837 Professional Health Care Claim

837 Professional Health Care Claim Basic Technical Instructions For Anthem Partners 837 Professional Health Care Claim section provides information to help Anthem partners prepare for the ANSI ASC X12N 837 Professional Health Care Claim transaction. The information given in the blog must be used in conjunction with both the Transaction Set Implementation Guide “Health Care Claim: Professional, Read More →

Healthcare EDI Transactions

Healthcare EDI Transactions Real World Difference HIPAA The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996 as President Clinton responded to the need for more efficient healthcare services at lower costs. The solution was signing into law the Kennedy-Kassebaum Act. This act is also known as Health Insurance Read More →

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837 Health Care Claim Reports And Considerations Notes (Beacon Health Options) 837 Health Care Claim Reports And Considerations Notes for Beacon Health Options company partners are given below as mandated by the administrative simplification provisions of HIPAA. All 837 Health Care Claim reports will be available to providers/trading partners via the EDI Gateway in the respective mailboxes. To Read More →

837P and 837I Health Care Claims

837P and 837I Health Care Claims Notes For Beacon Health Options Partnering Parties 837P and 837I Health Care Claims are accepted by Beacon Health Options (Beacon) as mandated by the administrative simplification provisions of HIPAA. 837P and 837I Health Care Claims guidelines provided below areused in conjunction with the X12 implementation guide. The implementation guides for all HIPAA Read More →

EDI Health Care

EDI Health Care Electronic Transaction Options EDI Health Care helps to minimize providers’ administrative time and effort, and to reduce paper waste in health care communities. EDI Health Care by Beacon Health Options company significantly enhanced eServices portal and electronic data interchange (EDI) capabilities for completing transactions efficiently and cost-effectively. The intended audience for the information below is Read More →

270/271 Eligibility Inquiry & Response

Metro Plus Health Plan EDI Claims Submission Notes Metro Plus Health Plan EDI Claims should be submited to Beacon Health Strategies either through electronic data interchange (EDI) connection to Beacon or via Beacon’s eServices web application. Metro Plus Health Plan EDI Claims can be submitted directly by a provider, or through a billing intermediary. EDI: Read More →

HAP Midwest Health Plan’s Claims

HAP Midwest Health Plan’s Claims And Electronic Data Interchange Program HAP Midwest Health Plan’s Claims Department endeavors to assure prompt and accurate claim and encounter review, processing, adjudication and payment. This is accomplished through the development of claims processing systems, pre-payment and post-payment audits, policies, and procedures that are consistently and appropriately applied. HAP Midwest Read More →

edi for grocery business

Topco EDI Invoice – Grocery Products Invoice – Received From Vendors (Version 004010UCS) Topco EDI Invoice can only be processes once. Subsequent receipt of the same Topco EDI Invoice will error out in Topco’s accounting system as a duplicate and will not be processed. Therefore, Topco EDI Invoice with errors should not be corrected and Read More →

Grocery-store

Topco EDI Order 875 – Grocery Products Purchase Order – Sent To Vendors (Version 004010UCS) Topco EDI Order Mapping guidelines and notes given below regard to Topco 875 Grocery Products Purchase Order. Topco 875 EDI orders shipping to a Topco member will always include both PO numbers. Replenishment orders shipping to a warehouse will only have a Topco Read More →

Topco 810 EDI

Topco 880 EDI (Invoice) Guidelines Topco 880 EDI transaction can only be processes once. Subsequent receipt of the same Topco 880 EDI Invoice will error out in Topco’s accounting system as a duplicate and will not be processed. Therefore, Topco 880 EDI Invoice with errors should not be corrected and resent via EDI, unlessrequested by Topco. Read More →