Lesson 0001
Learn the core transaction map for EMR and healthcare SaaS claim workflows.
Insurance Claims and Clearinghouses
EMR claim workflows, one lesson at a time.
Start with the first short lesson: follow a professional claim through eligibility, submission, status, adjudication, and remittance.
Lesson 0002
Map EMR encounter data into the five buckets needed for an 837P professional claim.
Lesson 0003
Separate billing provider, rendering provider, and service facility in provider setup.
References
Use the quick reference sheets for transaction flow, 837P data readiness, and provider roles.
Sources: Review the authoritative CMS, NUCC, CAQH CORE, X12, WEDI, and HFMA source list in RESOURCES.md.