Electronic Claim Submission 101 - Revenue Cycle Management
Summary
In order to effectively bill claims to payers requiring electronic transactions, it’s important to find a software company that can support all specifications payers have in place for data elements in claim files. The United States enacted the Healthcare Insurance Portability and Accountability Act (HIPAA) in 1996 to standardize the electronic exchange of patient-identifiable health information. The data format in which these exchanges occur is mandated by the American National Standards Institute (ANSI). This not-for-profit organization implements the code structure to be used interchangeably through the various insurance payers in the United States. Axxess has an intelligent RCM platform that is designed to meet the industry’s requirements for EDI transactions and enable users to effectively manage their claims.