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RE: Re: EDI and electronic claims processing in healthcare
The Netherlands was one of the leaders in using EDIFACT for healthcare
claims in the mid-l990's.
By now HL7 has established itself if most industrialized nations. I believe
that there are HL7 messages for claims that are used outside of the United
States, since of course, the U.S. has mandated the use of the X12 standards
under HIPAA.
I suggest you go to www.hl7.org to see if you can learn more about other
nation's use of standards for electronic healthcare claims and other
transactions.
Rachel Foerster
Rachel Foerster & Associates, Ltd.
Professionals in Healthcare eCommerce
Voice: 847-872-8070
email:
-----Original Message-----
From: Rodney Howlett [mailto:
Sent: Saturday, October 25, 2003 8:48 AM
To:
Subject: [EDI-L] Re: EDI and electronic claims processing in healthcare
Presumably you know about Healthcode and their Veda system in the UK? They
seem to have re-invented the wheel and do their own thing completely. This
seems to be the only healthcare electronic claims processing in the UK.
I don't know about any other European countries.
The problem of course is that each country market is small compared to the
USA. Not only does each country have its own language and differently
organised healthcare but being wedded to the welfare state, private
healthcare (i.e. billed healthcare claims) is a much smaller proportion of
the whole. In France I know that the patient has to pay a small proportion
of the cost of state provided healthcare but I don't know how this is
achieved. The standardisation and economies of scale needed for a complex
billing process are much more difficult to achieve in Europe than the US.
You may want to continue this discussion with me off-list. We supply
software for electronic healthcare claims in the UK and the USA, see
www.midexpro.com.
Rodney Howlett
> Date: Fri, 24 Oct 2003 11:55:26 +0100 (BST)
> From: Geoffrey Scott-Baker <
> Subject: EDI and electronic claims processing in healthcare
>
> I am looking into EDI based electronic claims
> processing and need to find out how widely used
> EDIFACT is in Europe for the exchange of claims and
> other healthcare related information between payers
> and providers?
>
> Also, are there any national or Europe wide
> regulations for this equivalent to the X12N standard
> that is mandated in the USA?
>
> Thanks in advance for your help.
>
> Geoffrey Scott-Baker
>
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