HIPAA EDI 837 Transaction

HIPAA EDI 837 Transaction Terminology HIPAA EDI 837 Transaction  is a key component in electronic health care documents transmission. This process improves efficiency in health care by establishing and constantly improving national standards for clearing houses, providers and health insurance plans. HIPAA EDI 837 Transaction  is one of the most used EDI transactions. If you somehow deal with EDI in health care Read More →

EDI 837

EDI 837 transaction structure – Transaction Set Header (ST) and Transaction Set Trailer (SE) EDI 837  Health Care Claim general envelope structure was described earlier in the blog. Below  find the description of two structural parts of an EDI 837 Health Care Claim element. Transaction Set Header (ST) This is the third segment of all EDI transactions including EDI 837. Read More →

837 health care claim

Envelope Structure of 837 Health Care Claim EDI Transaction 837 Health Care Claim transaction example below will be used to explain EDI enveloping. This particular EDI file contains two 837 claims transmitted on 01/01/2012. 837 Health Care Claim Envelope ISA*00* *00* *12*8586755250 *01*807685339 *120101*0742*^*00501*000001899*0*P*: GS*HC*8586755250*807685339*20120101*0742*685*X*005010X222A1 ST*837*3701*005010X222A1 BHT*0019*00*004545*20120101*135420*CH NM1*41*2*AGILE BILLING SOLUTIONS*****46*1981 PER*IC*ANN GILLIS*TE*8185601000 NM1*40*2*ANTHEM BLUE CROSS*****46*47198 HL*1**20*1 PRV*BI*PXC*207Q00000X Read More →

UnitedHealthcare EDI

UnitedHealthcare EDI requirements for Claim Status Inquiry & Response Transactions UnitedHealthcare EDI 276 transaction (Health Care Claim Status Inquiry) is used to inquire about the status of a claim after it has been sent to a payer. UnitedHealthcare EDI 277 transaction (Health Care Claim Status Response) is used to respond to a request inquiry about the status of Read More →

UnitedHealthcare EDI

UnitedHealth Group EDI solution in health care industry partnership Using Electronic Data Interchange (EDI) to exchange information with UnitedHealth Group EDI department and other payers has many advantages. Take a look at the benefits and savings below to see how UnitedHealth Group EDI initiative may benefit your practice. Send and receive information faster. With UnitedHealth Group EDI, Read More →

HIPAA in edi

HIPAA History, Rules and Regulations In 1996, President Clinton responded to the need for more efficient healthcare services at lower costs. The solution was signing into law the Kennedy-Kassebaum Act. This act is also known as Health Insurance Portability and Accountability Act (HIPAA). It makes standards for healthcare EDI under the rules of the Department of Read More →

health care edi standards

Health Care EDI Fundamental Standards and WEDI Before speaking about Health Care EDI standardization, let us figure out brief history of EDI standards. In 1975 the TDCC (Transportation Data Coordinating Committee) gathered representatives from the transportation industry to create a first set of formal EDI transaction standards. These transaction sets were primarily created for the Read More →

edi method

EDI Importance and usage in electronic business processing EDI importance in modern business processes can not be described in couple of words. As EDI is constantly developinbg, its role is growing as well. Just like the standards within the phone industry that enable separate parties to easily communicate with one other, data may also be exchanged between Read More →