Claims Processing Procedures

Claims Processing Procedures: UB-04 Security Health Plan Claims processing (UB-04 claim) completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers. The data elements are listed as fields on the claim form. Security Health Plan claims processing systems require that a complaint red form be used. If the Read More →

EDI Documents Transmission

EDI Documents Transmission Standards and Guidelines For Security Health Plan Partners EDI Documents Transmission guidelines state that Security Health Plan and the affiliated provider may electronically transmit to or receive from each other any of the standard transactions (collectively “documents”). All EDI Documents Transmission shall be processed in accordance with HIPAA standards and EDI Documents Transmission implementation Read More →

EDI Partnership

EDI Partnership for electronic data interchange (Security Health Plan) EDI Partnership supposes that Security Health Plan is unable to accept electronic transmissions of claims or other transactions set forth in the HIPAA Transactions/Code Sets regulations other than in the standardized format required by those regulations. If the affiliated provider transmits the transactions electronically to Security Health Plan using EDI Partnership, Read More →

EDI Trading Partnership

EDI Trading Partnership for electronic data interchange (Security Health Plan) EDI Trading Partnership supposes that Security Health Plan is unable to accept electronic transmissions of claims or other transactions set forth in the HIPAA Transactions/Code Sets regulations other than in the standardized format required by those regulations. If the affiliated provider transmits the transactions electronically to Security Read More →

Claims Submission

Claims Submission Test File Procedure (Security Health Plan) Claims Submission testing can be started once the username and password are assigned. Claims Submission test file may include any number of claims. Generally, trying to parallel a production run will yield the best test results. During the Claims Submission testing process, Security Health Plan will examine Read More →

Carton Packing

Carton Packing and Size Requirements Carton Packing and Size Requirements are given in the post below for Burlington Coat Factory vendors. Carton Packing: each carton contains merchandise for only one purchase order (9 digit PO). Coordinated tops and bottoms being sold separately must be packed in separate cartons. The tops and bottoms will be identified Read More →

Domestic Shipping EDI

Domestic Shipping EDI Basis For Burlington Coat Factory Vendors Domestic Shipping EDI requirements are mandatory when shipping to any Burlington Stores Location. Domestic Shipping EDI states that ASN must be sent a minimum of 24 hours prior scheduled appointment (excluding weekends). Two copies of a properly executed Bill of Lading (BOL) must be included per shipment. The Read More →

ICD-10 Transition

ICD-10 Transition Basic Requirements For Providers ICD-10 Transition will change how everyone in health care will do business. Many large multi-specialty practices to small provider offices, laboratories, medical testing centers, hospitals and more HIPAA entities will need to devote staff time and financial resources for ICD-10 Transition activities which include: Identifying how ICD-10 Transition will Read More →

EDI ICD-10 Systems Set Up Notes And Guidelines EDI ICD-10 systems set up is important as ICD-10 involves new coding rules, so many health care entities are reviewing payment and benefit policies. The transition from ICD-9 to ICD-10 will change how everyone in health care will do business. Trading partners are exchanging information about their readiness plans and Read More →

Burlington EDI Invoicing

Burlington EDI Invoicing Basic Requirements For Vendors Burlington EDI Invoicing procedure sets imperative rules that must be followed to ensure vendor invoices are paid in a timely manner: All Burlington EDI invoices are required to be sent via EDI. Burlington Stores will not pay any freight cost that is added to a merchandise invoice. Burlington EDI Vendors must Read More →