Healthcare EDI

Healthcare EDI and HIPAA Regulations EDI in Healthcare is a method/system which enables the exchange of business documents in a special electronic format. This system can be used by healthcare providers, hospitals, agents, insurance companies, and governmental agencies. The distinctive feature of EDI is that it eliminates manual processing and paper documents and makes operations Read More →

HIPAA Security

HIPAA Security Requirements For Medicare Trading Partners A/B MACs, DME MACs, CEDI, and other entities contracting directly with CMS are considered service providers to CMS. As such, these entities are part of CMS’ system security boundary and must be in compliance with the Federal Information Security Management Act (FISMA) and are subject to CMS security Read More →

HIPAA webinars

Electronic Data Interchange in Healthcare is a system Electronic Data Interchange (EDI) in healthcare is a system that enables the electronic exchange of business documents between healthcare providers, insurance companies, and government agencies. This process eliminates the need for manual, paper-based transactions, making it more efficient and cost-effective. EDI in healthcare typically uses standard formats, Read More →

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 →