Title: Frequently Asked Questions - EDI
Headings: Frequently Asked Questions - EDI
Frequently Asked Questions - EDI
Electronic Data Interchange (EDI) FAQ's
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Q. What is EDI?
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Q. What are EDI standards?
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Q. What is HIPAA and how does it impact EDI?
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Q. What electronic formats are available when doing electronic claims with Sagamore?
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Q. On an electronic claim where should the route code be sent?
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Q. From whom does Sagamore receive electronic claims?
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Content: When the term "EDI" is used, it is normally associated with the ANSI standards but NOT always. Someone could say they are doing "EDI" but they may not be using the ANSI standards; they may be referring to a non-standard internal electronic format they are using. Go back to the top. Q. What is HIPAA and how does it impact EDI? A. HIPAA is the acronym for the H ealth I nsurance P ortability and A ccountability A ct of 1996. One of the main reasons this law was passed was to standardize all the different formats for electronic claims. Under HIPAA providers and hospitals have one standard way to file an electronic claim and any entity receiving a claim in that format must be able to process it. HIPAA has adopted ANSI version 5010 for the electronic healthcare transactions. Go back to the top.