Medical Billing Reporting

  Medical Billing Reporting Via Electronic Data Interchange The North Carolina Industrial Commission has contracted with Insurance Services Office, Inc. (ISO) to manage Medical Billing Reporting Via Electronic Data Interchange. ISO will be administering registration of carriers, self-insurers, medical bill review companies and third party administrators as trading partners, EDI testing, and data collection and Read More →

Acceptance Of Claims

Acceptance Of Claims For SROI (Subsequent Report of Injury) Reports Acceptance Of Claims EDI transactions for SROI (Subsequent Report of Injury) reports are suspended by the North Carolina Industrial Commission. The Commission will continue to accept and process Claims EDI transactions for FROI (First Report of Injury) reports with the exception of the FROI 04 Denial.  In order to maintain Read More →

Critical EDI Process

Critical EDI Process Terms For EDI Operations With Veterans Health Administration (VHA) Critical EDI process terms will be useful for medical providers that are on the stage of establishing EDI partnership with VHA. 835 Health Care Claim Payment/Advice – The HIPAA adopted standard for electronic remittance advice to report the processing of all claim types (including retail Read More →

Veterans Health Administration EDI

Veterans Health Administration EDI (HIPAA) Requirements Veterans Health Administration EDI Billing provides the VHA with the capability to submit Institutional and Professional claims electronically as 837 Health Care Claim transmissions, rather than printing and mailing claims from each facility. In 1996, Congress passed into law the Health Insurance Portability and Accountability Act (HIPAA). This Act directs the Read More →

Medical billing

Medical EDI Vendors Guidelines Medical EDI Vendors are subjected to successful completion of required testing before live data transmissions begin. Any vendor that does not successfully complete the required testing will not be permitted to submit EDI transactions on behalf of clients. Vendors that successfully complete the required testing will not be required to complete Read More →

EDI billing

Electronic Funds Transfer (EFT) Guidelines (We Energies) Electronic Funds Transfer (EFT) provides quick and convenient electronic payments using the Automated Clearing House (ACH) network. Electronic payment gives you control over payment timing and eliminates check printing, mailing and filing costs. Option details One-time ACH DebitAuthorize We Energies to make a one-time ACH debit from your bank account. Read More →

810 Invoice

810 Invoice Specific Notes (We Energies Implementation Guides) 810 Invoice transaction set is used to represent a single invoice for a single account. One account may contain multiple meters. EDI-820/Electronic Funds Transfer (EFT) is the preferred method of payment for EDI Billing. 997 – Functional Acknowledgment A “Functional Acknowledgment” (also referred to as a 997 transaction), is a Read More →

Electronic Data Interchange

Electronic Data Interchange (EDI) Billing Requirements For We Energies Partners Electronic data interchange allows customers with an EDI infrastructure to exchange billing data between organizations and offers benefits to larger companies: Quickly process billing information and conduct analysis Reduce data entry costs and expedite payment approval Access bill information in your system in the format you Read More →

Retrieving An EDI File

Retrieving An EDI File From UHA If sender (UHA Trading Partner) provided UHA with an email address, it will receive email notification that files are available for pickup. Each Transmitter will be issued a username and password after a properly completed and signed request form is received and approved by UHA. Use the assigned username and password to login Read More →

Sending an EDI File

Sending an EDI File to UHA (Transmitting Guides) When sending an EDI File to UHA each Transmitter will be issued a username and password after a properly completed and signed request form is received and approved by UHA. Use the assigned username and password to login to UHA’s Secure File Server, by following the steps Read More →