NACHA announced today that the volume of healthcare EFT transactions via the ACH Network exceeded 149 million transactions, transferring $876.6 billion in claim payments from health plans to providers.

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Changes to the NACHA Operating Rules to allow the identification of healthcare EFT via ACH transactions that flow through the ACH Network became effective in September of 2013.  Since October 2013, the first full month of processing, the volumes of healthcare EFT transactions have increased by 177 percent.

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Simplifying Payments ... with the Healthcare EFT Standard

Changes to the NACHA Operating Rules went into effect September 20, 2013. If you’re a financial institution, health plan, or healthcare provider, you must understand your responsibilities under the Rules. Financial Institutions must be able to deliver the TRN Reassociation Trace number to Providers, if it is requested, via a secure electronic delivery option. 

 

The Patient Protection and Affordable Care Act (ACA) mandated the identification of a healthcare EFT standard, NACHA’s CCD+ Addenda, as a HIPAA transaction that health plans were required to be compliant with by January 1, 2014.  If a Provider requests delivery of claims payments via the healthcare EFT standard, health plans must comply.

 

Continued collaboration will ensure a smooth transition for all stakeholders.

 

Upcoming Events

 

 

Webinar: Accelerating EFT Adoption with Providers
View Recording and/or PPT Presentation
Organizer: CAQH

 

Conference: Healthcare Payments Innovations National Forum
January 21-22, 2015; Phoenix, AZ 
Organizer: Strategic Solutions Network