Medical Billing Reporting Via Electronic Data Interchange The North Carolina Industrial Commission has contracted with Insurance Services Office, Inc. (ISO) to manage Medical Billing Reporting Via Electronic Data Interchange. ISO will be administering registration of carriers, self-insurers, medical bill review companies and third party administrators as trading partners, EDI testing, and data collection and … Read More →
Acceptance Of Claims For SROI (Subsequent Report of Injury) Reports Acceptance Of Claims EDI transactions for SROI (Subsequent Report of Injury) reports are suspended by the North Carolina Industrial Commission. The Commission will continue to accept and process Claims EDI transactions for FROI (First Report of Injury) reports with the exception of the FROI 04 Denial. In order to maintain … Read More →
Critical EDI Process Terms For EDI Operations With Veterans Health Administration (VHA) Critical EDI process terms will be useful for medical providers that are on the stage of establishing EDI partnership with VHA. 835 Health Care Claim Payment/Advice – The HIPAA adopted standard for electronic remittance advice to report the processing of all claim types (including retail … Read More →
Veterans Health Administration EDI (HIPAA) Requirements Veterans Health Administration EDI Billing provides the VHA with the capability to submit Institutional and Professional claims electronically as 837 Health Care Claim transmissions, rather than printing and mailing claims from each facility. In 1996, Congress passed into law the Health Insurance Portability and Accountability Act (HIPAA). This Act directs the … Read More →