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EDI Software Products for Healthcare

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HIPAA Eligibility Checker

It’s time to confirm patients benefits electronically.

Providers will save countless hours of back office time by switching to electronic eligibility inquiries. Exchange the 270/271 eligibility transactions even in real-time to take advantage of requirements that payers have under HIPAA and the ACA. Discover our user friendly interface for handling manual and automated requests and work with the responses confidently.




Before starting a treatment, providers need to know the insurance coverage of a patient by a carrier. Many providers have staff to find out the benefits of a patient. The HIPAA act created the 270/271 EDI transactions to make this exchange of information electronically. Payers are required by law to respond to electronic Eligibility requests and the healthcare industry is pushing for the responses to be sent in real time.

Avoid annoying IVR systems and spending countless hours collecting information over the phone with our HIPAA Eligibility Checker. It has enabled providers to create electronic request in the 270 format and to receive and translate the 271 response.

See the features of the HIPAA Eligibility Checker:

  • User friendly interface
  • Manually create 270 electronic requests
  • Creates 270 electronic request files from database
  • Views 271 Eligibility response records
  • Saves 271 responses into your database
  • Combines requests and responses

A module that is optional and works with the HIPAA Eligibility Checker is our EDI Exchange. See here some of the following features:

  • Manages all insurance carriers
  • Handles encryption and transport
  • Automates processes
  • Includes CORE client for real time transmission
  • Supports MIME and SOAP

The manual mode is ideal for provider offices who have staff that can take advantage of electronic eligibility transactions and have a limited amount of requests. The responses can be viewed or printed and have all the information in detail with EDI codes translated.

Larger organizations want to automate the creation of requests and the receiving of responses. The HIPAA Eligibility Checker can be integrated into your IT system and database.

Save money and time with our HIPAA Eligibility Checker. Download the free trial today!

Young professional man standing at his computer in the office




Working in manual mode make things easy. Compose your request and hit send. The response is automatically received and your staff won’t need to spend time on hold over the phone or waiting for a fax. Most requests consist of basic information to identify the patient, while the responses can be very detailed. Our HIPAA Eligibility Checker will compose the simplest to the most detailed coverage inquiry. Responses are translated in a clear format for your staff to receive and it supports real time transactions with participating payers.

Verify patient benefits with our HIPAA Eligibility Checker. Download the free trial today!




The HIPAA Eligibility Checker will help hospitals handle larger volumes of eligibility requests by connecting to your database. After a one time setup process of importing some basic information on the patient, the HIPAA Eligibility Checker will convert this data into 270 Eligibility request files and send them out to carrier. The responses will be received and exported into different data tables for access by your system and processes.

Add EDI eligibility with our HIPAA Eligibility Checker. Download the free trial today!




The real-time client enables communications with CORE compliant SOAP or MIME servers.



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HIPAA Claim Status Checker. The HIPAA Claim Status Checker has enabled providers to create electronic request in the 276 format and to receive and translate the 277 response.

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