Medicare EDI Transactional Workflows and Integration Architecture
Strengths
Transaction Set Coverage
The curriculum provides specific instruction on the structure of essential Medicare transactions, including 837 claims, 270/271 eligibility, 276/277 status inquiries, and 835 remittances.
Integration Architecture Focus
Instruction covers the technical landscape of healthcare data exchange, including system architecture between PMS and MACs, as well as secure communication methods like SFTP and VPN.





