Result.BPR_FinancialInformation = new BPR_FinancialInformation_2() Result.ST.TransactionSetControlNumber_02 = controlNumber.PadLeft(9, '0') Result.ST.TransactionSetIdentifierCode_01 = "835" The secondary payer paid $34.00.The impact of the primary payer's payment on the secondary payer is $516.00 ($141.00 contractual adjustment and $375.00 payment). YTDAW as the secondary payer allowed $550.00 for the service submitted. The patient, Raymond Burck owed a co-pay of $25.00. The primary payer applied $141.00 as a contractual adjustment that was part of the provider's fee schedule. They allowed $400 and paid $375.00 of the submitted charges. In this claim, the primary payer received a claim for $541.00. Static TS835 BuildPayment(string controlNumber) Writer.Write(SegmentBuilders.BuildIsa("1")) Using (var writer = new X12Writer(stream)) Using (var ediReader = new X12Reader(ediStream, ""))ĮdiItems = ediReader.ReadToEnd().ToList() įoreach (var transaction in transactions) Var ediStream = File.OpenRead(Directory.GetCurrentDirectory() + ediItems How to parse & generate X12 HIPAA 835 with EDI Tools for. The Parse & Generate HIPAA 835 code is also available on GitHub The example below is part of the EDI Tools for. ![]() X12 HIPAA 835 specification is available at:
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