EDI Billing Verification
Once the EDI file is submitted to EDIaaS, they review the file to make sure the required claim information needed to process the claim is included in the file. For example, client address, diagnosis, MA number, etc.
Review the verification the day you submit billing so that you will know if any claims needs resubmitted.
Remember to run the EDI Billing Edit List and Error Check any time a new facility, service, or consumer is added to the system. This report will provide a list of issues that would cause a claim to be rejected.
Download Verification Files
NAVIGATION: BILLING/AR menu > EDI Billing Verification
- TRANSMISSION MODE: select PROMISe
- Download Files
- If there are verification files that need downloaded, there will be a notice to the right of the check button.
- Click the CHECK button to download the files.
- Depending on the size of the file, it may take a few moments to appear in the grid.
Review Verification Grid
- Once the verification file(s) is downloaded, the grid will display the accepted transmission files in PROMISe.
- Compare the BILLED AMOUNT to the 277 AMOUNT.
- If the amounts are not the same, something was rejected.
- Click the report link to review.
This process will pull verification files for all billing submitted to PROMISe under your company identification number. If you use multiple billing systems/different software, you may see files that are not relevant to the Stratus Cloud ID system billing. Refer to the DATE/TIME column to find the file that was generated on the date that you processed billing through the system.
2/2026