Open Medical Billing Standard

Summary and how it works: A health care provider installs an EMR program that supports the Open Medical Billing Standard into their office. Once a day, or once a week depending on the volume of claims generated by the provider, their software securely uploads an electronic version of their superbill or equivalent to our servers. An optional email notification is sent to the billing company informing them that claims data were uploaded and await processing. Using a secure internet connection to our server from a single computer in the billing practice, a billing company employee can download the claims data in either a Microsoft Excel spreadsheet, Microsoft Word text document, or the original Open Medical Billing Standard document. The spreadsheet or text document will contain the minimum amount of necessary patient-identifiable demographic and insurance data as well as the CPT and ICD-9 codes required to successfully process the claims. Why use the XML Open Medical Billing Standard? The Open Medical Billing Standard is a direct synthesized HIPAA-compliant specification based on the EDI-implementation of the ASC X12 837A Medicare claims standard and implemented in XML HL7 version 3. The EDI industry is embracing XML as a modern data representation model, and the Accredited Standards Commitee X12 (www.x12.org) is adopting XML for modern medical technologies. HL7 is the industry standard communications protocol and method for transporting electronic patient data between programs.