WEDI Papers & Fact Sheets
Fact 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 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) 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,…
Read MoreWEDI Prior Authorization Electronic Inquiry: Guiding Principles
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) 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…
Read MoreReporting Tiered Benefits
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) 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.…
Read MoreNo Surprises Act – Good Faith Estimate Use Cases
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) 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…
Read MoreFact Sheet: Medicare Telehealth Changes After the PHE
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) April 24, 2023 Since the public health emergency (PHE) related to the COVID-19 pandemic began in 2020, the Centers for Medicare & Medicaid Services (CMS) issued a series of waivers and flexibilities for telehealth services for Medicare beneficiaries.…
Read MoreHealth Equity Terminology Level Setting
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) March 15, 2023 To focus this work so we are all “rowing in the same direction,” we need to have a mutual understanding of the terms and their definitions that make up the language of health equity. Download…
Read More2022 WEDI Annual Report
Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 5, 2023 WEDI was formed in 1991 by then-Secretary of Health and Human Services (HHS) Dr. Louis Sullivan to be a national, multi-stakeholder organization to serve as a voice for the health care industry to improve health…
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