Insurance claim submitted to the insurance carrier by a provider of medical services or electronic media claim (EMC) vendor transmitted via a central processing unit (CPU), tape, diskette, direct data entry, direct wire, dial-in telephone, digital fax, or personal computer download or upload.

Insurance claims prepared on a computer and submitted via modem (telephone lines) to the insurance carrier’s computer system. Also called electronic media claims (EMC) .

Individual who converts insurance claims to standardized electronic format and transmits electronic insurance claims data to the insurance carrier or clearinghouse to help the physician receive payment. Sometimes referred to as electronic claims professional .

Electronic transmission of business information.

Merging of electronic content management and electronic records management functionality.

Process by which understandable data items are sent back and forth via computer linkages between two or more entities that function alternatively as sender and receiver. Common examples for medical billing that use the X12 format are insurance claims, quality assurance reviews, utilization data, and certifications. See also Accredited Standards Committee X12 (ASC X12) .

United Nations rules for EDIFACT comprise a set of internationally agreed on standards, directories, and guidelines for computer-to-computer electronic interchange of data. It provides a forum and basis for development of international standards.