EDI File Naming Conventions

EDI file names have three parts. For instance, the "M6R911.TRN" has these parts:

1st Part                2nd Part        3rd Part        

M6R                911                .TRN        

The 1st part of the file name identifies whether the file is an audit file. If the first three characters are "AUD" then it is an audit file. The possible designations are:

AUD        audit file        

M6R        other file        

The 2nd part (3 or 4 characters in length) tells us which EDI program created the file. The possible designations are:

911                Private Carriers EDI, CareVU, etc.        

914                Medicare        

915-919        User defined        

961                Private Carrier EDI, CareVU, etc.        

964                Medicare for all States        

965-969        User defined        

The 3rd part following the "." identifies the type of file. The possible choices are:

.TRN transmission file (do not print)

.TOT raw audit file (do not print)

.LST print file (print this one).

By using the above directions the "M6R911.TRN" can be identified as a file created by the Private Carriers EDI program used in transmission and is not printed. The "AUD914.LST" is identified as an audit file created by the Medicare EDI program and should be printed.