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In November 1991, the Workgroup for Electronic Data Interchange (WEDI) was established in response to the challenge from the Bush administration, specifically, Louis Sullivan MD, Secretary of HHS, to reduce administrative costs in the nation's health care system by up to 10%.
Interoperability between disparate clinical information systems requires common data standards or mapping of every transaction. However common data standards alone will not provide interoperability, and the other requirements are identified in "How Standards will Support Interoperability" from the Faculty of Clinical Informatics [2] and "Interoperability is more than technology: The role of ...
It is important to note that there are key trade-offs between VANs and Direct EDI, [8] and in many instances, organizations exchanging EDI documents can in fact use both in concert, for different aspects of their EDI implementations. For example, in the U.S., the majority of EDI document exchanges use AS2, so a direct EDI setup for AS2 may make ...
The X12 834 EDI Enrollment Implementation Format is a standard file ... The format attempts to meet the health care industry's specific need for the initial ...
The Accredited Standards Committee X12 (also known as ASC X12) is a standards organization.Chartered by the American National Standards Institute (ANSI) in 1979, [2] it develops and maintains the X12 Electronic data interchange (EDI) and Context Inspired Component Architecture (CICA) standards along with XML schemas which drive business processes globally.
Insurance Producer Administration 255 Underwriting Information Services 256 Periodic Compensation 267 Individual Life, Annuity and Disability Application 268 Annuity Activity 269 Health Care Benefit Coordination Verification 270 Eligibility, Coverage or Benefit Inquiry 271 Eligibility, Coverage or Benefit Information 272
Health Level Seven, abbreviated to HL7, is a range of global standards for the transfer of clinical and administrative health data between applications with the aim to improve patient outcomes and health system performance.
The EDI Health Care Claim Transaction Set (837) is used to submit health care claim billing information, encounter information, or both, except for retail pharmacy claims (see EDI Retail Pharmacy Claim Transaction). It can be sent from providers of health care services to payers, either directly or via intermediary billers and claims ...