Why EDI Systems?
EDI Systems Solutions provides a broad range of quality HIPAA EDI solutions designed to enable companies to communicate business data electronically.
All of our HIPAA EDI products and services provide extremely reliable and affordable methods of connecting to trading partners, transforming data, and integrating into existing business processes.
The Administrative Simplification provision of HIPAA requires the utilization of EDI as the standard for the exchange of health care related messages. This provides a common standard for documents that all parties involved in the health care process may follow.
The ANSI X12 transaction sets that are part of the HIPAA EDI requirements are:
- 837- EDI Health Care Claim Transaction set
- 835- EDI Health Care Claim Payment/Advice Transaction Set
- 834- EDI Benefit Enrollment and Maintenance Set
- 820- EDI Payroll Deducted and other group Premium Payment for Insurance Products
- 270- EDI Health Care Eligibility/Benefit Inquiry
- 271- EDI Health Care Eligibility/Benefit Response
- 276- EDI Health Care Claim Status Request
- 277- EDI Health Care Claim Status Notification
- 278- EDI Health Care Service Review Information
- 997- EDI Functional Acknowledgment Transaction Set
HIPAA Mapping
EDI Systems has the infrastructure established and the requirements in-house to fulfill your HIPAA EDI requirements. Our company has over 8 years experience with all aspects of HIPAA EDI implementations including: EDI mapping and translation, integration to internal systems (such as claims management systems), compliance with HIPAA and companion guide requirements, and securely exchanging EDI messages between trading partner. Whether you want to outsource your EDI with EDI Systems Hosted Solution or manage EDI in-house, we have the solution that’s right for you. EDI Systems has also gone through rigorous internal testing to insure that our EDI messages are HIPAA compliant.
Contact EDI Systems for more information on our comprehensive EDI solutions.