837 Healthcare Claim Encounter Scenarios An EDI 837 healthcare claim is essentially an electronic document, formatted according to a HIPAA standard, that healthcare providers use to submit billing information to insurance companies. There are different variations of the 837 format depending on the setting where the care was provided: Professional services: This is used for doctor’s … Read More →
Revolutionizing Healthcare EDI: The Power of AI and Machine Learning In an era driven by data, the healthcare industry is no exception to the transformative power of AI (Artificial Intelligence) and machine learning technologies. However, the traditional EDI systems have faced challenges related to data accuracy, predictive analytics, and fraud detection. Fortunately, Improving Data Accuracy Inaccurate … Read More →
HIPAA (Health Care EDI) Training Courses Schedule Whether you are new to EDI or have years of experience, EDI Academy has a webinar for everyone. Our attendees can join from their remote locations while still enjoying the advantages of instructor and classmate interactions. After completing all the webinars and mapping exercises, you can become a Certified EDI … Read More →
EDI 834 Enrollment Transaction The EDI 834 file format is used primarily in the healthcare industry for the electronic exchange of enrollment information between various parties involved in benefits administration. Here’s how it’s commonly used: Employers: Employers use the EDI 834 format to communicate employee enrollment information to insurance carriers or benefit administrators. This includes … Read More →