270, 271 EDI relationship: senders and receivers, subscribers and dependents 270, 271 EDI transactions basic information was described in our previous blog post. Today we speak about the relationship between the participants of the 270, 271 EDI transactions process. During 270, 271 EDI exchange provider of service can request more detailed eligibility information other than a patient’s standard eligibility. … Read More →
270, 271 Healthcare Eligibility, Coverage and Benefit Inquiry (270) and Response (271) EDI Transaction Definition 270, 271 Healthcare transactions, their relationship, functions and purposes will be described further in the post. The 270 transaction is the EDI function that requests eligibility and benefit information from the Insurance Company of the patient. It is set to receive … Read More →
834 example – raw data and human readable presentation 834 example described in the post is a full file audit sent from a corporation to an insurance company. Although the TR3 Implementation Guides do not recommend sending the Full File Audit to perform changes, most insurance companies will accept them as changes if there is mismatch. For example, … Read More →
834 Healthcare EDI Transaction – Benefit Enrollment and Maintenance 834 Healthcare EDI Transaction (Benefit Enrollment and Maintenance) is used to provide enrollment information from sponsors to insurance companies. Sponsors are typically corporations or other institutions that provide health care benefits to their employees. The 834 Healthcare EDI can be used to provide initial enrollment and also … Read More →
Verizon EDI Solution – achieve cost savings and simplify your business transactions Verizon EDI Solution improves your invoicing and accounts payable operations. With Verizon EDI Solution you can automate the way you review and pay invoices. This will help to eliminate data entry errors and paper handling expenses. It’s not uncommon to get bogged down … Read More →
EDI Mapping Notes EDI mapping work should start long before opening the mapper feature of the EDI application. The mapper should have a business analyst role of gathering data requirements for EDI mapping. During the process of gathering requirements, the input data format and the output data format must be identified and understood by the mapper. The … Read More →
Verizon EDI Billing for high-volume enterprises Verizon EDI Billing will be a useful solution when your billing process seems a bit out of control. Verizon EDI Billing helps you manage your invoicing. It can be easily integrated with commercially available software and services. This will help to manage your invoice processing more effectively. Verizon EDI Billing … Read More →
Grocery EDI notes for electronic business operations Grocery EDI can be regarded as a decision that can improve grocery supply chain. Grocery industry is a very competitive business and today retailers concentrate on raising operational efficiency as well as clients’ quick service. Electronic data interchange is becoming more and more widespread and is used as … Read More →
EDI Outsourcing Scenarios – how to choose the most comfortable solution for your business EDI Outsourcing Scenarios should be carefully analized in order to determine the most useful method of EDI outsourcing for your company. There are many points to keep in mind and questions to figure out. Depending on the size of your business, … Read More →
EDI Training Chicago – EDI Fundamentals and Best Practices and HIPAA EDI Advanced Course EDI Training Chicago is a good possibility to widen your EDI knowledge and become an EDI professional in the field of HIPAA and healthcare EDI. Today many EDI specialists are self-taught or just get information about electronic data interchange from vendor sources (guidelines). This … Read More →