Submitting HIPAA EDI Transactions – Basic Procedures Submitting HIPAA EDI Transactions rules below are available for providers and their vendors who are interested in submitting HIPAA EDI transactions to HMSA for electronic claims submission, claims status, eligibility and referrals/pre-authorizations. The Electronic Trading Partner Agreement (TPA) must be signed and returned to HMSA before transactions can be submitted. The … Read More →
Claims Submission Test File Procedure (Security Health Plan) Claims Submission testing can be started once the username and password are assigned. Claims Submission test file may include any number of claims. Generally, trying to parallel a production run will yield the best test results. During the Claims Submission testing process, Security Health Plan will examine … Read More →