EDI Considerations: Breaking Myths Regarding EDI Implementation EDI considerations often include those that make many people be confused about EDI implementation. In our blog we are trying to give you as much information about EDI as possible. After reading our posts many EDI considerations become clear to people who are going to work with EDI. Read More →

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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 →

Clean Claims

Clean Claims EDI Processing and Other Health Coverage Cases Clean Claims will be processed by San Francisco Health Plan as submitted in a timely manner for medically necessary and covered services by a participating provider group in accordance with the agreement between SFHP and the provider group for the applicable benefit program. Clean Claims are Read More →

San Francisco Health Plan EDI Claims: Common Requirements San Francisco Health Plan EDI Claims are processed for the following medical groups: San Francisco Community Clinic Consortium, San Francisco Health Network (previously known as the Community Health Network) and UCSF Medical Group. Any delegated medical group must submit encounter EDI data to San Francisco Health Plan Read More →

Transportation EDI Solutions: Key Benefits and Advantages Transportation EDI solutions were applicable in global business for years. Though in early years electronic processing was not known as EDI, today this approach has strong history and continues to develop quickly. Electronic data interchange was already used in automotive and trucking industries many years ago, however, today Read More →

medical codes

Medical Codes Overview San Francisco Health Plan uses medical codes according to Medi-Cal billing guidelines in addition to Optum coding books application for claim activities. The following procedure medical codes must be used for a claim to be processed: Professional charges – HIPAA compliant HCPCS Level 1 (CPT) & level 2 Inpatient hospital/facility/institutional charges – Read More →

edi transportation codes

EDI Transportation Codes: Common Transactions In Transportation Industry EDI transportation codes are electronic documents (transactions) bearing particular data. EDI transportation codes are simply known as EDI transactions for transportation and logistics. EDI for transportation has already showed that it brings a big advantage of automated processing of high volumes of business documents that is time-consuming and Read More →

edi in transportation

EDI Transportation: History And Up-To-Date Position EDI transportation branch offers progressive and effective technology solutions for shippers including third-party logistics. The goal of this post is to give a piece of enormous EDI knowledge to all parties somehow involved in modern business. Today some of you may find useful information about EDI transportation solution that will be Read More →

Delhaze EDI Requirements

Warehousing EDI – Methods That Can Improve Your Business Warehousing EDI solutions today show more and more advantages for medium- and small-size businesses that can lead to success. Manufacturers as well as sellers, importers and logistic companies are more active in applying automation solutions for stocking and inventory for effective everyday processes. Business means large Read More →

Deringer EDI Questions and Answers for Partners Deringer EDI initiative was developed for reducing labor costs and replacing them with electronic means. Deringer EDI solution is aimed at improving efficiency and accuracy of business processes in logistics. EDI allows to receive your data, process it and send the appropriate acknowledgements and responses to you and/or Read More →