ELIGIBILITY PROCESSING

ELIGIBILITY PROCESSING PROCEDURES (IEHP EDI Partner Connection) Eligibility processing procedures are a key concern of all Providers in the IEHP network. IEHP receives Medi-Cal eligibility information from DHCS via an 834 file on a monthly basis. DHCS provides daily electronic eligibility files to update the Member files during the course of each month. For IEHP’s DualChoice CalMediConnect Plan (Medicare – Read More →

IEHP EDI SFTP

IEHP EDI SFTP (SECURE FILE TRANSFER PROTOCOL) Connection IEHP EDI SFTP (the Secure File Transfer Protocol) server is utilized to conduct all electronic data file transactions with contracted providers related to Member eligibility, encounter data, bedday reporting, capitation reports and electronic claims submissions. Some of the benefits to using the SFTP are: SFTP is a standard protocol Read More →

EDI

EDI Test Purchase Orders (Using Test and Production Modes) – MedclickProclick Vendor Setup EDI Test Purchase Orders can be created and sent once you have EDI configured for your organization. Creating EDI Test Purchase Orders follows the same process as creating any other purchase order, with some additional recommendations about the purchase order number. On Figure below, Read More →

HIPAA X12 EDI Training

HIPAA X12 EDI Training (Live Instructor-Led Webinars) by EDI Academy HIPAA X12 EDI Training has been customized for individual students and for groups of three or more from the same company. Become a certified professional after finishing the EDI Academy HIPAA X12 EDI Training on the best conditions. The cost is $250 per session per person for Read More →

HIPAA X12 Online Trainings

EDI Academy invites you to join HIPAA X12 Online Trainings! * $250 per session per person. * 20% discount for all sessions (email info@ediacademy.com). * 20% discount for groups. * 100+ page course manual, other educational resources. HIPAA EDI 101 – Introduction To The Health Care EDI Environment Wednesday, August 15th, 2018 11:00 AM – Read More →

HIPAA X12 Online Webinars

HIPAA X12 Online Webinars Schedule For November 2018 HIPAA X12 Online Webinars were customized for staff involved in HIPAA, working with Medicare transaction and cooperating with HIPAA covered entities. EDI Academy invites you to join our live instructor-led webinars! The full information can be found on https://ediacademy.com. $250 per session per person. 20% discount for Read More →

Health Care Claim 837 (Gold Coast Health Plan) Guideline Health Care Claim 837 notes and guidelines promote efficient, accurate Gold Coast Health Plan electronic transaction processing. Each user is assigned a 6-digit EDI Direct Trading Partner ID. Logon User Name is 8 characters. Logon User ID (password) is 9 characters. All dates are in the CCYYMMDD format. Read More →

EDI Trading Partner

Xerox EDI Trading Partner Testing Procedures Xerox EDI Trading Partner testing requires trading partners to engage in two phases of testing for each payer/transaction type. Find below Xerox EDI Trading Partner testing steps. Go to the Xerox EDI Direct website to download the applicable Companion Guides which details Payer Business Edits and requirements. Each Trading Read More →