EDI Technical Guides

EDI Technical Guides – Provider Basic Information EDI Technical Guides given in the blog refer to BUCKEYE COMMUNITY HEALTH PLAN partners in electronic transactions exchange. The following list includes basic technical information for each transaction: Lower case characters on inbound transactions are converted to uppercase on outbound transactions The following delimiters are used for all outbound transactions: Read More →

Electronic Transactions

Electronic Transactions As Part Of Buckeye Health Plan Partnership Program Electronic Transactions are used by Buckeye Health Plan to provide its participating providers with the best tools possible to support their administrative needs. Buckeye Health Plan electronic transactions capabilities will speed up the processing and payment of the health care claims. Electronic Transactions (EDI) support for HIPAA transactions is Read More →

837 Health Care Claim

837 Health Care Claim – Detailed Invoice From Your Health Care Provider 837 Health Care Claim is a detailed invoice that your health care provider (e.g. your doctor, clinic, or hospital) sends to the health insurer. This invoice shows exactly what services you received. How 837 Health Care Claim works? Here is the procedure of the 837 Read More →

EDI education

EDI Education: Your investment in raising-up your business EDI education is not as widely available as it should be. Most companies that implement EDI use staff who are self-taught, or who attend their software vendor’s training sessions. This may seem sufficient for day-to-day EDI operations but in truth it is not adequate. Personnel that have no EDI education may not Read More →

EDI Health Care Insurance

Ohana Health Plan EDI Claims Submission Guidelines Ohana Health Plan EDI Claims are sent electronically via EDI. Ohana Health Plan EDI Claims Submission is less costly than billing with paper and, in most instances, the Plan can process your electronic claim in half the time of a paper claim. For EDI submissions, providers should follow the HIPAA transaction Read More →

Passport Health Plan EDI Guidelines And Recommendations Passport Health Plan EDI Program stimulates providers to submit claims electronically using Electronic Data Interchange instruments. Passport Health Plan EDI claims submitting allows faster, more efficient, and cost-effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the health care industry’s efforts to reduce administrative costs. Read More →

Без названия

EDI Contracting Between Electronic Vendors and Passport Health Plan EDI Contracting is possible for providers interested in submitting claims electronically to the Plan. Providers can contact the EDI Technical Support Group to obtain names of other EDI clearinghouses and vendors for succesful EDI Contracting. After the registration process is completed and you have received all of your Read More →

Passport Health Plan EDI

Passport Health Plan EDI Requirements for Medical and Hospital Claims Passport Health Plan EDI Program encourages all providers to submit claims electronically. Passport Health Plan EDI Program allows faster, more efficient, and cost-effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the health care industry’s efforts to reduce administrative costs. Read More →

EDI Claims

EDI Claims LifeWise Requirements And Guides EDI Claims for LifeWise are accepted in electronic form either by direct submission or from selected clearinghouses. Sending EDI Claims offers advantages: Less time spent on claims preparation Cost savings through prevention of loss and potential delay Detailed claim acceptance and rejection reporting Faster claims processing and response times A Read More →