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Provider 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.…

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The 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 Articles Comment Letters Podcasts Press Releases Regulatory Updates Uncategorized WEDI Blog WEDI Newsletters White Papers & Issue Briefs…

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EFT 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…

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Making 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…

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Dental 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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Telehealth Modalities

Knowledge Center Telehealth Modalities March 13, 2018 The purpose of this white paper is to provide information on the various modes of delivering patient care using telehealth services and technology, including virtual encounters, remote patient monitoring, wearable devices, and integrated care management. Telehealth Modalities Back to Knowledge Center Categories Articles Comment Letters Podcasts Press Releases…

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Guidance on Implementation of Standard Electronic Attachments for Healthcare Transactions

Knowledge Center Guidance on Implementation of Standard Electronic Attachments for Healthcare Transactions November 17, 2017 This whitepaper is intended as a resource to aid the transition from the current, largely manual exchange of health care attachments to a more efficient, electronic process. This white paper is a resource document for implementers to use to help…

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Barriers to Adoption of the ERA and EFT Transactions

Knowledge Center Barriers to Adoption of the ERA and EFT Transactions September 5, 2017 The purpose of this paper is to identify barriers to implementation of the HIPAA standard Health Care Electronic Funds Transfer (EFT) and Remittance Advice (ASC X12N Health Care Claim Payment/Advice (835) and the NACHA Corporate Credit or Debit Entry Plus Addenda…

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The Rampant Growth of Cybercrime in Healthcare

Knowledge Center The Rampant Growth of Cybercrime in Healthcare February 8, 2017 This issue brief summarizes cybersecurity topics that were discussed at multi‐ stakeholder cybersecurity roundtables convened in November, 2015 and April, 2016 by the Workgroup for Electronic Data Interchange (WEDI). In follow‐up to a primer published on the anatomy of a cyberattack,2 this issue…

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Introduction to Telehealth Codes

Knowledge Center Introduction to Telehealth Codes December 21, 2016 The purpose of this issue brief is to provide introductory information on codes for telehealth services, development of codes for telehealth services, and challenges with telehealth coding. Introduction to Telehealth Codes Back to Knowledge Center Categories Articles Comment Letters Podcasts Press Releases Regulatory Updates Uncategorized WEDI…

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