The HIPAA Suite software

HIPAAsuite, our flagship software, is a complete HIPAA EDI front-end application for all HIPAA transaction sets. It is designed for organizations that receive and send EDI transactions in the healthcare industry like payers and repricers. It is a low-cost, off-the-shelf, self contained solution that allows the exchange and processing of all twelve HIPAA-mandated EDI transactions. With HIPAAsuite one can achieve HIPAA compliance at a very affordable price and with little disruption to existing operations

The following graphic illustrates how HIPAAsuite is integrated into an existing system:

Complete HIPAA Transaction Set Compliance
EDI Healthcare Transactions with any Trading Partner
An IBM Database that contains all the Elements of an EDI Transaction and most Code Sets
Viewing and Printing of Electronic Claims as HCFA-1500, UB92 or ADA2000
Adjudication and Payment of Claims with HIPAA compliant codes and the Creation of the Electronic Remittance Advice(835)
Automatic Responses to Claim Status and Eligibility Requests
Screen interfaces to respond in detail to EDI Requests and Operations, like Payment Advice, Claim Status, Eligibility data or Authorizations and Services Review.
Setting up Trading Partners and Payees for different communication methods
60+ HIPAA compliant code sets and their maintenance
Translation and Export capabilities through ODBC, API calls or XML for straight-forward integration with existing systems.

HIPAA Communication Center is an EDI portal that handles the exchange of EDI documents through a variety of transport mechanisms
HIPAA Claim Printer displays and prints X12 837 Claims Transactions as UB92 or HCFA-1500 forms (Download trial here)
HIPAA Claim Pro stores claim information in a database and allows to adjudicate and create Remittance Advices
HIPAA ClaimStatus processes X12 276 claim status requests and creates X12 277 claim status responses
HIPAA Eligibility Pro handles the 270/271 transaction sets that are concerned with the eligibility and benefit inquiries
HIPAA Enrollment Pro for the 834 Enrollment transaction sets.
HIPAA Premium Payment for the 820 Premium Payment transaction sets.
HIPAA Auth and Review Pro for the request and response to Authorization and Services Review messages(278)
HIPAAsuite Admin Module to administer trading partners and code sets
optionally: HIPAA Direct Submit is a secure Webserver based on Microsoft IIS that enables Trading Partners to drop-off and pick-up EDI Files

18910 New Hampshire Avenue | Brinklow, MD 20962 | (301) 924-5537 or (800) 351-6347 | Contact Us

HIPAA IT Software Disclaimer - HIPAA requires healthcare organizations to implement security measures to ensure the confidentiality of client healthcare including information about medical claims, auditing and billing. Do you have concerns about how your healthcare organization being in compliance with HIPAA regulations? Contact our HIPAA suite administrator for questions regarding our HIPAA IT Software Solutions.