EDI Academy invites you to join HIPAA X12 Online Trainings!
* $250 per session per person.
* 20% discount for all sessions (email info@ediacademy.com).
* 20% discount for groups.
* 100+ page course manual, other educational resources.
HIPAA EDI 101 – Introduction To The Health Care EDI Environment
Wednesday, August 15th, 2018 11:00 AM – 12:30 PM EST
- Health Care EDI Environment
- Benefits
- X12 Standards; X12N Workgroups
- WEDI
- Software & Infrastructure for EDI
- EDI Connectivity
HIPAA EDI 110 – EDI Enveloping & TR3 Viewing
- EDI Enveloping & TR3 Viewing
- EDI Enveloping ISA-GS-ST-SE
- Key terms
- Using the TR3 manual
- LOOP IDs – Deep Dive (HL,NM1,CLM,etc)
- 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 & 271 005010X279A1
- 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 and Reason Codes
- Line Level Balancing
- Claim Level Balancing
- Transaction Level Balancing
- Provider Level Adjustments
- 835 Best Practices
