Humana first to accept HIPAA standard claims transactions. (Technology: Technology Notes).Vitria, which provides business process integration solutions, recently announced that Humana Humana Inc. (NYSE: HUM), founded in 1961 in Louisville, Kentucky, is a Fortune 500 company that markets and administers health benefit consumer services. With a customer base of over 11. Inc. has gone live with its Health Insurance Portability and Accountability Act The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when of 1996 compliance architecture and is processing 837 professional claim transactions, based on Vitria's BusinessWare integration platform and the Vitria Collaborative Application for HIPAA (Health Insurance Portability & Accountability Act of 1996, Public Law 104-191) Also known as the "Kennedy-Kassebaum Act," this U.S. law protects employees' health insurance coverage when they change or lose their jobs (Title I) and provides standards for patient health, . The architecture enables Louisville, Ky.-based Humana to comply with the government HIPAA mandates more quickly and cost effectively, in addition to allowing the company to leverage the solution for efficiency, flexibility and cost avoidance/reduction in claims processing using Business Process Management and Electronic Data Interchange See EDI. (application, communications) electronic data interchange - (EDI) The exchange of standardised document forms between computer systems for business use. EDI is part of electronic commerce. , Vitria said in a statement. Humana required a business partner that could execute on improving the claims transaction processes within the existing information technology environment while meeting the federal requirements for HIPAA compliance. Humana is the first national payer to accept HIPAA-standard claims transaction actions, according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. Vitria. Trading partners will submit HIPAA transactions through the same infrastructure. Plans are for external partners to interact with Humana using the Vitria-based system to help improve the timeliness, consistency and accuracy of the claims process. |
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