Free Trial

The HIPAA Suite software

HIPAAsuite, our flagship software, is a complete HIPAA EDI front-end application for all HIPAA transaction sets. It is designed for organizations that receive and send EDI transactions in the healthcare industry like payers and repricers. It is a low-cost, off-the-shelf, self contained solution that allows the exchange and processing of all twelve HIPAA-mandated EDI transactions. With HIPAAsuite one can achieve HIPAA compliance at a very affordable price and with little disruption to existing operations

The following graphic illustrates how HIPAAsuite is integrated into an existing system:

HIPAA Suite provides for:

Complete HIPAA transaction set compliance.
EDI health care transactions with any trading partner, clearinghouse, repricing organizations and so on.
An IBM Database that contains all the Elements of the EDI Transactions and Code Sets
Viewing and Printing of Electronic Claims as CMS-1500, UB04 or ADA2006.
Adjudication and Payment of Claims with HIPAA compliant codes and the Creation of the Electronic Remittance Advice(835).
Automatic Responses to Claim Status and Eligibility Requests.
Screen interfaces to respond in detail to EDI Requests and Operations, like Payment Advice, Claim Status, Eligibility data or Authorizations and Services Review.
Setting up Trading Partners and Payees for different communication methods.
60+ HIPAA compliant code sets and their maintenance.
Translation and Export capabilities through ODBC, API calls or XML for straight-forward integration with existing systems.

What are the components of HIPAAsuite?

HIPAA Communication Center is an EDI portal that checks incoming EDI files and determines further processing.
HIPAA Claim Printer displays and prints X12 837 Claims Transactions as UB92 or HCFA-1500 forms. (Download trial here)
HIPAA Claim Pro stores claim information in a database and allows to adjudicate and create Remittance Advices.
HIPAA Claim Status Responder processes X12 276 claim status requests and creates X12 277 claim status responses.
HIPAA Eligibility Pro handles the 270/271 transaction sets that are concerned with the eligibility and benefit inquiries.
HIPAA Enrollment Pro for the 834 Enrollment transaction sets.
HIPAA Premium Payment for the 820 Premium Payment transaction sets.
HIPAA Auth and Review Pro for the request and response to Authorization and Services Review messages(278).
HIPAAsuite Admin Module to administer trading partners and code sets.
optionally: e-HIPAA is a web based provider front-end that allows for on-line claim entry and the drop-off and pick-up of EDI Files.