EDI 835 – Health Care Claim Payment/Advice

This transaction is defined by the standard HIPAA 5010. It is required in the electronic transmission of payments and beneficiary information in the medical field.

It is used primarily by medical insurance companies to make payments to medical service providers, to provide explanations to beneficiaries, or both. This document can include:
  • What charges have been paid, reduced, or denied;
  • Whether there was a deductible, co-insurance, or a co-pay;
  • Any bundling or splitting of claims or line items;
  • How the┬ápayments were made.
We have the tools that you need to process the EDI 835 transaction and make your company EDI compliant, regardless of your data source.

How do I send an EDI 835 transaction?

Faxinating Solutions can help you quickly integrate a low cost solution to process EDI 835 transactions.

Call us now at 1-800-282-6283, ext. 231 to arrange a free demonstration.