HIPAA 5010 Guides Compliance At Cigna (Frequently Asked Questions – Continued) HIPAA 5010 Guides represented today in the blog refer to the transactions that are currently accepted and sent at Cigna in support of HIPAA 5010 compliance. Cigna is committed to helping physicians and hospitals successfully use HIPAA 5010 transactions releasing its HIPAA 5010 Guides FAQs. HIPAA 5010 Guides … Read More →
HIPAA 5010 Compliance At Cigna (Frequently Asked Questions) HIPAA 5010 transactions are currently accepted and sent at Cigna in support of HIPAA 5010 compliance. Cigna is committed to helping physicians and hospitals successfully use HIPAA 5010 transactions. When the transition to HIPAA 5010 transaction is complete, Cigna expects that health care professionals and customers will benefit from even quicker … Read More →
HIPAA 5010 Implementation Basis For Cigna Partners HIPAA 5010 implementation rules were published by the Department of Health and Human Services in January 2009. HIPAA 5010 implementation rules contain the requirements for the health care industry to upgrade electronic data interchange transactions to HIPAA version 5010. New HIPAA 5010 implementation rules apply across the health care industry to health plans, physicians, hospitals, … Read More →
EDI Acknowledgment – Emdeon Receiver Guidance This blog post represents EDI Acknowledgment Emdeon implementation guidance for supporting claim acknowledgment transactions in response to a received 837 5010 claim file. Emdeon strongly recommends that payers return EDI Acknowledgment, claim status, and ERA transaction responses. 837 5010 Claim EDI Acknowledgment file received from Emdeon Payer generated claim acknowledgement … Read More →
Affinity Health Plan 837 Claims: Electronic Claims Submission Find out the third part of Affinity Health Plan 837 Claims FAQs regarding to Affinity Health Plan Electronic Data Interchange program. Affinity Health Plan 837 Claims FAQs present additional information useful for all parties taking part in claims submission. Affinity Health Plan 837 Claims FAQs Why is … Read More →
EDI Claims Submission to Affinity Health Plan FAQs (Part 2) EDI Claims Submission and cooperation guidelines for Affinity Health Plan partners were described in the previous posts of our blog. The first portion of EDI Claims Submission Affinity Health Plan FAQs can be found in the previous post. Today we continue to give more info … Read More →
Affinity Health Plan EDI Reports via Emdeon Clearinghouse Affinity Health Plan EDI reports are available to Affinity Health Plan EDI partners from Emdeon to reconcile the claim submissions, and identify rejected claims for correction and re-submission. The basic types of Affinity Health Plan EDI reports sent via Emdeon Clearinghouse are given below. Affinity Health Plan EDI … Read More →
San Francisco Health Plan 270, 271 EDI Transactions Examples San Francisco Health Plan 270, 271 EDI transactions are used in tandem: the 270 transaction is used to inquire about the eligibility benefit status of a subscriber, and the 271 transaction is returned in response to that inquiry. San Francisco Health Plan returns detailed eligibility, co-payment, … Read More →
San Francisco Health Plan EDI 276 and 277 Documents (Claim Status Request and Response) San Francisco Health Plan EDI 276 and 277 transactions are used in tandem: the 276 transaction is used to inquire about the current status of a specified claim or claims, and the 277 transaction in a response to that inquiry. San Francisco … Read More →
San Francisco Health Plan EDI Requirements: 270/271 Transactions Payer Specific Rules and Limitations San Francisco Health Plan EDI Requirements described below regard to all parties taking part in EDI process with San Francisco Health Plan. San Francisco Health Plan uses real time processing for its EDI transactions to provide immediate responses to its submitters. San … Read More →