January 2007 eHealthcare Newsletter
In this issue:
- HIPAA 835 Claims Adjustment Reason Code/Group Code:
The Health Insurance Portability and Accountability Act proposed, in part, to standardize and privatize the electronic exchange of information between providers and payers. The ASC X12N 835 Health Care Payment/Advice (Remittance Advice) transaction was adopted by HIPAA to be the standard communication tool for reporting payments, adjustments, and patient responsibility. Intuitively, one would expect that healthcare providers would be able to program their systems one time to process payments from all payers from whom they receive electronic files. Read more.
- Indian Health Service finds the right prescription for pharmacy payments!
The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The IHS currently provides health services to approximately 1.8 million individuals who belong to more than 560 federally recognized tribes in 35 states. Read more.