San Francisco Health Plan Claims Billing: Inpatient Services, Facility Outpatient, Medical Supply, Duplicate Billings San Francisco Health Plan Claims Billing Notes described below regard to some points not mentioned in the previous posts devoted to EDI requirements. Inpatient Services, Facility Outpatient, Medical Supply, Duplicate Billings notes are presented in general. Inpatient Services San Francisco Health 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 →

San Francisco Health Plan HIPAA Compliance General Overview San Francisco Health Plan HIPAA Compliance is viewed as a part of Health Insurance Portability and Accountability Act compliance program for all parties involved in electronic data interchange process in health care industry. Under the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Read More →

San Francisco Health Plan EDI Eligibility and Benefits Request and Response (270/271) General Guides San Francisco Health Plan EDI 270/271 transactions are given in this post as a general overview on these EDI transactions. San Francisco Health Plan EDI 270/271 transactions are used in tandem: the 270 transaction is used to inquire about the eligibility benefit Read More →