Procedure codes related to nerve conduction studies, needle electromyography, and neuromuscular junction testing. Because bundling rules may affect payment, these tests must be comprehensively and accurately documented. Also see electrodiagnostic (EDX) medicine .
Insurance Encyclopedia
electrodiagnostic (EDX) medicine
Medical tests that include nerve conduction studies, needle electromyography, and neuromuscular junction testing for diagnosing motor neuron diseases, myopathies, radiculopathies, plexopathies, neuropathies, and neuromuscular junction disorders (e.g., myasthenia gravis and myasthenic syndrome). EDX studies are used to evaluate tumors involving an extremity, the spinal cord, or the peripheral nervous system.
electronic benefits transfer (EBT)
See: electronic funds transfer (EFT) .
Electronic claim
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.
electronic claim submission (ECS)
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) .
electronic claims processor (ECP)
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 claims professional
See: electronic claims processor (ECP) .
electronic commerce (EC)
Electronic transmission of business information.
electronic content and records management (ECRM)
Merging of electronic content management and electronic records management functionality.
electronic data interchange (EDI)
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) .