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EDI Software Products for Healthcare

Eligibility Responder 270.crop

HIPAA Eligibility Responder

Automatically respond to 270 eligibility requests.

Save countless hours of customer service representatives' time for payers and providers by switching to our HIPAA Eligibility Responder.

  • Automate 271 eligibility responses, even in real-time, to stay in compliance with HIPAA and the ACA.
  • Solve complex tasks and learn how straightforward our solution is to implement.
  • Enable a limitless number of providers to connect electronically while cutting costs and increasing efficiency.
 

OVERVIEW

OVERVIEW

Before a provider treats a patient in his/her office or in a hospital the eligibility for health care insurance will be established. A lot of time is waisted on hold or with complicated fax response systems. HIPAA introduced the X12 270/271 pair of EDI transaction sets to automate this important exchange of information, so now more and more providers and payers are starting to use it especially since the Affordable Care Act (ACA). To add more complexity, this law mandates payers to implement a real-time response solution for common provider request.

Our HIPAA Eligibility Responder manages these complex tasks of answering 270 electronic eligibility requests by automatically sending a 271 EDI file in real-time. Connect your membership and benefit data to our software and it will handle the rest:

  • It receives 270 EDI request files
  • It identifies the member
  • It locates member benefit information
  • It writes 271 EDI response file
  • It sends 271 EDI files
  • It does it real time (CORE certified)

It has an intuitive interface that allows those with low volumes of eligibility requests to create responses in manual mode. This mode will be ideal for troubleshooting errors and other EDI related issues with new trading partners.

The automatic response mode will make things much more efficient and truly save costs for your organization. It supports exporting 270 requests to the most common database systems. It connects to your data tables after the setup process and automatically generates 271 EDI responses.

Find how the HIPAA Eligibility Responder will make your organization more efficient.Download the free trial today! >

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CREATE RESPONSES

CREATE RESPONSES

The only way to create a responses to a 270 request is by understanding it. Unfortunately these are extremely complex transactions. This is where the HIPAA Eligibility Responder parses the information in a 270 eligibility request file and then displays this information on forms. From these forms a user can compose the response and our software will package it into a 271 EDI file that is sent back to the requester.

The application handles responses in this manual mode from the simplest confirmation of coverage to the most intricate scenarios. Ideal for those organizations that deal with a few electronic requests or those who need an in-depth analysis tool to troubleshoot EDI issues with trading partners.

Requests and responses are saved in the database for full accountability and outgoing files can be validated for HIPAA compliance.

Manage your eligibility responses with our HIPAA Eligibility Responder. Download the free trial today! >

 
 
 

AUTOMATIC RESPONSES

AUTOMATIC RESPONSES

For a payer to truly benefit from the EDI 270/271 eligibility transactions is by automating the whole process of receiving and responding to these electronic requests.

How does this get solved? The HIPAA Eligibility Responder knows how to turn a request into a response using your membership data. This is done after the initial setup process where you’ll connect your data with our software. Our EDI exchange module handles all the protocols, encryption and transport making this a complete HIPAA compliance solution.

Save money and time by automating your providers eligibility requests with our HIPAA Eligibility Responder. Download the free trial today! >

 
 
 

STEP-BY-STEP TUTORIALS

Watch simple videos that explain how you download, install and setup our products. Discover the potential now!

WATCH TUTORIALS >

PRODUCT DOCUMENTATION

Trying to install our product? Find out how our software can work with your platform? Learn more with our in-depth documentation now.

VIEW DOCUMENTATION >

FIND PRICING

Choose the products and features that are right for your situation. Remember to check out our volume discounts. Explore your options.

VIEW PRICING >
 
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Add This Product To Your Configuration

Become CORE compliant with HIPAA RealTime Server.

Getting your responses done in real time to become CORE compliant is now an option with our new RealTime Server software.
learn more! >

 

Why Choose HIPAAsuite?

  • We have hundreds of satisfied clients.
  • We helped save millions with our product solutions.
  • Full support on making transitions to our software.
  • Need a special add on? We’ll customize our software.
  • Free trial - allows a risk free proof of concept.

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