The Affordable Care Act mandated better standardization of the electronic HIPAA administrative and financial transactions that providers and insurers commonly exchange as part of the reimbursement process.
In 2012-2013, the first revamped transactions were released; covering eligibility, claim status, electronic funds transfer and remittance advice transactions. Now, four additional transaction sets—made more uniform and including a higher emphasis on data exchange than previously—have received approval.
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