Successful Submission of EDI Claims (Louisiana Healthcare Connections Guides) Steps for successful submission of HIPAA Claims: Select clearinghouse to utilize. Contact clearinghouse to inform them you wish to submit electronic claims to Louisiana Healthcare Connections. Inquire with the clearinghouse what data records are required. Verify with Louisiana Healthcare Connections Customer Service Department that the provider … Read More →
Invalid Electronic Claim Record Rejections/Denials All claim records sent to Louisiana Healthcare Connections must first pass the clearinghouse proprietary edits and plan‐specific edits prior to acceptance. Claim records that do not pass these edits are invalid and will be rejected without being recognized as received by Louisiana Healthcare Connections. In these cases, the claim must be … Read More →
Electronic Claim Flow Description In order to send claims electronically to Louisiana Healthcare Connections, all EDI claims must first be forwarded to one of Louisiana Healthcare Connections’ clearinghouses. This can be completed via a direct submission to a clearinghouse or through another EDI clearinghouse. Once the clearinghouse receives the transmitted claims, they are validated against … Read More →
HIPAA Secondary Claims Guides (Louisiana Healthcare Connections) Louisiana Healthcare Connections has the ability to receive Coordination Of Benefit (COB or Secondary) claims electronically. The field requirements for successful electronic COB submission are below (4010 Format): To learn more about EDI and become a certified EDI Professional, please visit our course schedule page.