EDI MEDRUC Medical resource usage and cost message


EDI MEDRUC Specification

The MEDRUC message is sent from a party providing medical andrelated administrative services to a funding institution,allowing evaluation of the medical activity and justificationfor reimbursement. It can also be sent from a fundinginstitution to another party in order to advise whichreimbursements have been made. The MEDRUC message can carry either initial specifications ofused resources and costs, or modifications to specificationsgiven in a previous message. Typically, the MEDRUC message can be used between a healthcareservice provider or an insurance company and another insurancecompany as well as between an insurance company and ahealthcare service provider.


Accredited Standards Committee X12. ASC X12 Standard [Table Data]. Data Interchange Standards Association, Inc., Falls Church, VA. http://www.x12.org