WEDI Papers & Fact Sheets

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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. This…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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 space, with new technologies and applications…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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 them get…

Knowledge Center Episode 232- The Role of Intermediaries in CMS-0057F 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…