Introduction to Health Care Claim Attachments

• Session One: Introduction to Health Care Claim Attachments
  This session discusses the purpose of health care claim attachments, their history and how attachments will be supported under the HIPAA mandate. The attachments business model will be discussed along with the transaction flow diagrams and the components of health care claim attachments.
• Session Two: 277 Health Care Claim Request for Additional Information
  This session focuses on the use of the 277 by a health care payer to request additional information to support a health care claim or encounter. It provides a detailed explanation of the transaction set by defining uniform data content, identifying valid code tables, and specifying values applicable for the business focus of the 277 Request for Additional Information. This session also steps the attendees though the process of mapping a 277 Health Care Claim Request for
  Additional Information
• Session Three: HL7 Clinical Document Architecture (CDA) and XML
  This session provides a definition for the HL7 CDA, its background, history and structure along with a brief introduction to extensible markup language (XML) and how the CDA is used to represent health care clinical data content especially when used for the EDI requirements under HIPAA.
• Session Four: HL7 Booklets
  This session provides a high level overview of the six HL7 Booklets and associated LOINC developed thus far and recommended for adoption under HIPAA. These Booklets cover:
  • Rehabilitative Services (9 disciplines)
  • Emergency Department
  • Clinical ReportsLaboratory Services
  • Ambulance
  • Medications
• Session Five: 275 Additional Information to Support a Health Care Claim or Encounter
  This session focuses on the use of the 275 to send additional information to support a claim or encounter. This session will depict the encapsulation of the Health Level Seven (HL7) CDA Standard within the 275 transaction for health care claims attachments. This session also steps the attendees though the process of mapping a 275 Additional Information to Support a Health Care Claim or Encounter transaction.