HIPAA Electronic Data Interchange (EDI)
With over 15 years of experience processing Medicaid related data (encounters, eligibility, and consumer information), ACA can provide a service bureau solution to manage and translate incoming or outgoing data files in a range of formats.
Employing automated edit checks to ensure accuracy and completeness, ACA can translate between proprietary layouts and HIPAA standardized X12 transaction sets including, but not limited to:
- 837 Health Care Claims
- 277 Claim Status Response
- 834 Member/Benefit Enrollment
- 820 Premium Payment