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medisoft 2

Terms

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X12-837 Health Care Claims
electronic claim format that is used to bill for a physicians services
electronic funds transfer
the electronic transfer of funds from one account to another
HIPAA Transaction and code sets standards
standards that describe a particular elctronic format that providers and payers must use to sed and recive health care transactions.
Infomation technology
computer hardware and software information systems used to handle administrative tasks in a medical proactice
electronic data interchange
the transfer of data from one computer to another using a network, like the internet
electronic medical records
computer-based systems that record clinical data about the patient
HIPAA security rule
legislation that outlines the administrative, technical, and physical safegaurds required to pervent unauthorized acess to protected health care information
database
collections of related facts
walkout statement
a report that lists the chrges and the amount paid by the patient
edit
computer check of a claim, performed by a clearinghouse, to determine if all necessary information is included
clearinghouse
service that collects electronic insurance claims from medical practices and forwards the claims to the appropriate health plans

Deck Info

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