National Provider Identifier (NPI) Readiness - Emdeon is committed to meeting HIPAA’s requirements regarding the NPI and has dedicated significant resources toward assuring the readiness of our systems for NPI implementation. In fact, Emdeon is capable of accepting NPI on applicable, HIPAA transactions and transmitting NPI to payers with NPI-ready systems.
Claims Readiness - ASC X12N 837 version 4010 & Legacy Formats
Real-time Readiness - Includes Eligibility and Benefits Inquiry & Response, Claim Status Inquiry & Response, Health Services Review (Referrals / Authorizations), and Pharmacy Claim & Response,
Emdeon Business Services is capable of receiving and sending transactions identified in the Final Rule and Addenda (ASC X12N version 4010 standard and NCPDP Version 5.1 standard) and is currently exchanging covered real-time transactions with many Health Plans, Channel Partners, and Providers.
Most Emdeon Business Services legacy formats are capable of carrying the required HIPAA data content. Emdeon Business Services will translate non-standard formats into HIPAA compliant standard transactions whenever possible.
Electronic Payment & Remittance Readiness - Emdeon is capable of receiving and sending ASC X12N 835 version 4010 Payment and Remittance Advice in HIPAA standard format.
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August 22, 2008 - Click here to read an update to Emdeon's plan concerning the Notice of Proposed Rule Making (NPRM) for the migration of the HIPAA transactions to version 5010 and NPCDP D.0, as well as the adoption of the ICD-10 code sets.
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Since 1997, WebMD Business Services, now Emdeon, has been a leader in developing HIPAA solutions:
- Worked with industry leaders to establish standards and best practices with respect to HIPAA
- Significant investment in technology upgrades and implementation resources
- Established connectivity using HIPAA-standard formats with more providers, vendors and health plans than any other company
- Emdeon currently processes more transactions in HIPAA standard format than any other company.
Emdeon Business Services fully embraces and will comply with all applicable rules for the HIPAA Transaction and Code Set, Privacy, and Security National Standards.
Emdeon Business Services will share our knowledge, experience, and expertise with other stakeholders and advocates of healthcare electronic commerce.