835 Electronic Remittance Advice

835 Electronic Remittance Advice: HIPAA EDI Companion Guides For Health Partner Plans Vendors 835 Electronic Remittance Advice notes explain the procedures and requirements necessary for Trading Partners of Health Partners Plans, Inc. to transmit the HIPAA standard transaction 835 Electronic Remittance Advice. 835 Electronic Remittance Advice General Notes An ANSI X12N 837 Health Care Claim is NOT required in Read More →

276/277 Health Care Claim Status Request

276/277 Health Care Claim Status Request and Response Companion Guides (Health Partners Plans) 276/277 Health Care Claim Status Request and Response transactions are included into Health Partners Plans EDI program. Electronic Data Interchange (EDI) customer service and technical assistance requests focus solely on the generation, processing, and/or transmission of a HIPAA standard transaction 276/277 Health Care Claim Read More →

HIPAA Standards

HIPAA Standards Basics: Privacy, Security, Transactions And Code Sets HIPAA Standards were set in 1996 when Congress passed the Health Insurance Portability and Accountability Act, otherwise known as HIPAA. HIPAA originally was conceived to improve fraud and abuse protections and provide protections for workers insured under group health plans when they leave their jobs and Read More →

EDI Health Partners: Basis Provider Requirements EDI Health Partners program requires all vendors use Electronic Data Interchange (EDI) – sending and receiving of information using computer technology. Any standard business document that one company would exchange with another; such as a purchase order, invoice, shipping schedule, inventory inquiry, and claim submission; can be exchanged via EDI between Read More →