837 Institutional Health Care Claims Guidelines For Health Partners Plans Providers 837 Institutional Health Care Claims Guidelines should be used in conjunction with the ASCX12N 837 Standards for Electronic Data Interchange Technical Report Type 3 and WebMD/Emdeon Business Services Companion Guides. Information in the blog defines specific Health Partners Plans business rules and information applicable to the Read More →

276/277 Health Care Claim Status Request and Response Companion Guides (Health Partners Plans) 276/277 Health Care Claim Status Request and Response transactions are included into Health Partners Plans EDI program. Electronic Data Interchange (EDI) customer service and technical assistance requests focus solely on the generation, processing, and/or transmission of a HIPAA standard transaction 276/277 Health Care Claim Read More →

Electronic Claims Processing Guidelines For Health Partners Plans Vendors Electronic Claims Processing with Health Partners Plans allows to decrease administrative costs, avoid processing delays, increase your claim acceptance rates and productivity, receive records of claim receipts and detailed claims status. You can have speed, convenience and lower administrative costs through Electronic Data Interchange (EDI) or electronic claims processing. Health Read More →

Health Partners HIPAA Transactions and Code Sets FAQs Health Partners HIPAA transactions FAQs may be useful both for new vendors and new partners who are going to exchange Health Partners HIPAA transactions. Health Partners HIPAA transactions subject to HIPAA standards set for health care industry. Find the second part of Health Partners HIPAA transactions FAQs below. Q: Can Read More →

Health Partners HIPAA Transactions and Code Sets Frequently Asked Questions Health Partners HIPAA transactions subject to HIPAA standards set for health care industry. Health Partners HIPAA transactions FAQs may be useful both for new vendors and new partners who are going to exchange Health Partners HIPAA transactions. Find the first part of Health Partners HIPAA transactions Read More →

Health Partners Plans HIPAA Basics: Transactions, Code Sets And Identifiers (Continued) Health Partners Plans HIPAA requirements subject to general rules set by HIPAA standards. Health Partners Plans HIPAA program is built on the basis of international health care demands. As we know, HIPAA originally was conceived to improve fraud and abuse protections and provide protections for workers insured Read More →

HIPAA Standards Basics: Privacy, Security, Transactions And Code Sets HIPAA Standards were set in 1996 when Congress passed the Health Insurance Portability and Accountability Act, otherwise known as HIPAA. HIPAA originally was conceived to improve fraud and abuse protections and provide protections for workers insured under group health plans when they leave their jobs and Read More →

EDI Health Partners: Basis Provider Requirements EDI Health Partners program requires all vendors use Electronic Data Interchange (EDI) – sending and receiving of information using computer technology. Any standard business document that one company would exchange with another; such as a purchase order, invoice, shipping schedule, inventory inquiry, and claim submission; can be exchanged via EDI between Read More →

EDI Connectivity Notes For Unity Health Insurance Vendors EDI Connectivity guidelines will help parties involved in electronic documents exchange with Unity Health Insurance to get basic information about EDI process. EDI Connectivity Authentication/Authorization policies for User ID and Password (new trading partners) Sign and mail two original copies of trading partner agreement to Unity Health Insurance Once both originals Read More →

EDI Health Care Insurance Requirements For Unity Health Insurance Vendors EDI Health Care Insurance refers to Electronic Claims Submission. It allows medical providers and other parties involved in EDI Health Care Insurance to send and receive health care claims information. Unity supports all HIPAA-compliant electronic transactions. You can submit EDI Health Care Insurance claims to Unity one Read More →