HIPAA EDI Standard

HIPAA EDI Standard History EDI is the process of using nationally established standards to exchange electronic information between business entities. These national standards are developed and maintained by a group of standards development organizations (SDOs), such as the Accredited Standards Committee (ASC) X12 and the National Council of Prescription Drug Programs (NCPDP). The Department of Health Read More →

EDI for revenue cycle

Optimizing the revenue cycle in healthcare with electronic data interchange (EDI) EDI In the Healthcare Revenue Cycle means streamlining processes to improve efficiency, accuracy, and speed of transactions. Let’s look at the steps which will help to optimize the revenue cycle using EDI. Automate Data Entry: Implement EDI systems to automate data entry for claims, payments, and other Read More →

835 and 837 HIPAA

835 and 837 Files Frequently Asked Questions The 835 and 837 transactions form the backbone of electronic data interchange in healthcare finance, facilitating seamless communication and transaction processing between payers and providers. Let’s take a look at the Frequently Asked Questions about 835 and 837 HIPAA transactions. What is the main issue with healthcare claims and remittance? Read More →

EDI 835 And 837

HIPAA EDI 835 And 837: The difference between two healthcare transactions An 835 transaction, also known as Electronic Remittance Advice (ERA), is used by healthcare payers to provide detailed information about payments, adjustments, and denials to healthcare providers. An 837 transaction, also known as Healthcare Claim, is used by healthcare providers to submit claims for reimbursement to Read More →