Electronic Funds Transfers and Electronic Remittance Advices Guides (Louisiana Healthcare Connections) Louisiana Healthcare Connections provides Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) to its participating providers to help them reduce costs, speed secondary billings, and improve cash flow by enabling online access of remittance information, and straight forward reconciliation of payments. Through this … Read More →
820 Transaction Set Guides (OKMMIS) The 820 Transaction Set is the HIPAA-compliant financial transaction used to transmit care coordination payments. The 820 Transaction Set is generated by the Oklahoma OKMMIS and is distributed to primary care providers/case managers (PCP/CMs) who request electronic capitation reports and participate in the SoonerCare Choice program. The 820 Care Coordination … Read More →
Electronic RA (OHCA) Mandated under HIPAA Requirements An electronic RA is available by using the X12 835 transaction as mandated under HIPAA. The 835 transaction is available to all OHCA providers and contracted trading partners that have requested electronic RAs. The 835 is a financial transaction that functions as an electronic means of posting accounts … Read More →
Oklahoma Health Care Authority HIPAA RA Guides Providers receive a weekly remittance advice (RA) for any claims submitted the previous week. The RA identifies claims that are paid, denied, in process or adjusted. The RA includes the client ID number, the provider number, the Internal Control Number (ICN) of the claim processed, the date(s) of … Read More →