Posts by apoole

Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 that enhance the way reversals and corrected claims are reported in the 835 when information is changed from the original adjudication. Fact-Sheet-Reversals-and-Corrections-in-the-835Download

Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 that report more detailed and granular information about the  product line or contractual relationship with the health plan used in adjudication of the claim. Fact-Sheet-Source-of-Payment-Typology-in-the-835Download

Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 to report the Payee Tax ID as a required segment.    Fact-Sheet-Payee-Tax-Identifiication-in-the-835-transaction-setDownload

Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 to report claim payment details within the 835 when the claim payment is made by virtual credit card. Fact-Sheet-Reporting-Card-Payments-in-the-835

Fact-Sheet-Forward-Recovery-and-Overpayment-Recovery-in-the-835Download Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 that clarify and refine the way overpayments are recouped within the 835 and how forward balances are handled when the recoupment cannot be made from the current payment.

Brought to you by the WEDI Remittance Advice and Payment SWG this fact sheet outlines the updates in the 8020 version of the 835 that allow the provider to get information about the type of the original claim, and how the original claim was submitted. Fact-Sheet-Original-Claim-Information-in-the-835-transaction-set1Download

Brought to you by the WEDI Remittance Advice and Payment SWG: this fact sheet outlines the updates in the 8020 version of the 835 that expand the DRG information that can be reported in the 835 transaction. Fact-Sheet-DRG-Types-or-Payment-Methodology1Download

Brought to you by the WEDI Privacy & Security WG and Genomics WG: The bankruptcy announcement of the direct-to-consumer genetic testing company 23andMe, and its impending sale, highlights the importance of consumer genetic data protection.  WEDI has developed a Fact Sheet to aid consumers understand the data privacy issues and risks, available laws that protect…

Fact-Sheet-PWhats-new-in-Version-8020-X12-TR3s-–-Reporting-Invalid-Procedure-Codes-in-the-835Download Brought to you by the WEDI Remittance Advice and Payment SWG, review the latest Fact Sheet – Reporting Invalid Procedure Codes in the 835. This Fact Sheet explores the updates in the 8020 version of the 835 that make it possible to report invalid procedure codes that were sent on the claim in the…

Brought to you by the WEDI Remittance Advice & Payment SWG: Learn about updates to the Provider Level Adjustment (PLB) segment in the 8020 version of the X12 835 transaction. Fact-Sheet-PLB-X12-approved-pdfDownload