baɪ hˈɛlθ kˈɛɹ klˈɪɹɪŋhˌaʊzᵻz ɪn ðɛɹ ɪntˈɜːnəl fˈaɪlz tə kɹiːˈeɪt ænd pɹˈɑːsɛs stˈændɚd tɹænsˈækʃənz ænd tə kəmjˈuːnᵻkˌeɪt wɪð hˈɛlθ kˈɛɹ pɹəvˈaɪdɚz ænd hˈɛlθ plˈænz;
by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans;