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EDI Software Products for Healthcare

Prem Payment 820.crop

HIPAA PREMIUM PAYMENT MASTER

Stay on top of premium payments.

The 820 transaction set contains premium and policy payment information. It is another part of the HIPAA EDI transactions.

 

OVERVIEW

OVERVIEW

The HIPAA 820 transaction set handles the communication between a sponsor that is an entity that pays for someone's health care, and another entity that manages health care benefits, such as an insurance company.

For example a large employer that has a contract with an Insurance company or a government agency that handles social and health benefits will use the 820 transaction to manage premium payments. This information can either be very detailed and contain demographic information on each individual that is covered or just contain a summary of the payment for all members.

Health Insurance Exchanges (HIE) use a slightly different version of the standard HIPAA 820. Instead of the X218 the X306 is used to transmit payment information to the carriers. The HIPAA Premium Payment Master supports both versions transparently.

Viewing premium payments:

  • View the data in forms on the screen
  • Print it to paper
  • Create an image file (PDF and TIFF)

The cryptic EDI information is translated and each element in the EDI file is properly displayed. A perfect solution for those with small volumes of 820 files who can use manual entry into their accounting system.

Exporting premium payment information in to any database is easy with the HIPAA Premium Payment Master. All the information is clearly saved in our schema and we support the following databases:

  • Microsoft SQL Server
  • MySQL
  • Oracle
  • DB2
  • Many more databases

Do you need to make 820’s to inform a carrier of payments made? From our data tables we create 820’s EDI files, encrypt, send and handle all the protocols for you. Our HIPAA Premium Payment Master is the best tool to handle all your 820 operations.

Health insurance form with stethoscope

 

VIEW PREMIUMS

VIEW PREMIUMS

Viewing premium payment information that is locked up in an 820 EDI file is a tedious task and even really difficult for the most experienced. The data is often abbreviated and represented by cryptic codes that have to be looked up in cross reference tables.

Our HIPAA Premium Payment Master displays the information in a 820 file in a clear way with the codes translated for easy reading. There are 2 distinct types of the premium payment transactions, the individual policy and the summary statement for group policies. A perfect solution for those with small volumes of 820 files who can do manual entry into their accounting system.

As with all our products the HIPAA Premium Payment Master will save this view in an image file, supporting PDF and TIFF formats.

Discover why the HIPAA Premium Payment Master is the best tool for viewing electronic premium payment records. Download the free trial today! >

 
 
 

EXPORT DATA

EXPORT DATA

Exporting EDI data into database is very difficult. EDI data is nested so no data element has to be repeated and while this makes for small files to transmit it makes things really hard to flatten the information into the normalized tables. You either have to write software yourself or buy expensive translators that have a high learning curve. The HIPAA Premium Payment Master is designed and tailored to handle only the 820 X12 transaction, so you can avoid a bloated software experience. It’s ideal for those with larger volumes of 820 EDI files and who need the data in their system.

With its database module enabled the HIPAA Premium Payment Master can export the EDI data to any ODBC compliant database, such as Microsoft SQL Server, Oracle or most other databases. Each individual record and element in the EDI file is saved in our schema with field names straight out of the EDI implementation guide.

The optional EDI Exchange module will handle:

  • Trading partner management
  • Creation of 999 files
  • TA1 files
  • Supports secure FTP
  • PGP encryption

This combination of modules makes the HIPAA Premium Payment Master the perfect tool for anybody dealing with state or federal Health Insurance Exchanges (HIE). Download the free trial today! >

 
 
 

MAKE 820'S

MAKE 820'S

For larger organizations and agencies who need to create an 820 EDI file to inform a carrier of a premium payment the HIPAA Premium Payment Master offers a clear path to accomplish this task. Using the same database schema that we use for the export of premium payments, we developed the reverse process to create 820 EDI files from database records. All you need to do is populate our tables from your system and our software handles the rest.

Including the EDI Exchange module here are the main capabilities:

  • Create the 820 file
  • Check for HIPAA compliance
  • Supports secure FTP
  • PGP encryption
  • Creation of 999 files
  • TA1 files
  • Trading partner management

Find out why the HIPAA Premium Payment Master presents the easiest and most affordable way to create 820 EDI files. 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!

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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.

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FIND PRICING

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

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Claim Master 837.crop

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! >

 

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