HIPAA Auth and Review Pro
HIPAA IT Software for the 278 transaction set
What are HIPAA Auth and Review Pro?
The HIPAA 278 Auth and Review Pro is HIPAAsuite's module for the X12 278 Transaction Set (Requests for Authorization and Services Review). The request information coming from a provider is parsed from the EDI file and displayed in a screen. After review an X12 278 Response to an Authorization and Services Review Request can be created and sent back to the requester. The request information with the response is also stored in HIPAAsuite's database and can be recalled.
 Download the detailed help documentation for HIPAA Auth and Review Pro. - Acrobat PDF
By implementing the HIPAA 278 Auth and Review Pro, you will increase the productivity with the following features:
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Ability to receive and process 278 Requests for Authorization and Services Review and be able to create X12 278 Response to an Authorization and Services Review Request.
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Built-in translation engine extracts the information in an X12 278 Requests for Authorization and Services Review and stores that information in a database.
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Requests that are displayed in a screen like the one displayed below:
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Fig1 Displays an X12 278 Requests for Authorization and Services Review. (Click to enlarge) |
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4. Ability to view detailed and specialized information that can be in a 278 Request.
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Fig2 shows Home Oxygen Authorization Request as an example to the additional services that can be contained in a 278. (Click to enlarge) |
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5. Create a response that is a rejection, a denial or an authorization.
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Fig. 3 Creating the response to an Authorization and Services Review Request. (Click to enlarge) |
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6. EDI viewer allows you to view the content of the color coded EDI file with each segment on a new line, which is helpful in viewing raw EDI data segments to debug or fine tune the processing of EDI.
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Fig. 4 displays the 278 Response to an Authorization and Services Review Request that was created with the HIPAA Auth and Review Pro. (Click to enlarge) |
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