X12 has submitted the first in a series of recommendations related to advancing the version of already adopted and mandated transactions and proposing additional transactions for adoption Based on industry feedback, X12 is using a phased approach for the recommendations rather than presenting the entire catalog of adopted and mandated transactions at once. Each recommendation Read More →


No Surprises Act Good Faith Estimate / Advanced EOB Standards-based Approach * Cooperative Exchange, The National Clearinghouse Association Explained On December 27, 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act of 20211, Public Law 116-260. The No Surprises Act (NSA) seeks to protect consumers from surprise medical Read More →

HIPAA claims

Oklahoma Health Care Authority Provider Portal Guides Oklahoma Health Care Authority uses the SoonerCare Provider Portal offering providers several services from submitting claims on the web to fast verification of claim status. The SoonerCare Provider Portal is available 24 hours a day, 7 days a week, except during scheduled maintenance. Find the types of Web Users Read More →

Health Care EDI

Health Care EDI Real World Practice: HIPAA Compliance And Deviations Health Care EDI is one of the branches where Electronic Data Interchange accelerates information exchange, reduces manual interruption and provides processing reliability and security. Health Care EDI operates under the rules of HIPAA – standard that states requirements to health care electronic transactions. HIPAA concerns health care Read More →