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270/271 Eligibility Inquiry & Response Companion HIPAA Guidelines 270/271 Eligibility Inquiry & Response guidelines contain clarifications as permitted by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Standard for Electronic Transactions. Please, mention that Health Partners Plans, Inc. may make improvements and/or changes to the information contained in this blog so you should look for Read More →

837 Institutional Health Care Claims Guidelines For Health Partners Plans Providers 837 Institutional Health Care Claims Guidelines should be used in conjunction with the ASCX12N 837 Standards for Electronic Data Interchange Technical Report Type 3 and WebMD/Emdeon Business Services Companion Guides. Information in the blog defines specific Health Partners Plans business rules and information applicable to the Read More →

276/277 Health Care Claim Status Request

276/277 Health Care Claim Status Request and Response Companion Guides (Health Partners Plans) 276/277 Health Care Claim Status Request and Response transactions are included into Health Partners Plans EDI program. Electronic Data Interchange (EDI) customer service and technical assistance requests focus solely on the generation, processing, and/or transmission of a HIPAA standard transaction 276/277 Health Care Claim Read More →

Electronic Claims Processing

Electronic Claims Processing Guidelines For Health Partners Plans Vendors Electronic Claims Processing with Health Partners Plans allows to decrease administrative costs, avoid processing delays, increase your claim acceptance rates and productivity, receive records of claim receipts and detailed claims status. You can have speed, convenience and lower administrative costs through Electronic Data Interchange (EDI) or electronic claims processing. Health Read More →