EDI to JSON Translation
Here is an example of a 1:1 translation from EDI to JSON, starting with getting a display of an EDI-formatted Remittance file: GET
https://apigw.changehealthcare.com/medicalnetwork/reports/v2/R5000000.XX
{
"report_content": "ISA~00~ ~00~ ~ZZ~CHC ~ZZ~658675C9801437 ~200422~2313~|~00501~156233287~0~P~^_GS~HP~CHC~658675C9801437~20200422~23135600~1~X~005010X221A1_ST~835~000000001_BPR~I~2563.13~C~ACH~CCP~01~042000013~DA~152302017834~1351840597~~01~071921891~DA~4638544662~20200423_TRN~1~895322770~1351840597_REF~EV~99992_DTM~405~20200422_N1~PR~NATIONAL GOVERNMENT SERVICES,
}
This is quite a substantial body of EDI information.
Then, you append the /835
suffix to get the JSON translation of the same remittance file. It consists of a complete breakdown of payment information for all service identifications, payments, payment adjustments, financial information, and Payer and Payee information: GET
https://apigw.changehealthcare.com/medicalnetwork/reports/v2/R5000000.XX/835
{
"detailInfo": [
{
"assignedNumber": "1",
"paymentInfo": [
{
"claimPaymentInfo": {
"claimFilingIndicatorCode": "MB",
"claimFrequencyCode": "1",
"claimPaymentAmount": "2563.13",
"claimStatusCode": "19",
"facilityTypeCode": "11",
"patientControlNumber": "00309",
"patientResponsibilityAmount": "711.4",
"payerClaimControlNumber": "0220087697150",
"totalClaimChargeAmount": "9006"
},
"claimReceivedDate": {
"date": "20200327",
"dateTimeQualifier": "050"
},
"crossoverCarrier": {
"entityIdentifierCode": "TT",
"entityTypeQualifier": "2",
"identificationCode": "00268",
"identificationCodeQualifier": "PI",
"name": "HUMANA, INC."
},
"outpatientAdjudication": {
"claimPaymentRemarkCode1": "MA01",
"claimPaymentRemarkCode2": "MA15",
"claimPaymentRemarkCode3": "MA18"
},
"patientName": {
"entityIdentifierCode": "QC",
"entityTypeQualifier": "1",
"firstName": "JANE",
"identificationCode": "7SL5RA7XR19",
"identificationCodeQualifier": "MI",
"name": "DOE"
},
"renderingProvider": {
"entityIdentifierCode": "82",
"entityTypeQualifier": "1",
"identificationCode": "1234567893",
"identificationCodeQualifier": "XX"
...
Updated 2 months ago