Specifications PRI MU RESP Included Add'l No Comments Cost Electronic Transactions: Exchanging structured data, using agreed-upon HIPAA-compliant transaction and code sets, from one entity to another (e.g., electronic claims submission). Maintaining All HIPAA-Compliant Transactions: Sending and receiving HIPAA-compliant transactions, as required. The system shall comply with all HIPAA ASC X12N H transaction set requirements. The system shall be compliant with the ASC X12N H 270/271 - Health Care Eligibility Benefit Inquiry and Information Response format. H The system be compliant with the ASC X12N 276/277 - Health Care Claim - Status Request and Response format. The system shall be compliant with the ASC X12N 278 - H Health Care Services Review - Request to Review and Response format. The system shall be compliant with the ASC X12N 834 - H Benefit Enrollment and Maintenance format. H The system shall be compliant with the ASC X12N 835 - Health Care Claim - Payment/Advice format The system shall be compliant with the ASC X12N 837P H - Health Care Claim - Professional The system shall be compliant with the ASC X12N 837I H - Health Care Claim - Institutional Specifications PRI MU RESP Included Add'l No Comments Cost Maintaining All HIPAA-Compliant Transactions: (continued) H The system shall support standard encounter formats, either proprietary or industry-standard (837P).
Specifications PRI MU RESP Included Add'l Cost No Comments Electronic Transactions: Exchanging structured data, using agreed-upon HIPAA-compliant transaction and code sets, from one entity to another (e.g., electronic claims submission). Maintaining All HIPAA-Compliant Transactions: Sending and receiving HIPAA-compliant transactions, as required. The system shall comply with all HIPAA ASC X12N transaction set requirements. H The system shall be compliant with the ASC X12N 270/271 - Health Care Eligibility Benefit Inquiry and Information Response format. H The system be compliant with the ASC X12N 276/277 - Health Care Claim - Status Request and Response format. H The system shall be compliant with the ASC X12N 278 - Health Care Services Review - Request to Review and Response format. H The system shall be compliant with the ASC X12N 834 - Benefit Enrollment and Maintenance format. H The system shall be compliant with the ASC X12N 835 - Health Care Claim - Payment/Advice format H The system shall be compliant with the ASC X12N 837P - Health Care Claim - Professional H The system shall be compliant with the ASC X12N 837I - Health Care Claim - Institutional H Specifications PRI MU RESP Included Add'l Cost No Comments Maintaining All HIPAA-Compliant Transactions: (continued) The system shall support standard encounter formats, either proprietary or industry-standard (837P). H
SAMPLE-EHR-Requirements-Template-Nov-2012.docx