Electronic Claim Flow

Electronic Claim Flow Description In order to send claims electronically to Louisiana Healthcare Connections, all EDI claims must first be forwarded to one of Louisiana Healthcare Connections’ clearinghouses. This can be completed via a direct submission to a clearinghouse or through another EDI clearinghouse. Once the clearinghouse receives the transmitted claims, they are validated against Read More →

HIPAA Secondary Claims

HIPAA Secondary Claims Guides (Louisiana Healthcare Connections) Louisiana Healthcare Connections has the ability to receive Coordination Of Benefit (COB or Secondary) claims electronically. The field requirements for successful electronic COB submission are below (4010 Format): To learn more about EDI and become a certified EDI Professional, please visit our course schedule page.

electronic claims

Louisiana Healthcare Connections electronic claims/encounter program Providers are encouraged to participate in the electronic claims/encounter filing program. Louisiana Healthcare Connections is capable of receiving an ANSI X12N 837 professional, institution or encounter transaction, as well as to generate an ANSI X12N 835 electronic remittance advice known as an Explanation of Payment (EOP). Providers that bill Read More →

Electronic HIPAA Claims

Electronic HIPAA Claims Guides (Louisiana Healthcare Connections) Electronic Data Interchange (EDI) allows faster, more efficient and cost‐effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the healthcare industry’s efforts to reduce administrative costs. The benefits of billing electronically include: Reduction of overhead and administrative costs Eliminates the need for paper Read More →