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EDI Claims: Why Use EDI in Healthcare?

As the digital world continues to advance, we are privileged to use various software and technologies that make our jobs easier. Once such technology is electronic data integration (EDI). EDI allows for improved healthcare claims processing, including better security and efficiency for patients and healthcare providers.Patient and medical staff

Security

EDI allows for improved security and privacy measures for healthcare claims processing. The Health Insurance Portability and Accountability Act (HIPPA) of 1996 protects patient’s privacy and provides boundaries as to whom medical records can be released to. EDI minimizes the possibility of information over sharing when it comes to medical records and health care claims submissions.

For example, traditional information sharing through paper claims mailed through the postal system or information emailed to an individual increased the chances that more individuals than necessary came into contact with the private information. While these individuals may have clearance to handle this information, it is an inefficient and insecure method of information sharing.

EDI, on the other hand, specifically integrates with a health management system within your healthcare practice to minimize information handling and claims processing. Instead of passing patient information from person to person (or email to email), the EDI software passes the documents through a securely integrated system that is based on specifically coded transactions.

These transactions can only be viewed and processed by another EDI system that can read the agreed upon standard formatting of these coded documents. This ability to share documents and information between EDI softwares that only accept certain codes increases the security of patient information and healthcare claims.

Efficiency

Efficiency is another great reason to use EDI in healthcare practices. EDI significantly decreases the amount of time it takes to submit and process a claim. Not only will most EDI’s help you to identify potential mistakes within the claim to be submitted, it will also assist in the processing by providing real time feedback about the claims submission.

Efficiency in processing allows for healthcare claims to be processed faster, meaning healthcare providers can get paid for services rendered more quickly through an EDI software.

Though security and efficiency are important aspects to any software within a healthcare practice, it is critically important within an EDI. For more information about plans and pricing of Apex EDI software, reach out to us on our Contact Us page. Security and efficiency are of utmost importance to our professionals at Apex EDI. We will be happy to assist you in incorporating a secure and efficient medical claims software into your practice.

http://www.edibasics.com/what-is-edi/
http://www.edibasics.com/edi-resources/document-standards/hipaa/

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 


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