Basic definition of Healthcare EDI and its environment Electronic data interchange (EDI) is a business-to-business, computer-to-computer exchange of transaction information. The examples are: Health Care Claims, Payments, and Benefit Enrollment transactions. Each of these transaction types in Healthcare EDI has a specifically defined, computer-readable format assigned to it. This is referred to as a transaction … Read More →
EDI Web/Desktop Access as one of the established methods of EDI outsourcing EDI Web/Desktop Access is another method of outsourcing electronic data interchange processes. Earlier in the blog we have already learned about EDI Service Bureau. Today we describe the benefits and features of another way to outsource EDI – EDI Web/Desktop Access. User-familiar software. The software that accesses … Read More →
EDI Claims Statusing On The HAP Midwest Health Plan Website EDI Claims Statusing is provided for all HAP Midwest Health Plan providers. EDI Claims Statusing can be tracked 24/7 on website at www.midwesthealthplan.com. Midwest Health Plan EDI Claims Statusing gives you the possibility to status up to three years of claims data. EDI Claims Statusing procedure Click on … Read More →
HAP Midwest Health Plan Billing And Reimbursment Requirements HAP Midwest Health Plan Billing and Reimbursment process will be discribed below in this blog. MDCH contracts with HAP Midwest Health Plan to administer the Medicaid HMO benefits to its enrolled members. Medicaid is considered as payment source of last resort. Some Medicaid members have dual insurance coverage. … Read More →