Case Study

EDI Test Automation

EDI Test Automation

Pages 3 Pages

EDI Test Automation Client Overview The Client, the healthcare industry’s most comprehensive provider of cost management solutions, acts as an intermediary between its nearly 900,000 participating healthcare providers and, and its 1,400 clients providing claims re- pricing services at an estimated volume of over 40 million medical claims per year. Business Needs and Objectives The client was experiencing challenges in Electronic Data Interchange (EDI) testing, including verifying that EDI based healthcare claims records were transmitted and stored as required. Many of the claims being processed by the client use several different EDI formats, including X12 and NSF. The X12 formats used for EDI include 4010 and 5010. In some cases data is transmitted in an ASCII format which has a unique st

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