Medical billing - Health care EDI


     Defined Short for Electronic Data Interchange, “ EDI ” is the transfer of data between companies by use of a computer network. Electronic data transfers are called “ transactions. ” Different transactions have unique functions in transferring health care data. These will be described in this chapter.

The American National Standards Institute (ANSI) X12N committee sets the technical standards for health care EDI transactions. For more information, visit the ANSI website.

Advantage and Benefits of Electronic claims

There are many benefits to using EDI, such as:
Save money on envelopes, preprinted forms and postage.

Eliminate certain data entry and document handling tasks.
Reduce claim errors by validating fields before the claim reaches insurances.
Quicker claims processing and quicker claims payment.
Verify claim status within 48 hours of submission..

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