HIPAA EDI Online Webinars And Courses Description

HIPAA EDI Online Webinars are suitable for novice and experienced specialists involved in Health Care and connected services. Training goes in a format of online instructor-led webinar. Attendees have the possibility to work on real-world examples and to ask the instructor EDI-related questions. Below, we give the description of the HIPAA EDI courses offered.

If you are interested in EDI training offered below, please, send us an inquiry e-mail or visit our course schedule page for registration.

HIPAA EDI 101 – Introduction To The Health Care

  • Health Care EDI Defined, Benefits of Health Care EDI
  • X12 Standards, X12N Workgroups
  • WEDI – Workgroup for Electronic Data Interchange
  • Software & Infrastructure for EDI
  • EDI Connectivity

HIPAA EDI 110 – EDI Enveloping & TR3 Viewing

  • EDI Enveloping ISA-GS-ST-SE
  • Key terms related to the structure of EDI
  • TR3 manual
  • EDI Implementation Guides and Mapping Specs
  • Health Industry Related Code Sets – Clinical and Non-Clinical

HIPAA EDI 201 – Deciphering HIPAA EDI Transactions – Enrollment & Eligibility 

  • Deciphering 834 Benefit Enrollment 005010X220A1
  • 834 Update File, 834 Audit File, 834 Exchange Enrollment 005010X307
  • 820 Premium Payment 005010X218
  • Deciphering 270-271 Eligibility Enquiry and Response & 271005010X279A1
  • 270 Eligibility Inquiry, 271 Response To Eligibility Inquiry
  • 278 Prior Authorizations and Referral Authorizations
  • CAQH Requirements – Real Time & Batch

HIPAA EDI 210 – Deciphering EDI Transactions 837 Claims & Acknowledgements

  • 837 Professional Claim 005010X222A1, 837 Institutional Claim 005010X223A2, 837 Dental Claim 005010X223A2
  • TA1 Acknowledgment
  • 999 Acknowledgement 005010X231
  • 277CA Claim Acknowledgment 005010X214
  • Medicare MAO Acknowledgments
  • 276-277 Claim Status Inquiry & Response 005010X212

HIPAA EDI 215 – Deciphering EDI Transactions 835 Health Care Claim Payment/Advice

  • Deciphering 835 005010X221A1
  • Claim Adjustment Group Codes, Claim Adjustment Reason Codes
  • Line Level Balancing, Claim Level Balancing, Transaction Level Balancing, Provider Level Adjustments
  • 835 Best Practices

HIPAA 401: Advanced 837 Coordination of Benefits & 277/RFAI & 837 Outbound To CMS and Other Entities

  • Deciphering 837 005010X221A1
  • 837 mapping exercise scenarios (Professional, Institutional and Dental)
  • Coordination of Benefits (COB) and outbound MRA (Medicare Risk Adjustment) claims.

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