834 example – raw data and human readable presentation 834 example described in the post is a full file audit sent from a corporation to an insurance company. Although the TR3 Implementation Guides do not recommend sending the Full File Audit to perform changes, most insurance companies will accept them as changes if there is mismatch. For example, … Read More →
834 Healthcare EDI Transaction – Benefit Enrollment and Maintenance 834 Healthcare EDI Transaction (Benefit Enrollment and Maintenance) is used to provide enrollment information from sponsors to insurance companies. Sponsors are typically corporations or other institutions that provide health care benefits to their employees. The 834 Healthcare EDI can be used to provide initial enrollment and also … Read More →
EDI Training Chicago – EDI Fundamentals and Best Practices and HIPAA EDI Advanced Course EDI Training Chicago is a good possibility to widen your EDI knowledge and become an EDI professional in the field of HIPAA and healthcare EDI. Today many EDI specialists are self-taught or just get information about electronic data interchange from vendor sources (guidelines). This … Read More →
EDI Privacy Requirements impact on parties EDI privacy requirements should be analized regarding parties. The employer/plan sponsor is not a covered entity. Technically he does not have to directly comply with the Privacy Regulations. However, employers and plan sponsors will indirectly be impacted. The general health plan (GHP) or its insurer or business associate may not disclose … Read More →