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EDI Exchange
Definition: Claims are entered on your claim management system, sent to the HealthTech Internet server for review and entry of missing data. Has all the features of the EDI Reporter product with the advantage of integration with your current claim management system.
Target Client: Clients with medium to high claim volumes with a robust internal claim management system capable of generating an EDI claim file (FROI or SROI or both) and reading an acknowledgment file.
Pricing: All transactions, support, enhancements, acknowledgments, and mailbox fees are included in one low fixed fee. No per transaction pricing and no per user licensing.
Features
- Reads data from your current claim management system
- Eliminates dual entry of claim data
- All mandatory, conditional, and logical edit checks
- Easy to use graphical interface
- On-screen links for common look ups
- Dynamic user interface messages
- All data is stored on the HealthTech server for easy retrieval
- Acknowledgement posting specific to report
- Full claim history report
- State specific FROI form print function
- Release 1, 3, 3.1 and proprietary standards
- Standard (IAIABC) or custom file transmission
- Automated and secure communication software
- Management reports
Benefits
- Eliminates duplicate data entry
- Satisfies all jurisdiction reporting requirements
- Worklist generation for claims that do not pass edit checks
- Greatly reduces time required to enter claim data
- Increases productivity
- Saves time verses paper reporting
- Increases accuracy
- Reduces data errors
- Reduces chance of errors from states
- Same day filing of reports -- reduces chance of fines
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