HealthSmart Claims EDI Clearinghouse services HealthSmart Claims solution for payors and those with self-administered health plans, offers complete Electronic Data Interchange (EDI) Clearinghouse services. HealthSmart Claims Information Systems offers significant operating efficiencies to the healthcare industry through a range of solutions that streamline electronic claims processing. HealthSmart Claims services facilitate “clean claims,” resulting in reduced … Read More →
HealthSmart EDI provider and vendor solutions HealthSmart EDI program offers a Full Service Healthcare EDI Clearinghouse. It is open to all providers in the healthcare community. The goal at HealthSmart is to give network providers the highest level of customer service possible. HealthSmart is engineered with the latest technology and is committed to meeting all HIPAA requirements … Read More →
EDI 5010 Version Changes EDI 5010 recent updates can influence correspondence in healthcare claims exchange and flow between partners. It is recommended that both parties take part in EDI 5010 updates testing procedures in order to prevent delays or issues in processing your claims cycle. EDI 4010 to EDI 5010 basis The centers for Medicare and … Read More →
277CA transaction example and description The purpose of the 277CA (Claims Acknowledgement) transaction is to provide a claim level acknowledgement of all claims received in the pre-processing system before submitting claims into a payer’s adjudication system. It is believed that most payers are using the 277CA as their standardized reporting mechanism for 5010. The 277CA … Read More →