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 →

EDI Case Studies – Helpful Instrument For EDI Starters EDI case studies presented in today’s blog may be a helpful information for companies that are thinking about EDI implementation. EDI case studies can be used as basic examples for deploying EDI solution at one’s business. However, it doesn’t mean that the given samples are strict for Read More →

EDI Cases: Real-Life Skill Application EDI Cases mean activity, event or problem that contains a real or hypothetical situation in retail, wholesale, supply chain etc. connected to EDI integration and includes the complexities one would encounter during EDI business implementation. EDI Cases (or case studies) are used to help one to see how the complexities of real life Read More →

EDI Case Study Examples EDI Case Study is one of the most interesting topics that can be discussed between EDI professionals. EDI Case Study research helps to see a potential business objective and its real-life solution. Find below a couple of EDI Case Study examples – an integrated trading platform and a developing grocery wholesaler. Integrated trading platform implementation Objective: To Read More →

997 Functional Acknowledgement And Claim Audit Report For BCHP Vendors 997 Functional Acknowledgement is returned for each batch transaction received. This file acknowledges the receipt of the file and reports any data compliance issues. BUCKEYE COMMUNITY HEALTH PLAN also expects to receive a 997 Functional Acknowledgement transaction when the trading partner receives any outbound batch transaction. Read More →

Mapping Guides – ISA Segment Mapping Guides given below in the blog regard to ISA segment of the BUCKEYE COMMUNITY HEALTH PLAN 837P claim. Data files are transmitted in an electronic envelope. The communication envelope consists of an interchange envelope and functional groups. The interchange control structure is used for inbound and outbound files. An inbound interchange Read More →

Claim Billing Information For BUCKEYE COMMUNITY HEALTH PLAN Partnering Parties Claim Billing information for BUCKEYE COMMUNITY HEALTH PLAN health care claims goes under HIPAA requirements. HIPAA specifies the electronic standards that must be followed when certain health care information is exchanged. These standards are published in National Electronic Data Interchange Transaction Set Implementation Guides. They are Read More →

837P Inbound Claim Guidelines For Providers And Clients 837P Inbound Claim notes by BUCKEYE COMMUNITY HEALTH PLAN serve as technical companion guides to assist application developers during the implementation process. The given information about 837P Inbound Claim is only intended to supplement the adopted IG’s and provide guidance and clarification as it applies to BUCKEYE COMMUNITY HEALTH PLAN. Read More →

EDI Technical Guides – Provider Basic Information EDI Technical Guides given in the blog refer to BUCKEYE COMMUNITY HEALTH PLAN partners in electronic transactions exchange. The following list includes basic technical information for each transaction: Lower case characters on inbound transactions are converted to uppercase on outbound transactions The following delimiters are used for all outbound transactions: Read More →

Electronic Transactions As Part Of Buckeye Health Plan Partnership Program Electronic Transactions are used by Buckeye Health Plan to provide its participating providers with the best tools possible to support their administrative needs. Buckeye Health Plan electronic transactions capabilities will speed up the processing and payment of the health care claims. Electronic Transactions (EDI) support for HIPAA transactions is Read More →