HIPAA (Health Care EDI)

HIPAA (Health Care EDI) Training Courses Schedule Whether you are new to EDI or have years of experience, EDI Academy has a webinar for everyone. Our attendees can join from their remote locations while still enjoying the advantages of instructor and classmate interactions. After completing all the webinars and mapping exercises, you can become a Certified EDI Read More →

X12 HIPAA

X12 and X12 HIPAA: related but still distinct concepts X12 refers to a set of standards developed by the Accredited Standards Committee (ASC) X12, which is responsible for developing and maintaining electronic data interchange (EDI) standards in the United States. These standards govern the exchange of business documents, such as purchase orders, invoices, and shipping Read More →

Medical Codes

Health Care Code Sets Types In healthcare electronic data interchange (HIPAA EDI), code sets play a fundamental role in standardizing the representation of various healthcare concepts, such as diagnoses, procedures, medications, and other medical entities. These code sets are used to facilitate the exchange of healthcare information between different healthcare providers, payers, and systems. Here are Read More →

HIPAA EDI

CAQH CORE Operating Rules for Eligibility and Claims Status Operating rules for eligibility and claims status went into effect on January 1, 2013. They make it easier for providers to determine: Whether a patient is eligible for coverage (transaction 270/271) The status of a health care claim submitted to a health insurer (transaction 276/277) Eligibility Read More →