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Additionally, the cost of implementing EDI was added to achieve a more comprehensive picture of EDI's financial impact on the health care industry. WEDI's 1993 financial analyses concludes that combining the estimated implementation costs and the gross administrative savings potential, the cumulative net savings over the next six years (to the ...
It is an EDI standard based on EDIFACT created to automate and standardize data exchange between airlines and other parties. NCPDP Script, SCRIPT is a standard developed and maintained by the National Council for Prescription Drug Programs (NCPDP). The standard defines documents for electronic transmission of medical prescriptions in the United ...
The Accredited Standards Committee X12 (also known as ASC X12) is a standards organization.Chartered by the American National Standards Institute (ANSI) in 1979, [2] it develops and maintains the X12 Electronic data interchange (EDI) and Context Inspired Component Architecture (CICA) standards along with XML schemas which drive business processes globally.
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.
EDI Health Care Service Review Information (278) is a transaction set that can be used to transmit health care service information, such as subscriber, patient, demographic, diagnosis or treatment data for the purpose of the request for review, certification, notification or reporting the outcome of a health care services review. EDI Functional ...
Healthcare Provider Information 275 Patient Information 276 Health Care Claim Status Request 277 Health Care Information Status Notification 278 Health Care Services Review Information 362 Cargo Insurance Advice of Shipment 500 Medical Event Reporting 834 Benefit Enrollment and Maintenance 835 Health Care Claim Payment/Advice 837 Health Care Claim
The standards allow for easier 'interoperability' of healthcare data as it is shared and processed uniformly and consistently by the different systems. This allows clinical and non-clinical data to be shared more easily, theoretically improving patient care and health system performance. [1]