[ Friday, September 23, 2005 ]


Hot off the presses: It's the news we've all been waiting for: the HIPAA TCS transaction standard for claims attachments has been published. You can find it here.

This is, in fact, some real esoterica. The TCS (transaction and code sets) part of HIPAA is supposed to set standards for EDI (electronic data interchange) so that health industry participants are all using the same format and content for similar electronic information, and it's important that all electronic claims be structured alike, all electronic payments be structured alike, all electronic requests to confirm eligibility be structured alike, etc. The same for claims attachments, the extra information attached to a claim to prove what was done, that it was medically necessary, etc. If we want all this stuff to move seamlessly in an electronic data interchange environment, then we need to standardize the forms. And that is what is happening here. Geeky, yes, but necessary.

Jeff [10:56 AM]

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