We have discussed in previous blog about EDI 837 message in EDI. Let’s look at EDI 835 transaction.
The EDI 835 transaction deals with Health Care Claim Payment and Remittance Advice.
It has been specified by HIPAA 5010 requirements for the electronic transmission of healthcare payment and benefit information.
Healthcare insurance plans use EDI 835 to send payments details to healthcare providers, to provide Explanations of Benefits (EOBs), or both. When a healthcare service provider sends an 837 Health Care Claim to the insurance plan, the insurance plan responds by sending 835 to detail the payment to […]