HMSA EDI Center File Name Standard Descriptions HMSA EDI Center File Name Standard Descriptions are given in the blog for providers that submit claims electriically via EDI to HMSA EDI Center. It is strongly recommended that any provider submitting claims electronically, make the appropriate arrangements to ensure the security of the claims data being submitted to Read More →

Transmitting EDI Files (HMSA EDI Center) Via SFTP (FTP/SSH) or FTPS (FTP/SSL) Transmitting EDI Files to/from the HMSA EDI Center requires using Tumbleweed SecureTransport which supports standard binary file transfers. Make sure to use the HIPAA X12 formats when transmitting to the HMSA EDI Center. Transmitting EDI Files – Sending via SFTP (FTP/SSH) or FTPS (FTP/SSL) Log into the Tumbleweed Secure Transport server. The system will prompt you Read More →

Sending and Receiving EDI Files To/From HMSA EDI Center Via HTTPS Sending and Receiving EDI Files to/from the HMSA EDI Center requires using Tumbleweed SecureTransport which supports standard binary file transfers. Make sure to use the HIPAA X12 formats when sending and receiving EDI Files to/from the HMSA EDI Center. The file may be compressed using the gzip Read More →

HMSA EDI Center File Transfer Procedures HMSA EDI Center reserves the right to exercise prior approval of EDI submission arrangements from any source. It will be necessary for HMSA to review and approve each provider and for each approved provider to sign an Electronic Trading Partner Agreement. HMSA EDI Center File Transfer Steps (Sending a file to Read More →

HMSA EDI Data Transmission and Retrieval Procedures HMSA EDI Data Transmission procedure for asynchronous data communication: The data is generated by the provider or their representative and set up for transfer to HMSA. HMSA maintains a secure FTP option. HMSA’s asynchronous data communication allows computer systems to communicate with a front end computer that is Read More →

Submitting HIPAA EDI Transactions – Basic Procedures Submitting HIPAA EDI Transactions rules below are available for providers and their vendors who are interested in submitting HIPAA EDI transactions to HMSA for electronic claims submission, claims status, eligibility and referrals/pre-authorizations. The Electronic Trading Partner Agreement (TPA) must be signed and returned to HMSA before transactions can be submitted. The Read More →

Passport Health Plan Electronic Submission Advanatages (for Medical and Hospital Claims) Passport Health Plan Electronic Submission is the initiative for all providers. Passport Health Plan Electronic Submission allows faster, more efficient, and cost-effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the health care industry’s efforts to reduce administrative costs. The benefits Read More →

HIPAA EDI Support Service Operation Process Common Description HIPAA EDI Support Service serves for parties involved in EDI documents exchange process to make the operation easy and effective. Before any operation providers should obtain an account at the chosen service and make the enrollment. Usually creating a profile in EDI support service the party is Read More →

Health Care EDI Online Trainings – Learn Easy On Your Schedule Health Care EDI Online Trainings provide easy access to up-to-date and cost-effective HIPAA EDI skills seminars designed for remote learning. Health Care EDI Online Trainings support individualized learning with beginner to advanced learning classes. EDI Academy experts curate content into series of courses on dozens of topics, so Read More →

Noridian Electronic Remittance Advice Basic Guides Noridian Electronic Remittance Advice (ERA) is the electronic version of the Standard Paper Remit (SPR), which serves as a notice of payment and adjustments sent to Noridian providers, billers and suppliers. It explains the reimbursement decisions of the payer. EDI Support Services (EDISS) defines a vendor as a Software Read More →