered as part of ISO Standards Group for more than four decades now, develops and maintains global EDI/CICA/XML schema standards that drive business processes globally. Their diverse membership encompasses technologists as well as experts across industries including healthcare, insurance, transportation finance, government supply chains, etc.
X12N Insurance EDI 100 – Insurance Plan Description EDI 111 – Individual Insurance Policy & Client Info. EDI 112 – Property Damage Report EDI 124 – Vehicle Damage EDI 148 – Report of Injury, Illness, or Incident EDI 186 – Insurance Underwriting Requirements Reporting EDI 187 – Premium Audit Request and Return EDI 252 – Insurance Producer Administration EDI 255 – Underwriting Information Services EDI 256 – Periodic Compensation EDI 267 – Individual Life Annuity & Disability Application EDI 268 – Annuity Activity EDI 269 – Health Care Benefit Coordination Verification EDI 270 – Eligibility, Coverage or Benefit Inquiry EDI 271 – Eligibility, Coverage or Benefit Information EDI 272 – Property and Casualty Loss Notification EDI 273 – Insurance/Annuity Application Status EDI 274 – Health Care Provider Information EDI 275 – Patient Information EDI 276 – Health Care Claim Status Request EDI 277 – Health Care Information Status Notification EDI 278 – Health Care Services Review Information EDI 362 – Cargo Insurance Advice of Shipment EDI 500 – Medical Event Reporting EDI 834 – Benefit Enrollment and Maintenance EDI 835 – Health Care Claim Payment/Advice EDI 837 – Health Care Claim |
Benefits of Utilizing EDI Transactions and Codes
- Automating Processes
With Electronic Data Interchange (EDI), claims processing no longer requires human involvement – all revenue cycle processes become automated, saving both you and your staff the hassle and workload associated with manual claims processing. Automating processes provides several benefits – processes run 24/7 while document-relevant information only needs to go once into your computer system reducing workload by cutting double entry work loads; plus automating paper tasks allows employees to focus on more productive activities resulting in greater employee efficiency overall resulting in higher productivity for businesses like yours. So automating claims means better productivity overall!
- Implement EDI to Increase Planning Processes
Employing EDI allows companies to plan more effectively, spending their time completing more revenue-driving activities instead. Furthermore, with all of this data at hand provided through EDI claims management is improved significantly.
- Paper Reducing Solutions
Many industries rely on paper forms for onboarding, insurance information, or HIPAA consent forms if working within healthcare. Any time one of these paper forms is manually input into a computer system there’s an increased chance for human error and therefore greater chance for potential delays or mistakes when processing it manually. These forms may also get misplaced along the way, adding unnecessary delays to logistics processes and time wasted doing tedious tasks.
With EDI, all information exchange is fully automated removing paper copies altogether from this equation. If this doesn’t seem like much, consider this: using less paper means reduced CO2 emissions which translates to greater corporate social responsibility – using EDI is therefore contributing towards making our planet greener!
- Reduce Human Error
Companies using EDI no longer face the hassle and risk associated with paper forms, which have long been responsible for numerous errors along your revenue cycle. By entering information once into your system using EDI instead of manually retyping information from forms. Users are now freed of manually reentering forms into your system – saving both time and resources as they stop manually entering information multiple times! EDI allows businesses to detect claim errors immediately: for instance, a typo within ICD 10 codes would immediately trigger an automated warning message sent directly to a predefined user.
- Increase Business Efficiency
Thanks to the reduced human error associated with EDI solutions, organizations enjoy increased business efficiency. You’re freed up from mundane activities so you can concentrate on more rewarding value-add tasks rather than medical ones; also faster insurance payments could improve patient-doctor relations within an organization.
Conclusion
One industry that processes an immense volume of information is healthcare. Healthcare documents involve patient medical records, health insurance reimbursements, and healthcare claims that must be processed quickly and cost-effectively. Since paper documentation can be cumbersome and inefficiently expensive, the government responded with EDI standards. Although complex in parts, its benefits outweigh its inconveniences by streamlining document organization from healthcare providers to other parties involved in healthcare delivery and reimbursement processes.
As technology develops, companies of all sizes are coming to appreciate the significance and utility of Electronic Data Interchange (EDI). Businesses using EDI to exchange information quickly and safely via digital networks are making automation of processes such as data entry, payment processing, and inventory tracking much simpler than before; as a result of adopting this solution, businesses save both time and resources while improving data accuracy and timeliness.