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ANSI 834 Enrollment Implementation Format
The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers. The Health Insurance Portability and Accountability Act (HIPAA) requires that all health plans or health insurance carriers accept a standard enrollment format: ANSI 834A Version 5010. An 834 file contains a string of data elements, with each representing a fact, such as a subscriber’s name, hire date, etc. The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance products. Layout An example layout of an X12 834 Version 005010 file is shown below. Each line starts with a code to identify the type ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
ASC X12
The Accredited Standards Committee X12 (also known as ASC X12) is a standards organization. Chartered by the American National Standards Institute (ANSI) in 1979, it develops and maintains the X12 Electronic data interchange (EDI) and Context Inspired Component Architecture (CICA) standards along with XML schemas which drive business processes globally. The membership of ASC X12 includes technologists and business process experts, encompassing health care, insurance, transportation, finance, government, supply chain and other industries. ASC X12 has sponsored more than 300 X12 EDI transaction sets and a growing collection of X12 XML schemas for health care, insurance, government, transportation, finance, and many other industries. ASC X12's membership includes 3,000 standards experts representing over 600 companies from multiple business domains. Organization ASC X12 is led by two groups. The ASC X12 Board of Directors (Board) and the ASC X12 Steering Committee (Steering) collab ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
File Format
A file format is a Computer standard, standard way that information is encoded for storage in a computer file. It specifies how bits are used to encode information in a digital storage medium. File formats may be either proprietary format, proprietary or open format, open. Some file formats are designed for very particular types of data: Portable Network Graphics, PNG files, for example, store Raster graphics, bitmapped Graphics file format, images using lossless data compression. Other file formats, however, are designed for storage of several different types of data: the Ogg format can act as a container format (digital), container for different types of multimedia including any combination of sound, audio and video, with or without text (such as subtitles), and metadata. A text file can contain any stream of characters, including possible control characters, and is encoded in one of various Character encoding, character encoding schemes. Some file formats, such as HTML, sca ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity. According to the Health Insurance Association of America, health insurance is defined as "coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment". A health insurance policy i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance Portability And Accountability Act
The Health Insurance Portability and Accountability Act of 1996 (HIPAA or the Ted Kennedy, Kennedy–Nancy Kassebaum, Kassebaum Act) is a United States Act of Congress enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996. It aimed to alter the transfer of healthcare information, stipulated the guidelines by which personally identifiable information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and addressed some limitations on Health insurance in the United States, healthcare insurance coverage. It generally prohibits Health professional, healthcare providers and businesses called covered entities from disclosing protected information to anyone other than a patient and the patient's authorized representatives without their consent. The bill does not restrict patients from receiving information about themselves (with limited exceptions). Furthermore, it does not proh ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
American National Standards Institute
The American National Standards Institute (ANSI ) is a private nonprofit organization that oversees the development of voluntary consensus standards for products, services, processes, systems, and personnel in the United States. The organization also coordinates U.S. standards with international standards so that American products can be used worldwide. ANSI accredits standards that are developed by representatives of other standards organizations, government agencies, consumer groups, companies, and others. These standards ensure that the characteristics and performance of products are consistent, that people use the same definitions and terms, and that products are tested the same way. ANSI also accredits organizations that carry out product or personnel certification in accordance with requirements defined in international standards. The organization's headquarters are in Washington, D.C. ANSI's operations office is located in New York City. The ANSI annual operating ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Insurance
Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect against the risk of a contingent or uncertain loss. An entity which provides insurance is known as an insurer, insurance company, insurance carrier, or underwriter. A person or entity who buys insurance is known as a policyholder, while a person or entity covered under the policy is called an insured. The insurance transaction involves the policyholder assuming a guaranteed, known, and relatively small loss in the form of a payment to the insurer (a premium) in exchange for the insurer's promise to compensate the insured in the event of a covered loss. The loss may or may not be financial, but it must be reducible to financial terms. Furthermore, it usually involves something in which the insured has an insurable interest established by o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care
Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physical and mental impairments in people. Health care is delivered by health professionals and allied health professions, allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. The term includes work done in providing primary care, wikt:secondary care, secondary care, tertiary care, and public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions and health policy, health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcom ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tilde
The tilde (, also ) is a grapheme or with a number of uses. The name of the character came into English from Spanish , which in turn came from the Latin , meaning 'title' or 'superscription'. Its primary use is as a diacritic (accent) in combination with a base letter. Its freestanding form is used in modern texts mainly to indicate approximation. History Use by medieval scribes The tilde was originally one of a variety of marks written over an omitted letter or several letters as a scribal abbreviation (a "mark of contraction"). Thus, the commonly used words ''Anno Domini'' were frequently abbreviated to ''Ao Dñi'', with an elevated terminal with a contraction mark placed over the "n". Such a mark could denote the omission of one letter or several letters. This saved on the expense of the scribe's labor and the cost of vellum and ink. Medieval European charters written in Latin are largely made up of such abbreviated words with contraction marks and other abbreviations ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
X12 Document List
The following is a list of all ASC X12 transaction sets across all releases. X12C: Communications and Controls X12F: Finance X12I: Transportation X12M: Supply Chain X12N: Insurance {, class="wikitable" , 100 , Insurance Plan Description , - , 111 , Individual Insurance Policy and Client Information , - , 112 , Property Damage Report , - , 124 , Vehicle Damage , - , 148 , Report of Injury, Illness or Incident , - , 186 , Insurance Underwriting Requirements Reporting , - , 187 , Premium Audit Request and Return , - , 252 , Insurance Producer Administration , - , 255 , Underwriting Information Services , - , 256 , Periodic Compensation , - , 267 , Individual Life, Annuity and Disability Application , - , 268 , Annuity Activity , - , 269 , Health Care Benefit Coordination Verification , - , 270 , Eligibility, Coverage or Benefit Inquiry , - , 271 , Eligibility, Coverage or Benefit Information , - , 272 , Property and Casualty Loss Notification , - , 273 , Insurance/An ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Data Management
Data management comprises all disciplines related to handling data as a valuable resource, it is the practice of managing an organization's data so it can be analyzed for decision making. Concept The concept of data management emerged alongside the evolution of computing technology. In the 1950s, as computers became more prevalent, organizations began to grapple with the challenge of organizing and storing data efficiently. Early methods relied on punch cards and manual sorting, which were labor-intensive and prone to errors. The introduction of database management systems in the 1970s marked a significant milestone, enabling structured storage and retrieval of data. By the 1980s, relational database models revolutionized data management, emphasizing the importance of data as an asset and fostering a data-centric mindset in business. This era also saw the rise of data governance practices, which prioritized the organization and regulation of data to ensure quality and complian ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Computer File Formats
A file format is a standard way that information is encoded for storage in a computer file. It specifies how bits are used to encode information in a digital storage medium. File formats may be either proprietary or open. Some file formats are designed for very particular types of data: PNG files, for example, store bitmapped images using lossless data compression. Other file formats, however, are designed for storage of several different types of data: the Ogg format can act as a container for different types of multimedia including any combination of audio and video, with or without text (such as subtitles), and metadata. A text file can contain any stream of characters, including possible control characters, and is encoded in one of various character encoding schemes. Some file formats, such as HTML, scalable vector graphics, and the source code of computer software are text files with defined syntaxes that allow them to be used for specific purposes. Specificat ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance In The United States
In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage. In addition to medical expense insurance, "health insurance" may also refer to insurance covering disability or long-term nursing or cust ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
