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VA Code in Flight Submission - Uniform Use of CARC/RARC (835) Rule (Phase 2, Iteration 2 - PRCA*4.5*303 KIDS)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/10998
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 12-05-2014.
HAPE MCCF Enhancement for uniform use of CARC/RARC Codes

This patch implements changes to the Veterans Health Information Systems
and Technology Architecture (VistA) Accounts Receivable (AR) software are
being requested by the Veterans Health Administration (VHA) Chief Business
Off ice (CBO) business Solutions to comply with 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.

VHA uses the following standard, unique identifiers and Electronic Data
Interchange (EDI) transactions in support of its third-party revenue and
collections operation:
- National Provider Identifier (NPI)
- 270/271 Health Care Eligibility Benefit Inquiry and Response
- 837 Health Care Claims - Institutional and Professional
- National Council Pharmacy Drug Program (NCPDP) Pharmacy Transactions
- 835 Health Care Claim Payment/Advice
- Electronic Funds Transfer (EFT)

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