The NEHEN Transaction Guidelines fill the role of many healthcare
organizations' "Companion Guides". All NEHEN payers and providers adhere to the published HIPAA
Implementation Guides for the format of the transactions sent, but we have found that there
are many helpful hints that can be included to make it easier to automate these transactions.
The Guidelines take different forms depending on the transaction, but
some of the content includes:
- Search options available
- NEHEN interpretation of ambiguous terms in the HIPAA
implementation guides
- Telecommunications details
- Information on setting up core information systems
- Transaction processing times
- Best practice guidelines
You can find our Guidelines at the links shown to the left, or in these subsections:
Eligibility,
Claim Status Inquiry, and
Claims.