Includes Eligibility and Benefits Inquiry & Response, Claim Status Inquiry & Response, Health Services Review (Referrals / Authorizations), and Pharmacy Claim & Response,
Emdeon Business Services is capable of receiving and sending transactions identified in the Final Rule and Addenda (ASC X12N version 4010 standard and NCPDP Version 5.1 standard) and is currently exchanging covered real-time transactions with many Health Plans, Channel Partners, and Providers.
Most Emdeon Business Services legacy formats are capable of carrying the required HIPAA data content. Emdeon Business Services will translate non-standard formats into HIPAA compliant standard transactions whenever possible.
There is renewed interest by many of the larger Practice Management System and Application Vendors to incorporate real-time transactions directly into their application offerings.
