Mapping Guides

Mapping Guides – ISA Segment Mapping Guides given below in the blog regard to ISA segment of the BUCKEYE COMMUNITY HEALTH PLAN 837P claim. Data files are transmitted in an electronic envelope. The communication envelope consists of an interchange envelope and functional groups. The interchange control structure is used for inbound and outbound files. An inbound interchange Read More →

EDI Files Submission

Claim Billing Information For BUCKEYE COMMUNITY HEALTH PLAN Partnering Parties Claim Billing information for BUCKEYE COMMUNITY HEALTH PLAN health care claims goes under HIPAA requirements. HIPAA specifies the electronic standards that must be followed when certain health care information is exchanged. These standards are published in National Electronic Data Interchange Transaction Set Implementation Guides. They are Read More →

837P Inbound Claim

837P Inbound Claim Guidelines For Providers And Clients 837P Inbound Claim notes by BUCKEYE COMMUNITY HEALTH PLAN serve as technical companion guides to assist application developers during the implementation process. The given information about 837P Inbound Claim is only intended to supplement the adopted IG’s and provide guidance and clarification as it applies to BUCKEYE COMMUNITY HEALTH PLAN. Read More →

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 →