The automated exchange of data and documents in a standardized format. In health care some common uses of this technology include claims submission and payment, eligibility, and referral authorization.
Insurance claim submitted to the insurance carrier via a central processing unit (CPU), tape diskette, direct date entry, direct wire, dial-in-telephone, digital fax, or personal computer download or upload.
Insurance claim submitted to the carrier by a central processing unit, tape, diskette, direct data entry, direct wire, dial-in telephone, digital fax, transmission, or personal computer download or upload. See also Electronic Data Interchange.
A digital representation of a medical bill generated by a provider or by the provider's billing agent for submission using telecommunications to a health insurance payer. Most claims are electronically submitted.