EDI Parsing

We developed an e-Claim multiple parser used to show insurance status and claims details of a patient with the help of electronic files which we received in X12 and human readable format from different clearing house.

•  PBS Parse Multiple Files (Window service)

•  PBS View e-Claims (Web Application) PBS Parse Multiple Files – A windows service which is running after a particular time periods and call the multiple parser (exes) one by one.

Eclaim277Parser – Exe gets the 277 Electronic data file from Source Folder (Client payer Inbox folder) parse all content of file and dump all the data in to the database show Claims Status on web application Eclaim835Parser – Exe get the 835 Electronic data file from source folder (Client payer Inbox folder)parse the EDI File data and dump into the database to show claim details on web application Eclaim999AckParser – Exe get the 999 Electronic data file from Source Folder (Client payer Inbox folder) parse EDI File data and dump into the database to show File status on web application

EclaimDPRParser – Exe get the DPR (Delayed Payer Report) Electronic data file from source folder (Client payer Inbox folder) parse the EDI File data and dump into the database to show Claim Details on web application

EclaimEBRParser – Exe get the EBR (Electronic Batch Report) Electronic data file from source folder (Client payer Inbox folder) parse the EDI File data and dump into the database to show Claim Details on web application

ExcellusHumanReadableParser – Exe get the Human Readable Electronic data file from source folder (Client payer Inbox folder) parse the EDI File data and dump into the database to show claim details on web application

MoveElectronicFiles – Exe used to check file type and move it to the destination folder from where it to be parsed.

PBS View Eclaims – It’s a web application which shows all Parsed EDI file details (claim details, claim status and patient information) on the basis of user and their role.