telugodu Posted February 20, 2011 Report Posted February 20, 2011 Hello friends,Can any of you tell me about HIPAA and transaction 837. Thanks in advance.
keko__keka Posted February 20, 2011 Report Posted February 20, 2011 hipaa is governing and body of medical field ...health care....health insurnace...pharma . realated F@!n F@!nno idea abt transaction 837 sHa_high5ing
mastikaraja Posted February 20, 2011 Report Posted February 20, 2011 837 EDI transaction is related to claim submission and generation.used to submit health care claim billing information, encounter information, or both, except for retail pharmacy claims (see EDI Retail Pharmacy Claim Transaction). It can be sent from providers of health care services to payers, either directly or via intermediary billers and claims clearinghouses. It can also be used to transmit health care claims and billing payment information between payers with different payment responsibilities where coordination of benefits is required or between payers and regulatory agencies to monitor the rendering, billing, and/or payment of health care services within a specific health care/insurance industry segment.For example, a state mental health agency may mandate all healthcare claims, Providers and health plans who trade professional (medical) health care claims electronically must use the 837 Health Care Claim: Professional standard to send in claims. As there are many different business applications for the Health Care claim, there can be slight derivations to cover off claims involving unique claims such as for Institutions, Professionals, Chiropractors, and Dentists etc
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