Chapter 3: Electronic Data Interchange (EDI) Flashcards
1
Q
What is Electronic Data Interchange?
A
The computer-to-computer transfer data between providers and third-party payers.
2
Q
What does EDI uses to enable the entire health care industry to communicate electronic transactions?
A
A single set of standards.
3
Q
What type of electronic transactions does EDI used?
A
Eligibility, preauthorization, payments, claims and referrals.
4
Q
All payers accept electronic claims and whay does EDI do?
A
Has almost entirely replaced the processing of paper claims.
5
Q
What is used to facilitate electronic claims and submissions?
A
Clearinghouse.
