HIPAA Compliance |
| Binary Spectrum is Health Insurance Accountability and Portability Act (HIPAA) compliance certified. Those working in the medical industry in the United States of America need to abide by a law, which is the HIPAA |
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Our HIPAA Transactions |
| These are some of the methods the HIPAA claims are done: |
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837-health care claim - CMS - 1500, UB92, 837 is the dental version835-health claim payment/advice -EOB -electronic remittance advice- is the EOB(explanation of benefits) |
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270-health care eligibility benefit inquiring |
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271-HCEB Response |
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278-health care services review |
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276- health care claim status request |
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834-benefit enrollment and maintenance |
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820-payroll deducted and other group premium payment |
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| Steps in processing a transaction through HIPAA: |
| Steps involved in processing a transaction through HIPAA involve the below: |
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Enrollment and premium payment |
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Eligibility verification |
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Referral authorization-for the admission or specialized services in the hospital pre-certification over phone, fax or electronically. |
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Claim/encounter/co-ordination of benefits |
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Claims attachment |
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Claim status-accounts receivable to check previously submitted bills |
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Remittance advice-EOB |
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