The HIPAA Claim Master is an advanced healthcare electronic claim tool. The HIPAA Claim Master reads X12 837 EDI claim files and parses the claim information with its built-in EDI translator. Each claim can then be rendered as UB92 ,HCFA-1500 or ADA2000 and the new NPI forms, the UB04, CMS-1500 and ADA 2006. These images can be viewed, printed or turned into image files and added to an image management system.
In addition can the HIPAA Claim Master export each claim to a database. Claim tables can be created within any ODBC/OleDB compliant database such as Microsoft SQL Server, Oracle or mySQL or even Microsoft Access. The claim data is then accessible to your applications and you can search this data ware house and even recreate the image.
Now 5010 compliant. The HIPAA Claim Master works with both EDI formats, 4010, the current format and 5010 which will be mandatory in 2012.
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View the detailed help documentation of the HIPAA Claim Master -  Acrobat PDF
Watch a demo of the HIPAA Claim Master
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Overview of the Features:
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A built-in EDI translator that parses the information from the electronic claim files.
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Forms that are rendered electronically. No pre-printed forms needed. The forms are exact facsimiles of the standard forms and align precisely with the originals.
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Data from the electronic claims is then displayed in the forms
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Additional forms that display information that does not fit on the standard forms such as COB adjudication data or medical specialty information is displayed on additional pages with translated code sets.
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Four output modes:
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Screen
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Printer
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Image file (TIFF or PDF)
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Export data to external database
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Database capabilities that contain nearly every field within the EDI file, searchable and ready for your applications
The HIPAA Claim Master will improve the way you process your healthcare claims in many different ways, including:
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Ability to process HIPAA compliant claim files without a huge investment in a new claim system or the re-engineering of processes and software.
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Workflow systems and image libraries that rely on scanned claim images can now use the HIPAA Claim Master to produce those images.
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Integration into your workflow system, image index database or ASCII file creation with pertinent image and claim data.
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Ability to process files through a command line call with the EDI file as argument. Can be used with Windows scheduler for process automation.
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Flexibility to use this printer as a testing tool to visually inspect the results of an X12 conversion.
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Convenience of using forms that are created in software code, and therefore, don't have to be pre-printed.
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Processing of individual claims as well as batches of many. The output form is determined by the claim type.
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Different options to set the resolution of the output file; from 600 x 600 dpi down to 50 x 50 dpi. You can choose color, grey scale or black and white mode for the image file.
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Ability to save the claim as an individual image file with its own generated filename to allow easy retrieval for CSR or workflow systems etc.
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EDI viewer that allows you to view the content of the EDI file color coded and 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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Ability to view the document information and the envelop data, which can also be printed.
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Export of claim data from EDI files into legacy systems
"HIPAA Claim Master allowed us to integrate EDI into our workflow system while maintaining the familiar claim formats to our claims adjusters and other staff. This made viewing and printing 837's painless, non-disruptive and cost effective. HIPAA Claim Master is a great tool that we can recommend unequivocally."
Don Stoller, Senior Vice President IT --- Screen Actors Guild - Producers Pension and Health Plan, Burbank, CA
"Claimviewer has provided us with the ability to print EDI 837 transactions to paper or as .tif files, which we use for both verification and as a backup solution. We've also utilized Claimviewer as a contingency plan in meeting Governmental compliance deadlines for EDI. The flexibility and ease of use is impressive."
TRAS, LLC (t/a Three Rivers Health Plan, Pittsburgh, PA)
"We are developing an imaging and workflow solution for a health insurer's HIPAA implementation. They required that we be able to display and print electronic 837 transactions as though they were familiar claim forms. This looked like a huge job. But HIPAAsuite's HIPAA Claim Master turned out to be easy to integrate, saved us countless development hours, and thus saved our customer's budget.HIPAAsuite has been easy to work with and extremely responsive to our requested design enhancements."
Charley Cross, eiStream WMS, www.eiStream.com
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