EDI Health Insurance Portability and Accountability Act (HIPAA) | EDI Health Insurance | EDI Health HIPAA

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EDI for the Health Insurance (HIPAA)
The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs. Title II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers.

The Administration Simplification provisions also address the security and privacy of health data. The standards are meant to improve the efficiency and effectiveness of the nation's health care system by encouraging the widespread use of electronic data interchange (EDI) in the U.S. health care system.

HIPAA covered entities such as providers completing electronic transactions, healthcare clearinghouses, and large health plans, must use only the National Provider Identifier (NPI) to identify covered healthcare providers in standard transactions by May 23, 2007. Small health plans must use only the NPI by May 23, 2008.

Amosoft provide everything you need to create and exchange HIPAA EDI documents with your Payer or Provider.
We give you the tools to communicate with your trading partners using secure communication methods such as AS2.
Our HIPAA EDI solution consists of full EDI integration with your ERP system.
Common Health Insurance (HIPAA) EDI transactions are listed here:

Healthcare Insurance Industry - HIPAA
X12
270 Eligibility, Coverage or Benefit Inquiry
271 Eligibility, Coverage or Benefit Information
276 Health Care Claim Status Request
277 Health Care Claim Status Notification
278 Health Care Services Review -- Request for Review
278 Health Care Services Review -- Response to Request for Review
820 Payment Order/Remittance Advice
834 Benefit Enrollment and Maintenance
835 Health Care Claim Payment/Advice
837 Health Care Claim: Professional
837 Health Care Claim: Dental
837 Health Care Claim: Institutional

Amosoft is familiar with the Health Insurance EDI documents, and our EDI services and solutions support all of them. Our EDI integration solutions provides full integration of EDI and your ERP system. Amosoft can help with EDI integration and implementation, beginning to and End solution full custom tailored to your specific needs. For companies who have low volume of EDI documents every month we developed our Web-EDI solution. The web solution is very easy to use and has the fill and look of using an email.

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Web Based EDI Solution