What process refers to the computer-to-computer transfer of data between healthcare providers and third-party payers?

What process refers to the computer-to-computer transfer of data between healthcare providers and third-party payers?

• A. Data Processing
• B. Electronic Health Records (EHR)
• C. Electronic Data Interchange (EDI)
• D. Automated Claims Processing

Answer: (C)

The correct choice refers to the Electronic Data Interchange (EDI), which involves the computer-to-computer transfer of data between healthcare providers and third-party payers. EDI streamlines transactions such as claims submission, payment notifications, and other essential communications necessary for efficient revenue cycle management. By utilizing standardized formats, EDI enhances accuracy and reduces the time and costs associated with manual processes. This method allows for faster processing of claims and quicker reimbursements, ultimately improving the overall efficiency of healthcare billing and administrative functions. EDI is a critical component in the healthcare industry, as it helps maintain the integrity and security of transaction data while facilitating smooth interactions between different stakeholders.

The correct choice refers to the Electronic Data Interchange (EDI), which involves the computer-to-computer transfer of data between healthcare providers and third-party payers. EDI streamlines transactions such as claims submission, payment notifications, and other essential communications necessary for efficient revenue cycle management. By utilizing standardized formats, EDI enhances accuracy and reduces the time and costs associated with manual processes.

This method allows for faster processing of claims and quicker reimbursements, ultimately improving the overall efficiency of healthcare billing and administrative functions. EDI is a critical component in the healthcare industry, as it helps maintain the integrity and security of transaction data while facilitating smooth interactions between different stakeholders.