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EDI: A Guide to
Electronic Data Interchange and Electronic Commerce Applications in the Healthcare Industry
By James J. Moynihan and Marcia L. McLure, Ph.D.
Healthcare EDI and related EFT transactions are now mandated under the HIPAA legislation for the fall of 2002. The focus of
this book is on the use of electronic transactions that can be used to link participants in the healthcare industry. All of the 8 HIPAA mandated standards and their benefits to the healthcare
industry are described. In addition to the HIPAA claims processing and enrollment transactions this book also describes EDI applications for procurement in the healthcare sector.
Part 1 - Overview of EDI
Chapter 1 - Features and Benefits of EDI
Chapter 2 - Standards and the Standards-Setting Process
Chapter 3 - Electronic Networks
Part 2 - Healthcare Applications for EDI
Chapter 4 - EDI for the Claim Process
Chapter 5 - EDI for Managed Care
Chapter 6 - EDI for Procurement
Chapter 7 - EDI for the Human Resource Department
Part 3 - Implementing EDI in Healthcare Settings
Chapter 8 - The Community Healthcare Information Network (CHIN) and Clinical EDI
Chapter 9 - Organizing for EDI
Chapter 10 - Financial EDI
Appendixes
Appendix A - Bibliography
Appendix B - EDI Capable Questionnaire
After reading EDI, you will have a thorough knowledge of its features, standards, benefits and applications and how it can
be implemented. EDI will help professionals face the challenges of providing quality service and care now and in the future.
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