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VA Code in Flight Submission - EDI Eligibility Benefits & Claim Status Data Content & Infrastructure (RSD & SDD Only)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/10935
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 08-19-2014.
Eligibility Benefits & Claim Status Data Content & Infrastructure (Phase 2, Iteration 2) promotes clinical alignment with data content and infrastructure development; addresses the need to drive further industry value in transaction processing, specifically the need for common/accessible documentation; creates a more robust eligibility verification plus financials; addresses industry-wide goals for architecture, performance, and connectivity; improves response times, security, and acknowledgements; and enhances error reporting and patient identification.
Changes to Veterans Health Information Systems and Technology Architecture (VistA) Integrated Billing (IB), Insurance Capture Buffer (ICB), and Insurance Company and Patient Insurance File application software are being requested by the Veterans Health Administration (VHA) Chief Business Office (CBO) eBusiness Solutions Department to comply with the legislative changes mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as amended by Public Law (P.L.) 111-148 The Patient Protection and Affordable Care Act (PPACA), Section 1104.

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