Posts by Samantha Holvey
WEDI Announces Winter Conference 2019: Connect, Communicate, Collaborate
Knowledge Center WEDI Announces Winter Conference 2019: Connect, Communicate, Collaborate October 1, 2019 December 2-5 event to connect payers, providers, government regulators and vendors for high-level discussions on best practices and critical issues impacting the ever-evolving health care environment WASHINGTON, DC — October 1, 2019 — The Workgroup for Electronic Data Interchange (WEDI), the nation’s…
Read MoreDid You Know?
Knowledge Center Did You Know? July 22, 2019 Welcome to “Did You Know?”! In our recent acknowledgement survey, we identified a need to provide an issue brief providing education on some basic misunderstandings related to acknowledgements within HIPAA transaction exchange using the ASC X12 Version 005010 (5010). We are providing this education using a brief…
Read MoreTrusted Exchange Framework and Common Agreement
Knowledge Center Trusted Exchange Framework and Common Agreement June 17, 2019 As ONC further develops their approach to advancing interoperability, we encourage the collaboration with the Centers for Medicare & Medicaid Services (CMS), as well as industry stakeholders such as WEDI. As an advisor to the Secretary of the Department of Health and Human Services…
Read MorePatient Protection and Affordable Care Act
Knowledge Center Patient Protection and Affordable Care Act May 28, 2019 As an advisor to the Secretary of the Department of Health and Human Services (HHS) and a multi‐stakeholder organization comprised of health plans, providers, vendors and SDOs, WEDI offers the structure for intra‐industry collaboration. WEDI has proven leadership engaging the industry to address the…
Read MoreProvider Adjustments (PLB) in the Electronic Remittance Advice (835)
Knowledge Center Provider Adjustments (PLB) in the Electronic Remittance Advice (835) May 20, 2019 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business use cases, as described in the appendices.…
Read MoreThe WEDI Prior Authorization Council
Knowledge Center The WEDI Prior Authorization Council February 5, 2019 The observations, findings and recommendations that follow represent the output of the Council’s three phases of activity. The WEDI Prior Authorization Council Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in…
Read MoreNCVHS Predictability Roadmap
Knowledge Center NCVHS Predictability Roadmap December 4, 2018 In response to the draft recommendations presented at the September 14, 2018 NCVHS meeting, WEDI held a Policy Advisory Group (PAG) to provide a forum for health care industry stakeholders to convene and discuss in detail the draft recommendations, calls to action and measurements identified by the…
Read MoreEFT Enrollment Security
Knowledge Center EFT Enrollment Security October 5, 2018 The secure implementation of Electronic Funds Transfer (EFT) Enrollment for payment of health care claims has presented some challenges for health care entities. The purpose of this paper is to recommend best practices to protect the security of all entities involved in Electronic Funds Transfer Enrollment. EFT…
Read MoreMaking Precision Medicine the Standard of Care Part 1 – Clinical & Business Drivers
Knowledge Center Making Precision Medicine the Standard of Care Part 1 – Clinical & Business Drivers October 4, 2018 Leading health care systems, clinical laboratories, vendors and health plans are all increasing their focus on providing precision medicine (PM) through the use of genetic and genomic information. Venture capital funding has increased exponentially in this…
Read MoreDental Claims
Knowledge Center Dental Claims June 13, 2018 The purpose of this white paper is to provide guidance on how to populate the ASC X12N 005010X224A2 Health Care Claim: Dental (837D) electronic transaction from the data reported on the ADA Dental Claim Form (© 2012 American Dental Association). The ASC X12N 005010X224A2 Health Care Claim: Dental…
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