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EDI Software Products for Healthcare

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HIPAA Enrollment MASTER

Master The 834 EDI Transaction

The HIPAA Enrollment Master is the indispensable tool for handling electronic healthcare submissions. Exchange enrollment records with:

  • Health Insurance Exchanges
  • Health agencies
  • Third Party Administrators
  • Insurance companies, brokers
  • IPA’s, pension and benefits plans
 

OVERVIEW

OVERVIEW

The EDI 834 transaction set embodies a Benefit Enrollment and Maintenance record and follows HIPAA 5010 standards. The exchange is between the insurance carrier and a plan sponsor. The sponsor is an entity that pays and organizes benefits to its members. Enrollment records contain demographic information on the insured and the details of their coverage.

The most common features are:

  • Browse 834 EDI files
  • View enrollment record as a form
  • All cryptic codes are translated into their descriptions
  • Print and save enrollment records in PDF or TIFF format
  • Export enrollments as tab-delimited or Microsoft Excel files
  • Export enrollment and benefit data to any database
  • Create 834 EDI files from your database
  • Built-in HIPAA compliance check
  • Automate processing, manage 999’s, TA1’s and more

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VIEW ENROLLMENTS

VIEW ENROLLMENTS

Our forms are developed to explain in-depth the content of an electronic enrollment record. EDI files are notoriously difficult to understand. They were designed to enable data exchange between computer systems, not humans. The same goes for the 834 enrollment transaction. We developed the HIPAA Enrollment Master as a tool to view each record in a simple and clear format.

No more cryptic codes, every value is translated into their proper description. The individual benefits are well formatted to data elements only used by Health Insurance Exchanges are clearly portrayed.

Discover why the HIPAA Enrollment Master is the best tool for viewing electronic enrollments. Download the free trial today! >

 
 
 

EXPORT DATA

EXPORT DATA

Getting EDI data integrated with your system is the biggest task when adopting electronic processes. Our HIPAA Enrollment Master will export that data in an 834 EDI file and save it into your database. After that you will be able to apply your own processes and business rules.

HIPAA Enrollment Master supports the following database’s:

  • Microsoft SQL Server
  • Oracle
  • MySQL
  • IBM DB2
  • ODBC compliant database

The HIPAA Enrollment Master stages your data in 3 tables. Within the schema it contains the full complexity of the HIPAA 834 EDI format. Feel free to customize tables anyway you wish and update the data in order to recreate the 834.

Discover why the HIPAA Enrollment Master is the best tool for managing electronic enrollment records. Download the free trial today! >

 
 

MAKE 834’S

MAKE 834’S

In many cases where a payer receives enrollment records in 834 format, they are required to send those records updated with their membership information back to government agencies and sponsors in the same format. This is especially true if a payer wants to participate with the Affordable Care Act (ACA) and Health Insurance Exchanges (HIE’s).

The HIPAA Enrollment Master is designed with this process in mind and will create an 834 EDI file from enrollment records stored within the database, using the same tables that it writes to when exporting EDI enrollment data.

The optional EDI Exchange component with it compliance engine will then check each record and even withhold it from processing if HIPAA compliance errors have been found.

It does not matter whether the enrollment records came into the database from an EDI file or if the tables are populated by another process.

Discover why the HIPAA Enrollment Master is the best tool for managing electronic enrollment records. 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

Handle Claims with the HIPAA Claim Master. We have hundreds of satisfied clients who:

  • View electronic claims in any format
  • Export claim data to any database
  • Create 837 claim files
  • Create claim image

Try a free trial now! >

 

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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