Knowledge Center

Knowledge Center Payments and remittance information can be received in a variety of formats, but still need to go through the reassociation process. Payments can be received via paper check or EFT, remittance advices can be received as a paper EOB, or as an electronic 835 file. This paper will address the reassociation process of…

Knowledge Center The purpose of this white paper is to provide additional information on how to report National Drug Codes (NDC) and its related information in health care claims when it is known to impact adjudication.

Knowledge Center The Workgroup for Electronic Data Interchange (WEDI) has conducted ongoing conversations with the Centers for Medicare & Medicaid (CMS) and through those discussions, identified that there are differences in verbiage usage between the terms “health plan” and “payer”. By and large, the healthcare industry tends to use the terms “health plan” and “payer”…

Knowledge Center The WEDI Report was published in 1993 and provided a vision for the industry to successfully transition to electronic data interchange standards as a way to bring cost-efficiencies to burdensome administrative processes.  The report led directly to the administrative simplification provisions in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which…

Knowledge Center This implementation guide specifies WEDI Health Identification Card Implementation of the American National Standard, Identification Cards—Health Care Identification Cards, INCITS 284 as revised. INCITS is accredited by ANSI. This Guide specifies uniform information, appearance, and technology.

Knowledge Center A White Paper describing the recommended solutions for compliance testing and certification of the HIPAA transactions.