834 File Requirements (Prevea360 Health Plan) 834 File will be used as an audit file to make sure the records for both parties are in sync prior to moving to production. While Prevea360 can accept both full enrollment files and change only files, it prefers to receive change only/event only files on an ongoing basis for groups … Read More →
Prevea360 Health Plan EDI 834 Implementation Guides EDI 834 Transactions must be submitted in the proper order to ensure correct processing. For example, an add transactions must be submitted on a file and processed prior to a termination transaction being submitted for a given member. It is recommended that the full population is submitted in … Read More →
EDI 834 challenges and pitfalls (Caliber Health) EDI 834 includes vital information that can become a major impact on the sponsor, the payer, and especially the member. Ensuring the EDI 834 file processing goes smoothly is very critical. Here are some EDI 834 challenges and pitfalls Caliber Health have seen over the years. Common Issues in Processing EDI … Read More →
EDI 834 Enrollment And Maintenance File (Caliber Health) EDI 834 is the Benefit Enrollment transaction type found in the X12 transaction set directory. It is used by government agencies, employers, and health plans to enroll and maintain membership in a healthcare benefit plan and can be processed utilizing Healthcare EDI software. The EDI 834 spec is … Read More →