EDI Requirements

EDI Claims Release 3.1

Current Version
Version 1.7 - Revision Date: 12/14/2023, Effective Date: 03/11/2024

Event Table
This table relates EDI information to the circumstances under which they are initiated as well as the timeframes for sending the information.
Element Requirements
This table lists the individual data element requirements
Edit Matrix
This table provides information on the edits that will apply to each data element and the edits that will be applied based on the population of the data element.
FROI SROI Sequencing Table
This table provides information on the IIC MTC sequencing. It is meant to convey to the Trading Partner the sequencing rules that clarify how the IIC will apply Edit 063 - Invalid Event Sequence. This information does not supersede or replace the sequencing stipulated in the Edit Matrix. The purpose of the FROI SROI Sequencing Table is to present the MTC sequencing in an easy-to-follow manner.

Previous Version
Version 1.6 - Revision Date: 06/20/2023, Effective Date: 09/14/2023

Event Table
Element Requirements
Edit Matrix
FROI SROI Sequencing Table