837 Claims: Common Rejection Causes and the Acknowledgment Cycle Every EDI Team Should Track The 837 is the workhorse of healthcare EDI — the HIPAA-mandated transaction that carries claim data from providers to payers. But “837” isn’t one document. It’s a family of three: 837P (Professional, for physicians and outpatient providers) 837I (Institutional, for hospitals … Read More →
Healthcare EDI Best Practices: Staying HIPAA-Compliant While Keeping Transactions Moving Healthcare EDI operates under more regulatory weight than almost any other industry using electronic data interchange. Every 837 claim, 835 remittance, and 270/271 eligibility check carries electronic protected health information (ePHI), which means HIPAA compliance isn’t a separate workstream from EDI operations — it’s built … Read More →
TMHP’s VPN-to-SFTP Transition: A Reminder That Healthcare EDI Connectivity Isn’t Static The Texas Medicaid & Healthcare Partnership (TMHP) is updating its electronic submission process for EDI transactions effective August 1, 2026. Batch submitters who currently connect via VPN must migrate to a new SFTP-based connectivity method — VPN access is being turned off entirely on … Read More →
Implementing Safeguards for HIPAA Compliance: A Three-Pronged Approach Achieving HIPAA compliance is not just about understanding the rules – it’s about putting them into action. One of the most critical requirements of the HIPAA Security Rule is the implementation of safeguards that protect electronic Protected Health Information (ePHI) from unauthorized access, use, or disclosure. These … Read More →