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How do the Electronic Transaction and Coding Standards correlate to coding and why are they important?

User Lightning
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Answer:

Explanation:

The electronic transaction and coding standards are important because health care claims are the most basic and common type of electronic medical transactions. The biller uses the claim to request for reimbursement on the behalf of providers. Claims generally includes information about the patient, the person standing as the provider, the patient’s health insurance plan, incorporating with codes for the procedure and diagnosis.

The same way medical coders have to use the appropriate set of codes to describe a procedure, the biller also have to use the right type of EDI to perform the billing operation.

User MatthewSot
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