Features of EDI

Unique Features of EDI In Healthcare As we know, there are various standards that regulate EDI communication, and Healthcare stands different from standards for supply chain or retail.  EDI standards define specific data and document formats for different transactions. In healthcare, there are nine primary EDI transaction sets: Eligibility benefit inquiry and response (270 and 271): Is sent by providers to Read More →

EDI Communication

EDI Communication In Health Care Industry Electronic data interchange (EDI) is a business-to-business, computer-to-computer exchange of transaction information, such as Health Care Claims, Payments, and Benefit Enrollment transactions. Each of these transaction types has a specifically defined, computer-readable format assigned to it. This is referred to as a transaction set, and more than 300 such sets currently exist. Read More →

Medicare Electronic Data Interchange

How to Enroll in Medicare Electronic Data Interchange Guidance for CMS standard Electronic Data Interchange (EDI) enrollment form to be completed prior to submitting Electronic Media Claims (EMCs) or other EDI transactions to Medicare. The Centers for Medicare & Medicaid Services (CMS) standard Electronic Data Interchange (EDI) enrollment form must be completed prior to submitting Read More →

HIPAA Training

HIPAA Training Types: Training Requirements for Employers and Students Typically, the HIPAA training applies to employers that are HIPAA Covered Entities or Business Associates. Qualifying employers must provide HIPAA training to all employees regardless of their role within the organization as per the Administrative Safeguards of the HIPAA Security Rule. If an employer is engaged in Read More →