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EDI Benefit Claims/Billing 835 and 837
Message
From
23/04/2007 17:34:36
Jay Johengen
Altamahaw-Ossipee, North Carolina, United States
 
 
To
23/04/2007 17:07:19
General information
Forum:
Windows
Category:
Computing in general
Miscellaneous
Thread ID:
01219094
Message ID:
01219120
Views:
15
Sweet! You have no idea what box you just opened with that offer... <g>

>Basically, yes.
>
>It can get quite complicated. The medical office will typically send 837 transactions to a 'clearinghouse'. The clearinghouse will then route transactions to payers (insurance companies) or other clearinghouses. The first clearinghouse may try to validate information in the transactions and may reject transactions based on their validation.
>
>I work for a clearinghouse and deal with the HIPAA EDI transactions all the time. feel free to ask any questions.
>
>>If any of that meant anything to you, then you're the one I'm looking for. What is the basic flow of information regarding this? Medical office submits a file, the file is processed, a file is sent somewhere else, then it is paid? Simplified a lot, but what is the basic flow supposed to be?
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