WEDI Papers & Fact Sheets
Health Equity WG: SDOH Code Systems and Screening Tools Resource
The SDOH Code Systems and Screening Tools Resource is a list of social determinants of health (SDOH) code systems and screening tools that are commonly used today for collecting and exchanging SDOH data. The intent of this resource is to raise awareness and increase use of these code systems and screening tools to improve standardization of the data.
Read MoreFact Sheet: Claims Status Challenges and Opportunities
WEDI Claims Status SWG created a Fact Sheet discussing the challenges and opportunities in the health care claim status. Fact Sheet Claims Status Challenges and Opportunites
Read MoreFact Sheet: 2024 Update: Telehealth PHE Flexibilities
An overview of coding options for identifying the Place of Service for telehealth services in claims and eligibility and benefits transactions. WEDI-Update-of-Telehealth-PHE-Flexibilities-Fact-SheetDownload
Read MoreFact Sheet: New 835 & 837 RAS Adjustment Information segment
Fact Sheet: New 835 & 837 Remark Code List and Location
Telehealth Place of Service Coding Paper
EFT and ERA Enrollment Process White Paper
Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams February 2, 2024 The enrollment process for EFT and ERA varies widely throughout the industry today. This document was previously published in 2013 and has been updated to include an overview of enrollment processes for ERA and EFT, along with…
Read MoreWEDI Prior Authorization Electronic Inquiry: Guiding Principles
Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams October 16, 2023 The purpose of this document is to offer guidance across stakeholder groups to support the increased utilization and maximal efficiency of electronic prior authorization (PA) inquiry transactions. Download Paper Back to Knowledge Center Categories Comments & Letters…
Read MoreReporting Tiered Benefits
Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams June 5, 2023 Tiered benefits can have different meanings or be defined differently by payers and providers. They may interpret the data they exchange differently, as well as how that information could be applied when delivering patient care. Both traditional…
Read MoreNo Surprises Act – Good Faith Estimate Use Cases
Knowledge Center Episode 226- Understanding AI Governance and the Boardroom Through Six Dimensions. JaeLynn Williams May 5, 2023 Claims Subworkgroup & No Surprises Act Task Group These use cases describe common scenarios for which the Good Faith Estimate would be used. The purpose is to illustrate the business workflow steps required to obtain the necessary…
Read More