Selecting a Code Set

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

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 by reducing long verbose explanations to 2-3 byte long codes. Computer storage was incredibly expensive and making any file larger than it absolutely had to was considered wasteful.

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

Windows XP: C:\Documents and Settings\All Users\Application Data\HIPAAsuite\HIPAA Claim Master\Configuration\
Windows 7, Vista: C:\ProgramData\HIPAAsuite\HIPAA Claim Master\Configuration\


The Configuration folder in Windows 7

Tip: The folder is hidden.


To view/edit transaction code sets in HIPAA Claim Master, follow the instructions below.

1. Go to the "Code Sets" item in the main menu. 

The "Code Sets" menu
2. From the sub-menu, select a code set name. The following menu items are available via the "Code Sets" menu:

A to E
Adjustment Reason
Adjustment Reason Group
Admission Source
Admission Type
Amount Qualifier Codes
Attachment Report Type
Certification Type
Communication Codes
DTP Codes
Delay Reason Codes

F to P

Facility Type
Filing Codes
Filing Indicator Codes
ID Codes
Info Release
Marital Status
Patient Location
Pattern Codes
Pricing Codes
Prognosis Codes
Provider Codes

Q to Z

REF Codes
Remark Codes
Signature Source
Subluxation Codes
Tooth Numbering
Unit Codes
Yes/No Codes


The following screen-shot illustrates how to select the "Patient Location" code set for display. 

The "Patient Location" sub-menu

3. The Code Set configuration window will be displayed. 

You can add, delete or edit codes. Read further how.

Below you can see this window for the Patient Location. 

The window provides the following information:
Number of records in codeset — The total number of codes. For example, for Payment Location it is equal to 14.
Codes and their corresponding descriptions. The codes are indicated in the source EDI files. The descriptions are  displayed instead of codes in the result easy-to-read files. For example, for Payment Location, there are the following codes and corresponding descriptions:
A — Acute Care Facility
B — Boarding Home
C — Hospice
D — Intermediate Care Facility

The "Patient Location" code set configuration window

4. Click on the "Save" button to save the changes.



Adding a New Row

To add, click on the last row. Now you can see the indicator in the first grey field.

The indicator

Click the field again to enter to the Edit mode. Now you can enter the text.

Note: Only after you leave this row, the changes will take place.


Deleting a Row

To delete, click the left margin. This action will highlight the whole row.

Highlighting a row by clicking the left margin

Now press the <DELETE> key on your keyboard.


Editing the Row

To edit, click two times the cell you want to change. Make your changes. Clicking or moving outside this cell overwrites the cell contents with the new value. To make these changes permanent, click the 'Save' button.

Notice: Don't forget to save the changes by pressing the 'Save' button.

No questions yet.

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