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eMedNYHIPAASupport > Edit / Error Knowledge Base

Edit / Error Knowledge Base

The Edit / Error Knowledge Base is a tool for providers to use in their efforts to analyze the claim edit codes and/or claim status codes that they receive on the NYSDOH 835 X12 Remittance Advice Transaction and/or the NYSDOH 277 X12 Claim Status Response.

The codes received on these transactions can be analyzed by first “cross-walking” them to their associated proprietary edit/value. Click on the 835 or 277 CROSSWALKS below in order to begin your analysis. Once you have cross-walked your codes and have obtained the MMIS Proprietary Value, you can easily use the EDIT SEARCH TOOL. (see below)

835 Crosswalks

The 835 CROSSWALKS are available in proprietary edit order mapped to HIPAA Codes, or in HIPAA Code order mapped to proprietary edits. You can locate the proprietary edit by searching with the Claim Adjustment Reason Code (CARC) found in the CAS segment of your 835 transaction.

EDIT MAP for 835 in the Order of Edit Number

EDIT MAP for 835 in the Order of Reason Code

277 Crosswalks

The 277 CROSSWALKS are available in proprietary edit order mapped to HIPAA Codes, or in HIPAA Code order mapped to proprietary edits. You can locate the proprietary edit by searching with the Claim Status Code found in your 277 transaction.

EDIT MAP for 277 in the Order of Edit Number

EDIT MAP for 277 in the Order of Status Code

Edit Search Tool

Use the Edit Search Tool to obtain detail explainations about specific edits, such as potential causes and what to do to overcome the problem.

EDIT SEARCH TOOL



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