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Video instructions and help with filling out and completing What Form 8655 Remit

Instructions and Help about What Form 8655 Remit

Today, we're going to talk about how to read an 835 remittance file. This information is intended to be at a remedial level and we're going to simplify it a bit. However, it will provide a great starting point for those who have never seen an EDI file or an 835 file before. This content is brought to you by EMS and our GI power reader. Firstly, let's understand what an 835 file is. The 835 format is a healthcare claim payment advice. It is generated by the payer as a response to a provider's claim submission. When a provider submits medical claims, they hope to be paid for their services. Along with the payment, the payer also sends a remittance file, which is typically accompanied by a check or an EFT. Sometimes, they may be separated, but either way, the remittance file provides information on what was paid, how much was paid, how much was not paid, and most importantly, the reasons for the payments. Now, let's focus on the 835 format itself. It is an EDI file, which stands for Electronic Data Interchange. These formats are specific to the healthcare industry and are mandated by the HIPAA standard. However, EDI files have been used in various industries, such as banking and automotive, for decades. The 835 files are text files and are not proprietary. They are not encrypted in any way, although some people may encrypt them during transmission or for safekeeping. You can open them with any text editor, including Microsoft Word or WordPad, but make sure not to edit them using a document editor, as they need to be kept in their pure form. I am currently looking at an 835 file in Notepad, which is a reliable editor for these files. It does not have any formatting issues...