The following are links to Web sites that contain more
information about Electronic Data Interchange (EDI) under
Medi-Cal and HIPAA:
- Glossary of HIPAA terms
- The Department of Health and Human Services (DHHS) Web
site contains the final rule, Notices of Proposed Rule Making (NPRM) and a Frequently Asked Questions (FAQ)
- Centers for Medicare & Medicaid (CMS) is the federal
agency that administers Medicare, Medicaid and State Children’s Health Insurance.
- The Medicaid HIPAA Plus Web site explores information
technology and data utilization that relates to effective and efficient administration of the Medicaid program.
- The Data Interchange Standards Association (DISA)
supports the Accredited Standards Committee (ASC) X12 organization. ASC X12 is responsible for developing many of
the transaction and code set standards and can be accessed
- Health Level 7 (HL7) is one of several ANSI-accredited Standards Developing Organizations (SDOs) operating in the
health care arena. HL7 develops specifications, the most widely used being a messaging standard that enables
disparate health care applications to exchange key sets of clinical and administrative data.
- The National Council for Prescription Drug Programs (NCPDP) is the standards development organization responsible for developing retail pharmacy standards.
- The Workgroup for Electronic Data Interchange (WEDI) is
an industry task force created to streamline health care through standardized electronic formats and implementations.
- The National Committee on Vital and Health Statistics (NCVHS) is the public advisory body to the Secretary of Health and Human Services (DHHS) in the area of health data
- The National Uniform Claim Committee (NUCC) was created
to develop a standardized data set for use by the non-institutional health care community to transmit claim
information to and from all third-parties.
- The National Uniform Billing Committee (NUBC) was formed
to develop a single billing form and standard data set that could be used nationwide by institutional providers and
payers for handling health care claims.
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