How Healthcare EDI Interacts with HL7 FHIR and Newer Digital Health Standards Healthcare data exchange is evolving quickly, and EDI is now operating alongside a new generation of digital health standards such as HL7 FHIR (Fast Healthcare Interoperability Resources). Rather than replacing EDI, these standards reshape how clinical and administrative systems communicate, creating a more … Read More →
Is Electronic Data Interchange Necessary for Staff in Healthcare? The healthcare industry is increasingly relying on technology to streamline operations and improve patient care. One technological advancement that has significantly impacted healthcare is Electronic Data Interchange (EDI). EDI involves the electronic transfer of data between organizations, promoting more efficient communication standards. But is EDI necessary … Read More →
Understanding the EDI 835 Remittance Advice: Reconciling Provider Payments The EDI 835 Remittance Advice is sent by insurance payers to healthcare providers, explaining how claims have been paid, adjusted, or denied. In simple terms, it’s the electronic version of a payment explanation, crucial for reconciling what was billed versus what was actually reimbursed. Managing EDI … Read More →
Handling Duplicate Benefits in 271 Eligibility Responses Duplicate benefits in 271 eligibility responses can be a frustrating challenge for providers, clearinghouses, and billing teams. What appears to be an error is often a reflection of payer logic, multiple benefit layers, or overlapping coverage types. Understanding the structure behind these duplicates and managing them effectively helps … Read More →