Healthcare Resources

The Patient Protection and Affordable Care Act (ACA) mandated the identification of a healthcare EFT standard, Nacha’s CCD+ Addenda, as a HIPAA transaction. Since it went into effect in January 2014, health plans are now required to deliver the healthcare EFT standard to providers upon request. When used in combination with electronic remittance advice (ERA), the healthcare EFT standard can help streamline processes and create cost savings. Find the resources to support adoption of the EFT Standard and ERA.

22 results

ACH Volume Grows to More Than 25 Billion Payments and $43 Trillion in Value in 2016

April 12, 2017
Nacha Announces 2016 Largest Originators & Receivers of ACH Payments HERNDON, Va., April 13, 2017 – Following four consecutive quarters of more than 5 billion electronic payments in each quarter – a first for the ACH Network - overall volume in 2016 amounted to 25.6 billion transactions[1], according to new statistics released today by Nacha — The Electronic Payments Association®. This represents an increase of 5.3 percent over 2015 volume, and is the third consecutive year in which volume grew by a billion transactions or more over the previous year.
Article

Healthcare Primer - Revised 2016

May 5, 2016
The ACH Primer for Healthcare is designed to educate healthcare providers, including health plans, their trading partners, and the healthcare industry in general, on the benefits, cost-savings and efficiencies of utilizing the ACH Network for processing EFT.
Publication

More Than Eight Million Healthcare EFTs via ACH in January

February 19, 2014
More than eight million healthcare electronic funds transfers (EFTs) via ACH were made in January 2014, the first month in which health plans were required to be compliant with the newly adopted healthcare EFT standard transaction.
Press Release

Nacha Membership Approves Rule Supporting Fully Electronic Health Care Claims Payments via ACH

November 27, 2012
FOR IMMEDIATE RELEASE Contact: Nacha 703-561-3925 media@nacha.org  Nacha Membership Approves Rule Supporting Fully Electronic Health Care Claims Payments via ACH Health Care Payments via ACH Will Help Health Plans and Health Care Providers Utilize Health Care EFT Standard and Operating Rules by January 2014 Compliance Date HERNDON, Va., November 27, 2012 – Nacha – The Electronic Payments Association has adopted a new health care payments rule as part of the Nacha Operating Rules.  The rule supports health plans’ and health care providers’ use of the ACH Network for electronic health care c
Article

Nacha President and CEO Jan Estep to Speak at World Health Care Congress

October 1, 2012
November 7-8, 2012 The Ritz Carlton, Pentagon City Arlington, VA   As the healthcare payment system continues to transform, it is essential to stay abreast of the latest industry regulations and innovations working to reduce spend and advance e-commerce. Innovation is fostering improved payer and patient receivables in a way that reduces administrative burden while minimizing bad debt.
Article

Healthcare Payments and Remittance Processing - Request for Comment (RFC) – Responses Due by Friday, April 27, 2012

April 1, 2012
Nacha requests comments on potential amendments to the Nacha Operating Rules to address specific enhancements requested by the healthcare industry to improve the delivery of remittance information contained in healthcare claim payments transmitted via the ACH Network.  The specific enhancements requested by the Council on Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) are included in Section 4.4 of the CAQH CORE EFT & ERA Reassociation (CCD+/835) Rule.  Comments are due by Friday, April 27, 2012 at 5:00 pm Eastern Time.  
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