Oxford Health Plans EDI Mission General Directives Oxford Health Plans EDI program is an advanced form of electronic business-to-business communication that instantly links your computer system with Oxford Health Plans, other health plans, and government payers. Patient information is transferred between health care professionals and payers in a standardized, secure, and efficient manner. With Oxford Health … Read More →
HIPAA Compliant Modifiers And Multiple Visits for San Francisco Health Plan EDI Claims HIPAA Compliant Modifiers HIPAA Compliant Modifiers are the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance, but not changed in its definition or code. Although many procedure … Read More →
San Francisco Health Plan Claims Billing: Inpatient Services, Facility Outpatient, Medical Supply, Duplicate Billings San Francisco Health Plan Claims Billing Notes described below regard to some points not mentioned in the previous posts devoted to EDI requirements. Inpatient Services, Facility Outpatient, Medical Supply, Duplicate Billings notes are presented in general. Inpatient Services San Francisco Health … Read More →
San Francisco Health Plan EDI Claims: Common Requirements San Francisco Health Plan EDI Claims are processed for the following medical groups: San Francisco Community Clinic Consortium, San Francisco Health Network (previously known as the Community Health Network) and UCSF Medical Group. Any delegated medical group must submit encounter EDI data to San Francisco Health Plan … Read More →