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| Claim Agent enables HIPAA compliance: |
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Privacy & Confidentiality |
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• Access is password secured
• Inactive sessions are timed out
• Application privileges assigned based on need
• All access to a claim is recorded |
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Auditable |
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• 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
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Transmission Sets |
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• ANSI 837/4010 A1 compliant
• Transforms claims from a variety of formats into HIPAA
compliant format
• Customers currently submitting 837 / 4010 A1 to Medicare,
Medicaid, Blue Cross and others |
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Transmission Security |
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• Supports payer & clearinghouse
specific transmission requirements and methods
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ANSI reports
decoders
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• Batch acknowledgement - 997
• Claim level acknowledgement - 277
• Remittance advice - 835
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