EDI training

Improve efficiency by replacing manual and time-consuming processes Electronic Data Interchange (EDI) can help businesses save costs and improve efficiency by replacing manual and time-consuming processes that require human intervention and materials such as paper documents, meetings and faxes. Expenditure on forms, postage, storage and administrative overhead can be reduced or even eliminated by simply cutting the use of paper. This move of replacing paper-based processes with Read More →

Cutting costs

Cutting costs and paper with electronic transactions in the supply chain In today’s challenging and competitive economy, many companies struggle to survive and grow using paper-based and manual processes such as phones, faxes, emails and post to do business. These methods affect the efficiency of the business, not to mention the challenges they pose for record keeping and reconciliation. Supply chains also rely on a large number Read More →

barcoding

Barcoding Benefits (Do It Best. Corp) Manufacturers and wholesale operations can also benefit from barcoding. The barcoding of shipping containers (SCC or Shipping Container Code) is gaining popularity in the Hardlines industry. Suppliers are finding ways to expedite receiving and other distribution functions through the use of scanning. Shipping containers may be barcoded so that Read More →

EDI online education

EDI Academy – We train you to build the future Education today has become more convenient and flexible than it was a decade ago. Yes, we still value profound institutions, academic education and eloquent paper diplomas. But in the era of high-tech, artificial intellect and fulminant business growth people do not own too much time Read More →

Medical EDI

Medical EDI Implementation Guide (Electronic Medical Report Submission) Medical EDI is the electronic submission of medical bills by all healthcare providers. The Medical EDI Team assists electronic medical submitters with the management of electronic medical filings. To allow comparison benchmarking among the insurance industry, the team generates monthly report cards that denote the primary reasons for Read More →

EDI Live Webinars

EDI FUNDAMENTALS AND BEST PRACTICES – DESIGNED FOR ALL INDUSTRIES EDI Academy provides EDI Fundamentals and Best Practices training for all industries including supply chain, retail, manufacturing, finance, and many more. All the webinars are live, instructor-led, and are conducted on a monthly basis. These webinars cover both an overview of EDI, an in-depth understanding Read More →

HIPAA Compliant 837 Claim

HIPAA Compliant 837 Claim Audit (SummaCare) When the HIPAA Compliant 837 claims file is submitted it is checked for ASC X12 syntax and HIPAA compliance errors. When the compliance check is complete, a 997 Acknowledgement will be sent to the trading partner informing them if the file has been accepted or rejected. If multiple transaction sets (ST-SE) are Read More →

837 Institutional Health Care Claim

837 Institutional Health Care Claim Mapping Guidelines (SummaCare) After the claim transmissions have passed Implementation Guide compliance checks for acceptance into the SummaCare system, business edits, specific to SummaCare, are then applied to the incoming HIPAA compliant claims. The business edits include security validation and the verification of proprietary business requirements. Guidelines are used in conjunction with the ASC X12N Read More →

Facilities in a Health System

Facilities in a Health System: SummaCare Explained If you are a facility in a Health System and your checks are issued to the Parent Company, you should use the NPI number specifically assigned to your facility. If you use another facility’s NPI number under the Parent Company, it will result in the check being issued correctly to the Read More →

EDI Claims Processing

EDI Claims Processing Guidelines (SummaCare) Any claim submitted that contains more than 85 service lines will be split into two claims by SummaCare for payment. When submitting an 837 transaction for members after billing their other insurance sources, the other payer’s adjudication details that were provided on the 835 Remittance transaction must be supplied to SummaCare. The Read More →