X12 Continues Education Around 008060 Healthcare Transactions Healthcare EDI teams often focus on today’s production requirements: claims, eligibility, remittance, claim status, prior authorization, acknowledgments, and payer-specific companion guides. That daily work is important, but teams also need to watch what may be coming next. X12 is continuing its education and information series around the … Read More →
X12 Publishes Guidance on AI Use With X12 Standards: What EDI Teams Should Know AI tools are becoming part of daily work for many EDI teams. Analysts may use AI to explain errors, draft documentation, summarize testing notes, or help new team members understand basic EDI concepts. These uses can be helpful. But when … Read More →
CAQH CORE Code Combinations v3.10.0: What 835 Remittance Teams Should Review For healthcare EDI and revenue cycle teams, the X12 835 Remittance Advice is more than a payment file. It tells providers what was paid, denied, adjusted, recouped, or transferred to patient responsibility. That means the codes inside the 835 must be interpreted accurately. … Read More →
CMS Updates HETS EDI Enrollment Process: What Healthcare EDI Teams Should Review Medicare eligibility verification is a daily workflow for many healthcare organizations. Providers, vendors, clearinghouses, billing teams, and revenue cycle teams rely on accurate 270/271 transactions to confirm beneficiary eligibility before or after services are provided. That is why CMS’s HETS EDI enrollment … Read More →