Selecting a Code Set

EDI relies on transaction code sets. These codes represent longer explanations and descriptions.

The code sets are stored in the file codesets.xml in the Configuration subdirectory:

oThis PC\Window (C:)\ProgramData\HIPAAsuite\HIPAA Claim Payment 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 Payment 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
ActionCode	AmountQualifierCode
BenefitStatusCode	COBCode
CardAction	CardType
CitizenShipStatusCode	CobraEvent
ContactCode	CoordinationBenefitsCode
CoverageLevelCode	DTPCode
DisabilityTypeCode	EmployeeStatusCode
EntityIdentifierCode

F to P
FileTypeCode	FrequencyCode
GenderCode	HealthRelatedCauses
IDCode	InsuranceLineCode
Language Codes ISO 639	Language Codes NISO Z39.53
LanguageUse	LocationQualifier
MaintenanceReasonCode	MaintenanceTypeCode
MaritalStatusCode	MedicareEligobibilityReason
MedicarePlanCode	PayerSequenceCode
ProviderRelationship	ProviderTypeCode
Purpose

Q to Z
REF Codes	Race Codes
Race or Ethnicity (RET)	Relationship codes
Student Status	Yes/No

The following screenshot illustrates how to select the "GenderCode" code set for display.

The "GenderCode" option is under the "F to P" sub-menu.

3.The code set configuration window will open.

The "GenderCode" 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 "GenderCode" code set has 3 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 "GenderCode" code set, these are the codes and corresponding descriptions:

oF — Female

oM — Male

oU — Unknown

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 cpm deleting row

Now press the <DELETE> key on your keyboard.