EDI Training

1

EDI

  • EDI meaning
  • Types of EDI
  • EDI Envelope
  • Types 837/834
  • Required Loops in 837/834
  • Segments, Data Elements
  • 999 Txn
2

837 Claims

  • Types of Claims
  • Differences b/w P and I types
  • Claims Receipt
  • Claims Adjudication and Pricing
  • Pricing Methods
3

Healthcare Terminology

  • Payer
  • Provider
  • Clearing House
  • COB
  • EOB
  • PA, PAS, Referral
  • Attending, Referring, Service provider, Etc.
4

Testing

  • Test case writing
  • Test Plan
  • Defect
  • Requirement
  • Quality Center
5

ICD9/10

  • Difference b/w ICD9 and ICD10
  • Diagnosis codes
  • Procedure codes
  • ICD codes in claims
  • ICD10 claims submission
6

SDLC Methods

  • Waterfall
  • Agile
7

SQL

  • Select
  • Where
  • And & Or
  • IN
  • Like
  • Distinct
  • Between
  • Primary Key
  • Secondary Key
  • Joins
  • Aliases
  • Group By
  • Having
  • Order By
  • Union/Union all
8

UNIX

  • cd
  • ls
  • ls –ltr
  • ll
  • cat
  • more
  • grep
  • cp
  • diff
9

Web service Testing

  • SOAP UI
  • Request , Response , Headers
  • WSDL