EDI Training Schedule 2019: San Diego Workshops And Webinars EDI Academy is proud to announce the EDI Training Schedule for the summer of 2019. Let us know if you are interested in registering for these classes (email info@ediacademy.com). All Industries – EDI Fundamentals & Best Practices – San Diego Workshops 2019: September 17-18 Health Care (HIPAA) EDI Fundamentals & Best Practices – San Diego Read More →

Alaska Medicaid HIPAA EDI Requirements And Transactions Guidelines Alaska Medicaid HIPAA EDI Companion Guide is authored by the health plan. The purpose of a companion guide is to supplement the Technical Reports Type 3 (TR3s) which are also known as the HIPAA EDI Implementation Guides. These TR3s can be purchased at the X12 Store. Companion guides are Read More →

CMS Final Rule to Protect Medicaid Provider Payments CMS Final Rule ensures Medicaid providers receive complete payments as required by law. The Centers for Medicare & Medicaid Services (CMS) released the Medicaid Provider Reassignment Regulation final rule removing a state’s ability to divert portions of Medicaid provider payments to third parties outside of the scope Read More →

Getting Started With Alabama Medicaid HIPAA EDI Transactions Seventy-Five Million Americans (23%) have Medicaid Insurance. Medicaid is a government insurance program for low-income and disabled individuals. Medicaid Agencies use Electronic Data interchange (EDI) technology for these transactions. Alabama is one of the Medicaid agencies using EDI. Alabama uses standard HIPAA EDI Transactions which are listed Read More →

Aetna SSI 270 271 Companion Guide Information Aetna SSI (Senior Supplemental Insurance) is a division of Aetna that providers medical insurance to seniors. The Eligibility Enquiry 270 and the 271-eligibility response are a key component of their business process. These transactions allow members to receive co-pay, deductible and other important information about their plan when Read More →

WPS EDI Express Enrollment Electronic Funds Transfer Guides WPS EDI Express Enrollment is a comprehensive and secure website for providers to enroll in Electronic Funds Transfers. The Multi Factor Authentication is an additional form of security to safe guard your information. User Checklist User Checklist Be prepared with the following information before proceeding with the Read More →

EDI Overview and Enrollment Procedures For Optima Health Providers EDI overview and requirements are to be used with the HIPAA-AS Implementation Guide. Each EDI vendor will have to sign a Trading Partner Agreement, which includes the Network Access Agreement and the Business Associate Agreement. EDI overview: Business Use Each transaction set will be used to expedite the execution of electronic Read More →

EmblemHealth Electronic Claims (EDI Transactions) Requirements EmblemHealth Electronic Claims help practitioners manage their practices more effectively. EmblemHealth supports HIPAA-compliant electronic data interchange transactions. Electronic claims submission provides an easier, faster way to submit claims. Some of the advantages of electronic claim submission includes: Quicker claims submission, which means faster reimbursement to you. No paper claims to Read More →