Non-Standard Electronic Claims
Per CMS HIPAA guidance, HealthLink continues to accept non-standard electronic claims from providers. A number of the required data elements on the 837 are not required in the proprietary formats that HealthLink receives from providers. Therefore, HIPAA required data might be missing from some claims. Again, by populating default “UNKNOWN” data, these can be converted into HIPAA compliant transactions. Various data elements that are required in the 837 may not appear on either the paper (manual) claims or non-standard electronic claims received by HealthLink. Find a table indicating the ANSI data element, description, and what values HealthLink will default, if no value was received.
More about Non-Standard Electronic Claims
To learn more about HIPAA EDI and become a certified EDI Professional, please visit our course schedule page.