EDI 837 Claims Processing Benefits

Blog / EDI 837 Claims Processing Benefits
HIPAA (Healthcare Insurance Portability and Accountability Act) EDI claims processing standardizes electronic medical transactions for healthcare providers, payers and clearinghouses all while protecting patient medical information. On March 31, 2012 HIPAA EDI claims processing standard was implemented.
The most typical medical transaction is the EDI 837 Healthcare Claim Transaction.  The EDI 837 claim is the transmission of healthcare data, such as the following, to insurance payers, clearinghouses, etc.
  • Information on the medical practitioner.
  • Information on the patient's health, including past illnesses or current conditions.
  • Strategy for patient insurance.
  • Services rendered, appropriate diagnostic and procedure codes.

EDI 837 Healthcare Claims Transaction Advantages

  • Increases the accuracy of information shared
  • Catches mistakes and stops processing delays, allowing for prompt filing
  • Improves information for all parties involved, including the patient, healthcare practitioner, insurance payers, and clearinghouses
  • Processes claims in a precise, safe, and dependable manner.

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