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UM Staff use the EDI Team “behind the scenes”: |
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- Electronic Data Interchange is defined as “the computer to computer exchange of standard business data according to agreed upon formats
- Manage third party reimbursement claims data through a wide range of data exchanges and clearing houses
- Managed care and internal HMO program
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Patient care is enhanced by: |
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- Moving data efficiently
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Ensuring compliance with HIPAA standard transaction sets, such as:
- Health claims or similar encounter information
- Health claims or similar encounter information
- Coordination of Benefits
- Health claim status
- Enrollment & dis-enrollment in a health plan
- Eligibility with a health plan
- Referral certification & authorization
- Remittance and payments
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Services |
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Our EDI team supports the daily electronic interchange of HIPAA transaction and code sets within UM and with our numerous business partners.
- Claims data exchanged with commercial insurance providers, HMO’s, Medicare and Medicaid
- Electronic transactions with our supply chain vendors
- Maintain maximum uptime to ensure electronic data transactions are managed efficiently and accurately.
- Establish EDI connectivity with our business partners and provide the highest quality of service.
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UMCET Help Desk (305-243-7339), if you need assistance.
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