EDI Contracting

HIPAA 5010 Guides Compliance At Cigna (Frequently Asked Questions – Continued) HIPAA 5010 Guides represented today in the blog refer to the transactions that are currently accepted and sent at Cigna in support of HIPAA 5010 compliance. Cigna is committed to helping physicians and hospitals successfully use HIPAA 5010 transactions releasing its HIPAA 5010 Guides FAQs. HIPAA 5010 Guides Read More →

Passport Health Plan EDI

HIPAA 5010 Compliance At Cigna (Frequently Asked Questions) HIPAA 5010 transactions are currently accepted and sent at Cigna in support of HIPAA 5010 compliance.  Cigna is committed to helping physicians and hospitals successfully use HIPAA 5010 transactions. When the transition to HIPAA 5010 transaction is complete, Cigna expects that health care professionals and customers will benefit from even quicker Read More →

HIPAA 5010 implementation

HIPAA 5010 Implementation Basis For Cigna Partners HIPAA 5010 implementation rules were published by the Department of Health and Human Services in January 2009. HIPAA 5010 implementation rules contain the requirements for the health care industry to upgrade electronic data interchange transactions to HIPAA version 5010. New HIPAA 5010 implementation rules apply across the health care industry to health plans, physicians, hospitals, Read More →

HIPAA Compliance

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

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)

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 →

EDI Acknowledgment Emdeon

EDI Acknowledgment – Emdeon Submitter Guidance EDI Acknowledgment Emdeon implementation guidance is given below in today’s post for supporting claim acknowledgment transactions in response to a submitted 837 5010 claim file. Emdeon strongly recommends that submitters accept EDI Acknowledgment transaction responses. 837 5010 EDI Acknowledgment File received from Submitters Emdeon generated EDI acknowledgment transactions in response Read More →

EDI communication protocols

EDI Communication Protocols and File Formats Accepted Emdeon allows connections using multiple EDI communication protocols. Each of the agreed EDI communication protocols is described below. Sterling Gentran® IBM® Sterling Gentran® is a third party product providing an EDI and data translation solution that supports multiple protocols. Emdeon supports connectivity with this product through one of Read More →