Revenue Cycle & Claims
Claim denials, remittance reconciliation, coordination of benefits, and the operational side of getting paid correctly the first time.
How to Reduce Claim Denials Through Better Pre-Submission Testing
An operational look at how pre-submission testing catches the claim errors that lead to denials — common failure patterns and how teams close the gap before go-live.
EDI Rejection Codes: Complete List and How to Fix Them
The most common EDI rejection codes — TA1, 999, 277CA, claim-level — what they mean, why they happen, and how to fix them before go-live.
EDI 277 Claim Status: Format and Testing Guide
The X12 277 claim status transaction explained — 276 request, 277 response, status category codes, and how to test claim status workflows before go-live.
COB Claims Testing: How to Generate Coordination of Benefits Scenarios
COB claims are the most commonly undertested scenario in healthcare EDI — and the most common source of go-live failures.
How to Test 835 Remittance Reconciliation Before Go-Live
Most EDI go-live failures happen at the 835 — not the 837. A practical guide to testing remittance reconciliation before you touch production.