Selecting a Code Set

Background

At the onset of EDI, one of the main design ideas was to make the EDI files as short as possible and to allow different languages to use the same descriptions, thus reducing long, verbose explanations to 2-3 byte-long codes. Computer storage was costly, and making any file larger than necessary was considered wasteful. For this reason, EDI relies on transaction code sets, which represent longer explanations and descriptions.

Where can I find these code sets in my computer system?

The code sets are stored in the file codesets.xml in the Configuration folder; see the default file path:

oC:\ProgramData\HIPAAsuite\HIPAA Claim Master\Configuration\

Path to the Configuration folder for the codesets.xml file.

Note: The folder may be hidden.

How can I view and edit transaction code sets?

To view and/or edit transaction code sets in the HIPAA Claim Master application, follow the steps below:

1.Go to the "Code Sets" tab in the main menu window.

The "Code Sets" tab and its sub-menus.

2.Hover the pointer over one of the sub-menus, then select your desired code set name. The following items are available per sub-menu:

A to E
Adjustment Reason	Adjustment Reason Group
Admission Source	Admission Type
Amount Qualifier Codes	Attachment Report Type
Certification Type	Claim Status Categories
Claim Status Codes	Communication Codes
DTP Codes	Delay Reason Codes
Diagnosis Codes	Drug Qualifiers
Entity Codes

F to P
Facility Type	Filing Codes
Filing Indicator Codes	Gender
ID Codes	Info Release
Marital Status	Patient Location
Pattern Codes	Payment Method
Pricing Codes	Procedure Codes
Prognosis Codes	Provider Codes
Provider Taxonomy

Q to Z
REF Codes	Relationship
Remark Codes	Signature Source
Subluxation Codes	Tooth Numbering
Unit Codes	Yes/No Codes

For illustration purposes, we selected the "Patient Location" code set.

The "Patient Location" option is under the "F-P" sub-menu.

3.The code set configuration window will open.

The "Patient Location" code set window.

4.Once done, click "Save" if you have made any changes or "Close" if you want to exit. If you need more information, click "Help."

What are the tools to edit code sets?

See the descriptions of the tools and actions you can find and perform, respectively, in the transaction code set lists:

Number of records in the code set

This shows the total number of codes; in this example, the "Patient Location" code set has 14 total codes.

Codes and their corresponding Descriptions

The codes are indicated in the source EDI files. The descriptions are displayed instead of codes, making files easier to read. For example, for the "Patient Location" code set, these are the codes and corresponding descriptions:

oA — Acute Care Facility

oB — Boarding Home

oC — Hospice

And so on.

Adding a New Row

To add a row, click on the last row; you will see an indicator in the first gray field.

The indicator is shown in the left column.

Editing the Row

To edit, double-click the cell you want to change. You may also start typing to enter Edit mode as well. Clicking or moving outside this cell overwrites the cell contents with the new value. To make these changes permanent, click the 'Save' button.

Click on the cell you want to write.

Deleting a Row

To delete a row, click the left margin. This action will highlight the whole row. Then, press the Delete key on your keyboard.

4.7 code sets deleting a row 2

Now press the <DELETE> key on your keyboard.