Electronic Data Interchange (EDI)
EDI is the exchange of standardized electronic documents between organizations and their computer applications. The health care industry has employed EDI for more than 30 years to create efficiencies in third-party payer billing.
The electronic exchange of health information offers several benefits to both payers and providers, including:
- improved cash flow
- reduced administrative costs
- fewer claim errors
- improved productivity
- elimination of paper waste
EDI Reports & Policies
Reports
The MHCC reports on a variety of health information technology (health IT) data to inform decision making by policy makers, payers, providers, and consumers. View the latest reports, initiatives, flyers, and other resources.
EDI & HIPAA
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification provisions established standards for the electronic exchange of health care transactions between payers and providers using EDI.
Transaction Data
COMAR 10.25.09.05 requires payers operating in Maryland with an annual premium volume exceeding $1 million to report census information on EDI to the MHCC. The MHCC examines administrative transaction data reported by payers to support policy development and implementation.
Contact Us
For more information, please email Justine Springer at justine.springer@maryland.gov.