| |
|
|
| |
Claim Agent enables
HIPAA compliance: |
|
| |
|
|
| |
Privacy & Confidentiality
|
|
| |
|
• Access is password secured
• Inactive sessions are timed out
• Application privileges assigned based on need
• All access to a claim is recorded
|
|
| |
|
|
| |
Audit Trail
|
|
| |
|
• Image of initial imported claim is saved
• All changes to the claim are recorded
• Final exported claim is saved and may not be altered
• Online queries of access & changes by date, user, type
of activity, & patient control no
|
|
| |
|
|
| |
Transmission Sets
|
|
| |
|
• ANSI 837/4010 A1 compliant
• Transforms claims from a variety of formats into HIPAA
compliant format
• Customers currently submitting 837 / 4010 A1 to all payers
|
|
| |
|
|
| |
Transmission Security
|
|
| |
|
• Supports payer & clearinghouse specific
transmission requirements and methods
|
|
| |
|
|
| |
ANSI reports decoders
|
|
| |
|
• Batch acknowledgement - 997
• Claim level acknowledgement - 277
• Remittance advice - 835
|
|
| |
|
|
| |
|
|
