Karen Scherma

Karen Scherma, with over 30 years experience in healthcare, is an expert in EDI transactions, especially as it relates to the healthcare revenue cycle. Her major work includes workflow/data analysis and documentation, business modelling and business process re-engineering, project planning, design and development of system specifications, internal and user procedures, forms and manuals, X12 Syntax Training, and HIPAA Transaction Set mapping.

Prior to joining HealthEC, Karen was an executive at CareInsite where she was a technical liaison for Empire Blue Cross/Blue Shield, GHI and HIP (now both known as Emblem Health) and Horizon Blue Cross/Blue Shield; and a Director of EDI Transaction Development at NEIC, the largest healthcare claims clearinghouse prior to its being sold to a competing company.

Karen was a co-creator of the original National Standard Format – a precursor to the HIPAA 837 and 835 Transaction Sets; she is also a former voting member of the American National Standards Institute (ANSI X12), where she played a critical role in the creation of the HIPAA healthcare transaction sets enacted into law. She has authored white papers used as input to the HIPAA process, is a former member of the Workgroup for Electronic Data Interchange (WEDI), and a former participant in the Strategic National Implementation Process (SNIP).