ICD-10 Transition Procedure

ICD-10 Transition Procedure Preparation Steps ICD-10 Transition means that a HIPAA-covered entity uses the transition of the ICD-10 codes for health care services. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. The ICD-10 Transition deadline has been delayed by the federal government until no earlier than  October 1, 2015. Read More →

ICD-10

ICD-10 Compliance FAQs (Security Health Plan) ICD-10 compliance means that a HIPAA-covered entity uses ICD-10 codes for health care services provided on or after October 1, 2015. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. The ICD-10 deadline has been delayed by the federal government until no earlier than  October Read More →

ICD-10

ICD-10 Compliance FAQs (Security Health Plan) ICD-10 compliance means that a HIPAA-covered entity uses codes for health care services provided on or after October 1, 2015. ICD-9 diagnosis and inpatient procedure codes cannot be used for services provided on or after this date. This code set deadline has been delayed by the federal government until no earlier Read More →

EDI ICD-10

EDI ICD-10 Implementation Guidelines For Security Health Plan Providers EDI ICD-10 code sets are used to report medical diagnoses and inpatient procedures. In 2015 EDI ICD-10 replaced ICD-9. Use of EDI ICD-10 versus ICD-9 on claims is based on dates of service—not on dates that claims are submitted. For dates of service on or after October 1, 2015, providers Read More →

EDI Files Submission Process At Security Health Plan EDI Files Submission is possible if your software creates the HIPAA 837 format for electronic claims. Then Security Health Plan can accept your claims directly. If EDI Files Submission is not available at your company, Security Health Plan cannot accept your claims directly – you will need to obtain 837 Read More →

Electronic Claims Basic Requirements Electronic Claims section outlines transmission media available, telecommunication specifications, testing procedures and output report feedback for electronic claims. Electronic Claims subject to HIPAA rules and standards. HIPAA is a federal mandate passed by congress in 1996, which addresses the high administrative costs of health care. HIPAA Administrative Simplification has been adopted to enable health Read More →

Security Health Plan EDI Dat

Security Health Plan EDI Data Security and Confidentiality. Correction Adjustment Request Security Health Plan EDI Data security is maintained by reasonable security procedures to prevent unauthorized access to data, data transmissions, security access codes, envelope, backup files, source documents or the covered entity’s operating system. Security Health Plan and the affiliated provider will immediately notify each other Read More →

EDI CMS 1500

EDI CMS 1500 Instructions (The Security Health Plan) EDI CMS 1500 can be processed by the Security Health Plan Processing System that is designed to process standard health insurance claim forms (CMS 1500) using CPT-4 Procedure Codes or Health Care Common Procedure Coding System (HCPCS) with appropriate modifiers and ICD-10-CM Diagnosis Codes. Security Health Plan Processing Read More →

Electronic Claims

EDI Claims Processing Notes For Security Health Plan Providers: Submission Reminder, Clean Claim Definition and Interest EDI Claims Processing guidelines given in today’s post refer to health care claim transactions sent to Security Health Plan. Find additional requirements to Claim Submission Reminder, Clean Claim Definition and Interest below. Claim Submission Reminder Security Health Plan follows Medicare claims submission guidelines.  Read More →

HIPAA EDI COB

HIPAA EDI COB Transaction (Coordination of Benefits) Security Health Plan HIPAA EDI COB Transaction is one of the HIPAA transactions supported by Security Health Plan. We have prepared some brief guidelines set to the HIPAA EDI COB Transaction by Security Health Plan. HIPAA EDI COB Transaction Requirements If a member carries other insurance through more than one Read More →