EDI Outsourcing

EDI Outsourcing: Roles and Responsibilities EDI Outsource can be released by several methods. If you operate an in-house EDI system, you deal directly with your trading partners using the traditional EDI method. In an outsourcing scenario, a service provider becomes the ‘middleman’ between you and your trading partners. The service provider (EDI Outsource) understands your trading partners’ EDI guidelines and can handle the Read More →

EDI Connection

EDI Connection via Virtual Private Network VPN (Virtual Private Network) is a network technology that creates a secure network connection over a public network such as the Internet or a private network owned by a service provider. Large corporations, educational institutions, and government agencies use VPN technology to enable remote users to securely connect to a private network. Read More →

Medicare Electronic Data Interchange

How to Enroll in Medicare Electronic Data Interchange Guidance for CMS standard Electronic Data Interchange (EDI) enrollment form to be completed prior to submitting Electronic Media Claims (EMCs) or other EDI transactions to Medicare. The Centers for Medicare & Medicaid Services (CMS) standard Electronic Data Interchange (EDI) enrollment form must be completed prior to submitting Read More →


Advocating for Interstate Compact Legislation in 2022 A legislative summit was held on August 24 and 26 for states interested in introducing legislation for the Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) in 2022. Attendees heard from ASHA and the Council of State Government as well as legislators in states where the ASLP-IC passed in Read More →


HIPAA: Electronic Data Interchange (EDI) Rule: ASHA Explained The HIPAA rules clearly expect that the response to the EDI rule will be based on the needs and resources of the provider. As long as all electronic transmissions are EDI compliant, the method of response is left up to their discretion. Providers can submit claims directly Read More →

EDI Standardization

EDI Standardization: A global solution for successful business operations EDI Standardization is what set EDI apart from other electronic methods of transferring data. Before getting into details about administration of EDI standards such as ANSI ASC X12 or UN/EDIFACT, it is important to understand why standards are used. EDI standardization and particularly standards are built on the Read More →


HIPAA: Electronic Data Interchange (EDI) Rule (ASHA) The EDI rule is very technical and based on the X12N EDI data transmission protocol standard. Although rare allowances are made, the rule requires that any covered entity who electronically transmits data must use this, and only this format in doing so. The EDI rule is a set Read More →

Administrative Simplification Compliance Act

Administrative Simplification Compliance Act Basics Section 3 of the Administrative Simplification Compliance Act (ASCA), Pub. L. 107-105 and the implementing regulation at 42 CFR 424.32, require that all initial claims for reimbursement from Medicare be submitted electronically, with limited exceptions. The ASCA amendment to section 1862(a) of the Social Security Act prescribes that “no payment Read More →


CGS EDI: Benefits For Partners There are advantages to providers who conduct business with Medicare electronically. Some of those benefits include: No more paper claims. EDI (submitting claims to CGS electronically eliminates paperwork, so your staff can accomplish more in less time). You will also save money on postage and claim forms. Earlier payment floor. Electronic Read More →

EDI Custom Training

EDI Custom Training: Personal Opportunities For Businesses Custom training provided by EDI Academy is a possibility to educate your staff at a group training. Training classes give a foundation of practical knowledge about Electronic Data Interchange and how EDI applies specifically to your business. We start with the basics and then focus in on issues Read More →