Nebraska
Medicaid Program
Electronic Data Interchange (EDI)
EDI Testing
- Contact the Medicaid EDI Help Desk before beginning any testing.
- Help Desk staff will make sure your EDI Enrollment is
complete and will establish your test status. You will be asked to provide the Medicaid
Provider Numbers you plan to use in your test files. These numbers must be loaded into our
test region (an overnight process) before testing can begin.
- After test status has been established, you will be notified by Help Desk staff and you
may submit your test file to your "In Box" on the server.
- Test results are placed in your "Out Box" on the server. Communicate with the
Medicaid EDI Help Desk throughout the testing process. At least two successful test files
are required before approval for production.
TEST FILE REQUIREMENTS FOR CLAIMS:
Each test file must have 20 to 25 claims per test file.
If you submit claims for more than one provider, the test file must contain claims for
more than one provider but does not need to contain a claim for every provider. A maximum
of 10 provider numbers will be used.
TEST FILE REQUIREMENTS FOR NPI:
For additional testing information, review the National Provider
Identifier (NPI) Trading Partner Testing Plan.
Transactions |
Requirements |
| 837I |
2010AA Billing Provider
2310A Attending Physician
2310B Operating Physician
2310C Other Provider |
| 837P |
2010AA Billing Provider
2310A Referring Provider
2310B Rendering Provider |
| 837D |
2010AA Billing Provider
2310B Rendering Provider |
TEST FILE REQUIREMENTS FOR OTHER TRANSACTIONS:
Contact the Medicaid EDI Help Desk to establish a test plan.
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