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NEIC ANNOUNCES IMPLEMENTATION OF ANSI 837 STANDARD

 -- Electronic Transaction Standards To Reduce Hassle-Factor
 For Nation's Managed Healthcare System --
 SECAUCUS, N.J., April 8 /PRNewswire/ -- Continuing its leadership role for implementing standards for electronic healthcare transactions, the National Electronic Information Corporation (NEIC) today announced that it has begun implementation of the American National Standards Institute (ANSI) 837 standard for electronic submission of claims from providers to payors.
 "NEIC is setting the pace for the entire healthcare system with the adoption of ANSI standards that enable providers and payors to communicate electronically in the same format," said Kenneth J. O'Donnell, president and chief executive officer of NEIC, the nation's largest electronic data interchange (EDI) network for healthcare claims and transactions. Implementation will be completed by June 1993.
 "The NEIC example will guide and encourage the industry to accept ANSI standards, since there are currently more than 400 formats for transmission of claim or encounter data," he said.
 Standardization of healthcare transactions is being developed by ANSI, a voluntary organization founded in 1918 to identify needs and agree upon standards for all segments of business and industry. Two years ago, an insurance subcommittee was formed by ANSI to focus on developing standards unique to health care. Currently, a number of standards are under development to address a variety of information- exchange requirements such as patient and utilization/review information.
 O'Donnell points out that NEIC was the first healthcare EDI network to comply with ANSI Standard 835, introduced last year to standardize claim payment remittance advice transmitted from payors to providers.
 "At NEIC, ANSI standards will be in place and utilized by our network of more than 120,000 providers, 500 vendors as well as a multitude of payors -- including managed care entities -- that provide healthcare coverage for over 100 million Americans," said O'Donnell.
 "In the managed healthcare environment and in the coming era of managed competition, there will be an even greater demand for two-way electronic communications," he said. "At NEIC, we recognize the need for crafting interactive standards to serve this burgeoning marketplace." NEIC is working with ANSI to develop interactive versions of ANSI standards for eligibility requests (Standard 270) and responses (Standard 271).
 O'Donnell cites the introduction of the NEIC Healthcare Information Network(TM) (HCIN), the first electronic on-line interactive healthcare transactions network. "When fully implemented, this value-added network through which providers, payors and vendors can exchange information in real-time will revolutionize our healthcare system. We look forward to continued work with the ANSI group to provide an interactive envelope that, we think, will play an important role in HCIN activities."
 According to O'Donnell, there is industrywide support for the adoption of standards. "The Workgroup on Electronic Data Interchange (WEDI), an industry forum of all participants in the healthcare system, has issued recommendations to the Clinton Healthcare Reform Task Force, including federal legislation mandating implementation of ANSI standards -- a concept that NEIC endorses emphatically."
 NEIC provides input to the WEDI project, with several key executives participating on the following WEDI Technical Advisory Groups: James Rose, NEIC vice president/marketing -- "Subcommittee On Short-Term Strategies"; Joseph Sullivan, NEIC vice president/product management - "EDI Network Architecture and Accreditation"; and Roger Primeau, NEIC vice president/operations -- "Coordination Of Benefits in the Electronic Environment."
 "Throughout the NEIC organization, we are committed to making ANSI standards work to the benefit of every player in the United States healthcare system," said O'Donnell.
 More than 120,000 providers currently submit claims and other associated transactions through NEIC and its network of 500 vendors to member payors, including managed care entities. Taken together, these payors provide healthcare coverage to over 100 million Americans.
 -0- 4/8/93
 /CONTACT: Jodi Kurzweil of NEIC, 201-342-9111/


CO: National Electronic Information Corporation ST: New Jersey IN: CPR SU:

TM-OS -- NY069 -- 4443 04/08/93 17:57 EDT
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Date:Apr 8, 1993
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