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  2. ANSI 834 Enrollment Implementation Format - Wikipedia

    en.wikipedia.org/wiki/ANSI_834_Enrollment...

    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.

  3. Workgroup for Electronic Data Interchange - Wikipedia

    en.wikipedia.org/wiki/Workgroup_for_Electronic...

    In July 1992, WEDI published a report that outlined the steps necessary to make electronic data interchange (EDI) a routine business practice for the health care industry by 1996. The Workgroup envisioned the entire health care industry transacting business electronically, under a nationwide set of coding and format standards for all transactions.

  4. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...

  5. ASC X12 - Wikipedia

    en.wikipedia.org/wiki/ASC_X12

    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.

  6. Electronic remittance advice - Wikipedia

    en.wikipedia.org/wiki/Electronic_Remittance_Advice

    An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descriptions, which present at the ...

  7. Electronic data interchange - Wikipedia

    en.wikipedia.org/wiki/Electronic_data_interchange

    Electronic data interchange (EDI) is the concept of businesses electronically communicating information that was traditionally communicated on paper, such as purchase orders, advance ship notices, and invoices. Technical standards for EDI exist to facilitate parties transacting such instruments without having to make special arrangements.

  8. X12 Document List - Wikipedia

    en.wikipedia.org/wiki/X12_Document_List

    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

  9. Fast Healthcare Interoperability Resources - Wikipedia

    en.wikipedia.org/wiki/Fast_Healthcare...

    The Fast Healthcare Interoperability Resources (FHIR, / f aɪər /, like fire) standard is a set of rules and specifications for the secure exchange of electronic health care data. It is designed to be flexible and adaptable, so that it can be used in a wide range of settings and with different health care information systems.