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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. Compliance requirements - Wikipedia

   en.wikipedia.org/wiki/Compliance_requirements

   Failure to meet these requirements may result in either limitation of future funds or termination of assistance. Specific requirements for matching, level of effort, and earmarking are unique to each federal program, and are described in the laws, regulations, and contract or grant provisions that pertain to the program. [24]

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. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   Medical billing practices vary across states and healthcare settings, influenced by federal regulations, state laws, and payor-specific requirements. Despite these variations, the fundamental goal remains consistent: to streamline the financial transactions between physicians and payors, ensuring access to care and financial sustainability for ...

6. National Committee for Quality Assurance - Wikipedia

   en.wikipedia.org/wiki/National_Committee_for...

   The National Committee for Quality Assurance (NCQA) is an independent 501(c)(3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.

7. Health information exchange - Wikipedia

   en.wikipedia.org/wiki/Health_information_exchange

   Exchanges in the US must operate with patient consent to comply with not only the Health Insurance Portability and Accountability Act (HIPAA) and also variety of state and federal laws and regulations. This was clarified by the Office of Civil Rights in the January 2013 Final Omnibus Rule Update to HIPAA. [9]