WEDI SNIP Types define sets of rules for validating EDI transactions such as 837 claims, 834 enrollments or 835 Remittance Advice.
Previously, we’ve blogged about:
SNIP 1 & 2 Integrity and Requirement Testing
SNIP 3 Claim Balancing
SNIP 3 Remittance Advice Balancing
SNIP 5 External Code Set Testing
This article focus on SNIP 4, which test situational rules spanning separate loops, segments, or elements. What differentiates these rules from Type 2 is that the situational tests span distinct segments, while Type 2 is considered intrasegment testing. Intrasegment tests validate the presence of elements within the same segment based on syntax rules.
SNIP 4 situational rules break into two categories. Both categories consist of a condition statement, then a data item (loop, segment, or element) which should (or should not) be present based on the rule evaluation.
The first category of situational rules specifies that sending the specified data item is up…
X12 Studio provides validation capabilities that can be used to validate claims, enrollments, and other HIPAA X12 EDI file types. X12 Studio can be used to test those files by reading, validating, and producing an X12 999 Acknowledgement (ACK). The 5010 999 ACK replaced the previous version – 4010 997 ACK. The 999 ACK informs the submitter that the EDI submitted is validated according to the receiver’s implementation guide. This validation includes the results describing the quality of the functional group’s syntax. Sometimes this validation is referred to as WEDI SNIP level edits 1 and 2.
Steps to Generate the 999 ACK
To start, download X12 Studio and install the application:
Launch the application and open an existing 837I, 837P, 834, or any of the HIPAA X12 EDI files:
Click on the Generate ACK 999 icon in the top menu:
View the Output tab at…