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ROI for HIPAA Transactions

8/17/2012. 2. HIPAA Mandated Formats. HIPAA requires that all health plans must use the ANSI X12 V4010A1 formats by October 16, 2003As a payor, we had to prepare to accept or return all named transactions.. 8/17/2012. 3. Claims Production Status 837 Compliant Claims Receipts. MedicareIL = 75.54%

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ROI for HIPAA Transactions

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    1. 8/18/2012 1 ROI for HIPAA Transactions WPS

    2. 8/18/2012 2 HIPAA Mandated Formats HIPAA requires that all health plans must use the ANSI X12 V4010A1 formats by October 16, 2003 As a payor, we had to prepare to accept or return all named transactions.

    3. 8/18/2012 3 Claims Production Status 837 Compliant Claims Receipts Medicare IL = 75.54% MI = 51.14% WI = 75.53% MN = 90.80% Medicare COB – Currently testing with Trade Partners. 9 trading partners in production.

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