EDI Converter Release 2.11.1

This release adds the functionality for converting 837I institutional (hospital) claims to CSV.

See this post for details.

We’ve also added support for several new fields for 837P professional claims.

Changes to the CSV Layout (837)

New Columns (Claim)

  • providerSignatureIndicator. Provider or Supplier Signature Indicator. EDI element: CLM06. 837P only.
  • assignmentParticipationCode. Assignment or Plan Participation Code. EDI element: CLM07.
  • assignmentCertificationIndicator. Benefits Assignment Certification Indicator. EDI element: CLM08.
  • releaseOfInformationCode. Release of Information Code. EDI element: CLM09.
  • delayReasonCode. Code indicating the reason why a request was delayed. EDI element: CLM20.
  • serviceAuthorizationExceptionCode. Service Authorization Exception Code. EDI element: REF02. EDI qualifier: 4N.

New Columns (Service Line)

  • LineProcedureDescFromClaim. Free-form description of the procedure. EDI element: SV202-7 (837I) or SV102-7 (837P).
  • LineDrugCode. NDC code. EDI element: LIN03.
  • LineDrugQuantity. EDI element: CTP04.
  • LineDrugUnitType. Code specifying the units in which a value is being expressed EDI element: CTP05-1
  • LinePrescriptionNumber. Prescription number or compound drug association number. EDI element: REF02. EDI qualifier: XZ or VY.

Other Changes

  • Increased the number of modifier columns to 4.
  • Renamed PayerClaimControlNum to PayerClaimControlNumber

Changes to JSON Schema

New fields in the Claim object:

  • See new columns in the CSV section.
  • patientResponsibilityAmount. Patient Estimated Amount Due. EDI element: AMT02. EDI qualifier: F3.

How to Upgrade

API Docker container

Update the image tag to repo.datainsight.health/ediconvert:2.11 and pull the new image.

The latest docker-compose file is always available in our GitHub repo.

To see the version number, invoke the aboutendpoint, e.g.,curl http://localhost:5080/api/about`.

CLI tool

  • Download the new version from this link, unzip.
  • Replace the content of your existing installation with the files from the new version, including lib and conf folders. Do not delete your license file.
  • Run ediconvert -V to view the version number, the output should contain ediconvert 2.11.1 line.

EDI Parser for Java

Update the version number of the “edi” dependency in your build.gradle or pom.xml:

implementation "hdi:edi:2.11.1"