In 2012-2013, the organization released operating rules for four transactions now federally mandated for all HIPAA-covered entities : eligibility, claim status, electronic funds transfer and remittance advice ( EFT / ERA ).
22.
"' EDI Health Care Claim Payment / Advice Transaction Set ( 835 ) "'can be used to make a payment, send an Explanation of Benefits ( EOB ), send an Explanation of Payments ( EOP ) remittance advice, or make a payment and send an EOP remittance advice only from a health insurer to a health care provider either directly or via a financial institution.
23.
"' EDI Health Care Claim Payment / Advice Transaction Set ( 835 ) "'can be used to make a payment, send an Explanation of Benefits ( EOB ), send an Explanation of Payments ( EOP ) remittance advice, or make a payment and send an EOP remittance advice only from a health insurer to a health care provider either directly or via a financial institution.
