AS 4937:2002

$30.55

Electronic messages for exchange of claim and related information

Published By	Publication Date	Number of Pages
AS	2002-05-02	32

Guaranteed Safe Checkout

Categories: 03.060 - Finances. Banking. Monetary systems. Insurance, 35.040.10 - Coding of character sets, AS

If you have any questions, feel free to reach out to our online customer service team by clicking on the bottom right corner. We’re here to assist you 24/7.
Email:[email protected]

Description

Provides guidance for the implementation of electronic messages for exchange of claim and related information using the UN/EDIFACT Standard.

Scope

This Standard covers implementation of commercial transactions between (predominantly) health care providers and payers of healthcare services for the purposes of patient claiming, eligibility checking and related commercial transactions. The Standard refers to —
(a) several existing message syntaxes;
(b) the United Nations Electronic Data Interchange for Administration, Commerce and Transport (UN/EDIFACT); and
(c) the National Consultative Group for Private Healthcare E-Commerce (NCG) formats for hospital claiming.
The NCG, in its role as the working group on Finance and Billing for the IT-014 Health Informatics Committee, recognizes the importance of standard implementations of the UN/EDIFACT syntax, which are automatically provided in the interface engines and message translators provided by the major e-Commerce software organizations. Wherever possible, standard implementations have been recommended.
The NCG reviewed and interpreted data segments and data elements that are mandatory (required), optional or conditional (required, based on a condition), and relevant usage notes in the Australian health environment. The Standard provides consistent use of data definitions as well as commentary and references to the International Organization for Standardization (ISO) and the National Health Data Dictionary.
This Standard focuses upon business-to-business e-Commerce transactions. Although a range of interchanges involving business-to-consumer information flows have been included in the data model for the sake of completeness, functional messages supporting business-to-consumer transactions do not form part of this Standard.
This Standard does not cover transactions conveying messages to and from financial institutions for the purposes of debiting and crediting bank accounts, and messages conveying transactions to and from healthcare suppliers for the purposes of electronic procurement.

Additional information

Published Code	AS
Published By	Australia Standards
Publication Date	2002-05-02
Pages Count	32
Language	English
Edition	1
File Size	245.8 KB
ISBN	0733742475
ICS Codes	03.060 - Finances. Banking. Monetary systems. Insurance 35.040.10 - Coding of character sets

Preview PDF


PDF Format	Searchable	Printable	Preview Now

AS 4937:2002

Related products