HIPAA Electronic Data Interchange (EDI)


Electronic Data Interchange

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