Health insurer Aetna has a goal of transitioning providers to accepting 100 percent of payments electronically through an electronic funds transfer, as well all providers receiving electronic remittance advice.

Under the Affordable Care Act, the healthcare industry is adopting “operating rules” that make the HIPAA transaction standards more uniform and include more information in the transaction sets. Insurers were mandated in January 2013 to adopt the operating rules for insurance eligibility determination and claim status, and in January 2014 to adopt rules for EFT and ERA. Providers are not mandated to use the transactions, but there is widespread agreement that they save time and money (see Simplifying Finance: HIPAA Rules).

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