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Under HIPAA, HIPAA-covered health plans are now required to use standardized HIPAA electronic transactions. See, 42 USC § 1320d-2 and 45 CFR Part 162. Information about this can be found in the final rule for HIPAA electronic transaction standards (74 Fed. Reg. 3296, published in the Federal Register on January 16, 2009), and on the CMS website.
EHNAC grew out of the 1993 Workgroup for Electronic Data Interchange (WEDI) meeting, sponsored by the Network Architecture and Accreditation Technical Advisory Group. The healthcare transactions industry agreed there was a need for a self-governing body to develop standards for the industry, and the Association for Electronic Health Care Transactions (AFEHCT) championed the cause by sponsoring ...
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.
The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance ...
The standard defines documents for electronic transmission of medical prescriptions in the United States. The NCPDP Telecommunications standard includes transactions for eligibility verification, claim and service billing, predetermination of benefits, prior authorization, and information reporting, and is used primarily in the United States.
Unlike informatics, health information technology means using technology to support every aspect of patient care, including patient health data, facility transactions and other print or digital ...
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