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An 834 file contains a string of data elements, with each representing a fact, such as a subscriber’s name, hire date, etc. 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.
PDF/UA is not a separate file-format but simply a way to use the familiar PDF format invented by Adobe Systems and now standardized as ISO 32000. [5]In general PDF/UA requires Tagged PDF (ISO 32000-1, 14.8), but adds a variety of qualitative requirements, especially regarding semantic correctness of the tags employed: [6] [7]
The electronic billing data exchange format types provide a standard data format for electronically transmitted invoices, typically from a law firm to a corporate client. The LEDES e-billing format currently has the following variations: [1] LEDES 1998, the first "LEDES" format, created in 1998, but no longer in use. The format does not appear ...
Modifier: the appropriate use of a modifier allows these code pair to be reported together. In most cases, the -59 modifier is used, although there are other acceptable modifiers. These modifiers must be supported by documentation in the medical record. No Modifiers: these code pairs should never be reported together, regardless of modifiers.
An open file format is a file format for storing digital data, defined by a published specification usually maintained by a standards organization, and which can be used and implemented by anyone. For example, an open format can be implemented by both proprietary and free and open source software , using the typical software licenses used by each.
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Bank Services Billing (BSB) is an industry standard that governs the format of electronic bills send out by financial institutions to wholesale customers (e.g. corporations, governments, institutions). BSB is a statement to report on the corporate customers' usage of financial services and their related charges.