EDI Training Chicago – EDI Fundamentals and Best Practices and HIPAA EDI Advanced Course EDI Training Chicago is a good possibility to widen your EDI knowledge and become an EDI professional in the field of HIPAA and healthcare EDI. Today many EDI specialists are self-taught or just get information about electronic data interchange from vendor sources (guidelines). This Read More →

HIPAA EDI Privacy – part of the Anthem’s HIPAA regulations HIPAA EDI Privacy  addresses protecting the privacy of protected health information (PHI). As part of the HIPAA regulations, the government has established some controls. They will limit how, when and where protected health information is shared. Medical information, as well as emographic information, is “Protected Health Information” (PHI). Anthem Read More →

Health industry EDI non-medical related code sets as an integral part of electronic transactions Health industry EDI code sets include any set of codes used for encoding data elements. Examples: tables of terms, medical concepts, medical diagnosis, or medical procedure codes. They are used in Health industry EDI to describe various health care services, procedures, tests, Read More →

HIPAA Compliance – the right way to standardization in a health care industry HIPAA Compliance at Anthem started in January 2000. In that year Anthem created the HIPAA Program Office. It was done to oversee all of Anthem’s HIPAA compliance activities. Since then, multiple HIPAA rules have been passed, including rules related to standard transactions and Read More →

Anthem HIPAA  as a permanent component of Anthem’s health care strategy Anthem HIPAA  strategy is developed to deliver excellent service. The commitment includes compliance with and support of the HIPAA mandates. Anthem is committed to standardization and the minimization of “administrative hassles”. This is done for Anthem members, physicians and other health care professionals. Also Anthem HIPAA is Read More →

HIPAA EDI 837 Transaction Terminology HIPAA EDI 837 Transaction  is a key component in electronic health care documents transmission. This process improves efficiency in health care by establishing and constantly improving national standards for clearing houses, providers and health insurance plans. HIPAA EDI 837 Transaction  is one of the most used EDI transactions. If you somehow deal with EDI in health care Read More →

Envelope Structure of 837 Health Care Claim EDI Transaction 837 Health Care Claim transaction example below will be used to explain EDI enveloping. This particular EDI file contains two 837 claims transmitted on 01/01/2012. 837 Health Care Claim Envelope ISA*00* *00* *12*8586755250 *01*807685339 *120101*0742*^*00501*000001899*0*P*: GS*HC*8586755250*807685339*20120101*0742*685*X*005010X222A1 ST*837*3701*005010X222A1 BHT*0019*00*004545*20120101*135420*CH NM1*41*2*AGILE BILLING SOLUTIONS*****46*1981 PER*IC*ANN GILLIS*TE*8185601000 NM1*40*2*ANTHEM BLUE CROSS*****46*47198 HL*1**20*1 PRV*BI*PXC*207Q00000X Read More →

UnitedHealthcare EDI requirements for Claim Status Inquiry & Response Transactions UnitedHealthcare EDI 276 transaction (Health Care Claim Status Inquiry) is used to inquire about the status of a claim after it has been sent to a payer. UnitedHealthcare EDI 277 transaction (Health Care Claim Status Response) is used to respond to a request inquiry about the status of Read More →