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 Status Responder\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 Status Responder application, follow the steps below:

1.Go to the "CodeSets" tab in the main menu window.

The "CodeSets" 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
Claim Status Category Codes	Claim Status Codes
Entity Codes	Entity ID

F to P
Gender Codes	ID
ID Codes	Payment Method
Provider Taxonomy	Provider Type

Q to Z
REF Codes	Relationship Codes
ServiceID	TransactionType

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

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

3.The code set configuration window will open.

The "Payment Method" 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 "Payment Method" code set has 5 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 "Payment Methods" code set, these are the codes and corresponding descriptions:

oACH — Automated Clearing House

oBOP — Financial Institution Option

oCHK — Check

oFWT — Federal Reserve Funds

oNON — Non Payment Data

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 csr deleting row

Now press the <DELETE> key on your keyboard.