Payer Initiated Eligibility/Benefit (PIE) Within The Requirements of The Deficit Reduction Act Scope (Washington State Medicaid) Payer Initiated Eligibility/Benefit (PIE) electronic transaction can be used by health plans to transmit eligibility and benefit information to Washington State Medicaid. basic guidelines given below are to assist State Medicaid agencies and payers in implementing the Payer Initiated Eligibility/Benefit (PIE) Transaction. … Read More →
EDI Testing CAQH CORE 153 Trading Partner Guidelines EDI Testing CAQH CORE 153 Basics must be combined when determining the overall CAQH CORE Connectivity requirements. Find the fourth part of EDI Testing CAQH CORE FAQs for trading partners below. 1.For batch response pick-up, does CAQH CORE intend for this to be a programmatic interface or a human interface? Under … Read More →
CAQH CORE 153 EDI Payload ID Basics (Connectivity Rule) CAQH CORE 153 EDI Payload ID Basics must be combined when determining the overall CAQH CORE Connectivity requirements. Find the first part of FAQs for trading partners below. 1.Is the payload ID outside the X12 interchange? Yes. 2. Is the payload ID generated and sent by the … Read More →
EDI CAQH CORE 153 Testing Processing FAQs EDI CAQH CORE 153 Testing FAQs are provided for new CAQH CORE trading partners passing EDI implementation phase. EDI CAQH CORE 153 Testing should be used together with other EDI CAQH CORE 153 Testing rules described in the previous posts. 1.For the purposes of the re-transmission, what is the … Read More →