6 posts found for category: Edi

 Open enrollment is the time of the year that fill employers and employees alike with dread. No matter how prepared employers are, every time they have some new laws and amendments to look into. Although, many employers started understanding the ACA requisites and came into practice of practicing the law perfectly and formulate strategies to handle open enrollment seamlessly. But, this year again brin[...]
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Data flow in the healthcare industry is at its peak and continuously rising. But, alongside this data surge, there is one concern that is cropping up and it is that of data security and management. To address a gamut of pressing issues, data-driven healthcare is being used as a critical and transformative solution. In fact, around 59% organizations have put this on their priority list to successfully incorporate data and information exchanges. [...]
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Cyber attacks are costing businesses in a serious way no matter how big or small they are! According to a recent study, cyber-attacks were the top most reason for healthcare data breaches in 2015 that adversely affected healthcare industry further raising concerns for patients, employees and organization’s reputation. So, what can be done to safeguard the precious healthcare data from cyber at[...]
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EDI 834, referenced as the Obamacare’s most important number, has a vital role in the healthcare industry. Since it is the prescribed format by HIPAA 5010 for  benefits enrollment and maintenance document that is used to transmit information like healthcare subscriber’s personal information, status of enrollment and the plan or product identification details, it becomes more critical to carry out the data transactions more carefully and ac[...]
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As the businesses start to move from self-managed EDI infrastructures towards fully managed healthcare EDI solutions, there is a surge in the market with a huge number of available service providers. While you explore across the ample options available, you need to ensure that you have set your selection parameters.While evaluating the solution provider, you must use these simple steps:Set Your Parameters:[...]
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When you talk about a private health insurance exchange, generally people think of the marketplace. But, very few realize the back end processes and activities that go on in the back end. These tasks include processing of enrollment files, billing data management, and maintenance of member files, data rating, and managing plan data. The process of data integration entails compliance with the basic EDI standards and HIPAA provisions. The data ne[...]
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