The HIPAA Claim Payment Master

(formerly HIPAA Provider Printer)(Now 5010 compliant!)

HIPAA IT software for the X12 835 Electronic Remittance Advice transactions

  • The Claim Payment Master converts 835 EDI files into printable EOB forms on screen or printer or image file.
  • All the payment and claim status information that is in the file is displayed.
  • Cryptic Codes are translated into their descriptions.
  • Claim Payment data can be exported to any database with schemas provided for MS SQL Server and MySQL
  • EOB forms can be re-created from database
     

Many providers who are capable of producing electronic claims (837) EDI files are not yet equipped to integrate the electronic payment advice (835) into their accounting system and to interpret the claim status transaction (277). They need a way to display the information contained in electronic record, so that they can enter the payment information into their system. The HIPAA Claim Payment Master is the tool that can do this.

Download a 15-day trial version of the HIPAA Claim Payment Master.

Download the detailed help documentation for HIPAA Claim Payment Master. - Acrobat PDF

Using the HIPAA Claim Payment Master will enable you to understand electronic remittance advices:

  1. Open and read X12 835 files.
  2. Extract all the possible information of the transaction set
  3. Translate HIPAA code sets into meaningful words
  4. Display payment information on a form that can be printed.
Fig1 shows the HIPAA Claim Payment Master displaying a payment advice in Preview (Screen) . (Click to enlarge).
Fig2 shows the HIPAA Claim Payment Master displaying a claim status in Preview (Screen) . (Click to enlarge).
Database schema for 835 transactions
 Fig3 shows the database schema used to save Payment Advice records (Click to enlarge)
 Accessing Payment from the database
 Fig4 shows how to access payment records and associated claims. (Click to enlarge) Once a claim is selected the details can be viewed by clicking on the 'View Claim Payment Detail' button.