HIPAA Compliance At Emdeon: Overview of HIPAA Legislation HIPAA Compliance (The Health Insurance Portability and Accountability Act) of 1996 carries provisions for administrative simplification. HIPAA Compliance requires the Secretary of the Department of Health and Human Services (HHS) to adopt standards to support the electronic exchange of administrative and financial health care transactions primarily between … Read More →
CMS EDI Enforcement Notes and Guidelines for Emdeon Partners CMS EDI Enforcement guidelines described below refer to payers who continue to operate under contingency plans under the Centers for Medicare and Medicaid Services (CMS). Such payers may accept CMS EDI claims transactions in a HIPAA format but may not be prepared to accept or use … Read More →
EDI Acknowledgment – Emdeon Receiver Guidance This blog post represents EDI Acknowledgment Emdeon implementation guidance for supporting claim acknowledgment transactions in response to a received 837 5010 claim file. Emdeon strongly recommends that payers return EDI Acknowledgment, claim status, and ERA transaction responses. 837 5010 Claim EDI Acknowledgment file received from Emdeon Payer generated claim acknowledgement … Read More →
EDI Control Segments (Envelopes) – Emdeon 837 Claims Notes EDI Control Segments (Envelopes) notes are given in today’s post to provide the information necessary to facilitate electronic interchange of healthcare transactions with Emdeon. Emdeon partners with hundreds of practice management system vendors to bring the connectivity to the network. EDI Control Segments (Envelopes) Necessary Points … Read More →