HIPAA EDI Online Webinars

HIPAA EDI Online Webinars And Courses Description

HIPAA EDI Online Webinars are suitable for novice and experienced specialists involved in health care electronic operations. Training goes in a format of online instructor-led webinar. Attendees have the possibility to work on real-world examples and to ask the instructor HIPAA-related questions. Below we give the description of the courses offered.

If you are interested in EDI training offered below, please, send us an inquiry e-mail to info@ediacademy.com or visit our course schedule page for registration.

HIPAA EDI 101 – Introduction To The Health Care

  • Health Care EDI Defined, Benefits of Health Care EDI
  • X12 Standards, X12N Workgroups
  • WEDI – Workgroup for Electronic Data Interchange
  • Software & Infrastructure for EDI
  • EDI Connectivity

HIPAA EDI 110 – EDI Enveloping & TR3 Viewing

  • EDI Enveloping ISA-GS-ST-SE
  • Key terms related to the structure of EDI
  • TR3 manual
  • EDI Implementation Guides and Mapping Specs
  • Health Industry Related Code Sets – Clinical and Non-Clinical

HIPAA EDI 201 – Deciphering HIPAA EDI Transactions – Enrollment & Eligibility 

  • Deciphering 834 Benefit Enrollment 005010X220A1
  • 834 Update File, 834 Audit File, 834 Exchange Enrollment 005010X307
  • 820 Premium Payment 005010X218
  • Deciphering 270-271 Eligibility Enquiry and Response & 271005010X279A1
  • 270 Eligibility Inquiry, 271 Response To Eligibility Inquiry
  • 278 Prior Authorizations and Referral Authorizations
  • CAQH Requirements – Real Time & Batch

HIPAA EDI 210 – Deciphering EDI Transactions 837 Claims & Acknowledgements

  • 837 Professional Claim 005010X222A1, 837 Institutional Claim 005010X223A2, 837 Dental Claim 005010X223A2
  • TA1 Acknowledgment
  • 999 Acknowledgement 005010X231
  • 277CA Claim Acknowledgment 005010X214
  • Medicare MAO Acknowledgments
  • 276-277 Claim Status Inquiry & Response 005010X212

HIPAA EDI 215 – Deciphering EDI Transactions 835 Health Care Claim Payment/Advice

  • Deciphering 835 005010X221A1
  • Claim Adjustment Group Codes, Claim Adjustment Reason Codes
  • Line Level Balancing, Claim Level Balancing, Transaction Level Balancing, Provider Level Adjustments
  • 835 Best Practices

HIPAA 401: Advanced 837 Coordination of Benefits & 277/RFAI & 837 Outbound To CMS and Other Entities

  • Deciphering 837 005010X221A1
  • 837 mapping exercise scenarios (Professional, Institutional and Dental)
  • Coordination of Benefits (COB) and outbound MRA (Medicare Risk Adjustment) claims.

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