Healthcare Domain for BA EDI Transactions - Health Care Project.
EDI Transactions-1
837 EDI Claims
835 Remittance
Edits and Validations
Reports and Acknowledgements.
Healthcare Domain for BAs
Benefits of EDI includes.
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Healthcare Domain for BA EDI Transactions - Health Care Project
1. H2Kinfosys
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Healthcare Domain for BA EDI
Transactions
2. Healthcare Domain for BA EDI
Transactions
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3. EDI Transactions-1
1) 837 EDI Claims
2) 835 Remittance
3) Edits and Validations
4) Reports and Acknowledgements
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4. Healthcare Domain for BAs
3.1837 EDI Claim
Electronic Data Interchange (EDI) Is the computer – to
computer exchange of business data in standard formats.
In EDI, information is organized according to a specified
format set by both parties, allowing a “hands - off”
computer transaction that requires no human intervention
or rekeying on either end.
The EDI standards are developed and maintained by the
Accredited Standards Committee (ASC)X12. The standards
are designed to work across industry and company
boundaries. The x12 standards specify only the format and
data content of e-business transactions
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5. Benefits of EDI includes:
Reduce cycle time
Better inventory management
Increased productivity
Reduced costs
Improved accuracy
Improved business relationships
Enhanced customer service
Increased sales
Minimized paper use and storage
Increased cash flow
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6. EDI Message
An EDI Message (called transaction set) is composed
of related data segments – strings of data elements;
with each element separated by a delimiter. Each
data elements represents a business parameter, for
example a member ID , Group, Provider ID and
Procedure Code.
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