HIPAA EDI 837 Dental Quiz

HIPAA EDI 837 Dental Quiz: Test your EDI knowledge Try an EDI 837 Dental Quiz to check your Health Care EDI knowledge. This practical example and exercise give you a possibility to practice real-world case and find out gaps in your EDI knowledge. EDI 837 Dental Claim Scenario Patient MINI DUCK dependent son of DONALD DUCK goes to the dental Read More →

EDI quiz

EDI 837 Institutional Quiz: Test your EDI knowledge Try an EDI 837 Institutional Quiz to check the level of your Health Care EDI knowledge. This practical exercise gives you a possibility to practice real-world example and find out gaps in your EDI knowledge. Patient Inpatient Face Sheet A young female Dora Max was a driver involved in a Read More →

HIPAA 837

HIPAA 837 Professional Quiz Scenario HIPAA 837 Professional Quiz will help to check you HIPAA EDI knowledge. Learn the following example: Patient Daisy Duck was referred to Dr. Ben Kildare by her doctor, Dr. Marcus Welby, MD. She saw Dr. Kildare, a skin specialist, on Nov. 16, 2015. She paid her co-pay of $10, at the Read More →

HIPAA EDI Quiz

HIPAA EDI Quiz: Test your EDI knowledge on practical examples Do you feel comfortable with terms like Submitter, Receiver, Billing Provider or Payer for the Claim? When someone sounds out EDI terms ISA, GS, ST, DTM, NM1, is it clear for you what this person means? Do you agree that Diagnosis Code numbers are not Read More →

837 Healthcare Claim

837 Healthcare Claim Implementation Guides 837 healthcare claim can be compared to an invoice in the merchandising world. However, it is much more complicated than that and some consider it to be the most complicated EDI transaction set. The purpose of this transaction is to submit healthcare billing information from providers of healthcare services to payers, either directly or Read More →

HIPAA

HIPAA for Professionals: Federal Privacy Protection Rules To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security. At the Read More →

Provider Claim Guidelines

CMS HIPAA Standards Approved CMS HIPAA Standards shall be supported by the A/B MACs, DME MACs, CEDI or other contractors if designated by CMS for the electronic data with Medicare providers/submitters/receivers/COB trading partners. ASC X12 Technical Report 3s (TR3s) for mandated HIPAA transactions may be purchased from Washington Publishing Company. The HIPAA-standard implementation specifications for Read More →

Version 7030 training

Version 7030 Is Coming – X12 EDI Training Online Schedule 2020-2021 TBD Version 7030 HIPAA EDI training is the most expected educational event in 2020. Follow our news to register for the first training stream. Find the course description below. HIPAA EDI 7030-101 – Introduction To The Health Care EDI Environment & 7030 Introduction to 7030 7030-5010 Major Gaps Read More →

HAP Midwest Health Plan Billing

HAP Midwest Health Plan Billing And Reimbursment Requirements HAP Midwest Health Plan Billing and Reimbursment process will be discribed below in this blog. MDCH contracts with HAP Midwest Health Plan to administer the Medicaid HMO benefits to its enrolled members. Medicaid is considered as payment source of last resort. Some Medicaid members have dual insurance coverage. Read More →

Pharmaceutical EDI Data Integration

Pharmaceutical EDI Data Integration capabilities at McKesson Pharmaceutical EDI Data integration enables configurable pharmaceutical product and data sharing between pharmacy management systems, provider information systems and enterprise resource planning (ERP) systems. McKesson provides data interface solutions for pharmacy customers who are unable to support direct, automated electronic data interchange (EDI) through McKesson Data Exchange module. Solutions allow Read More →