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CLAIM MASTER

Included with the basic version:

Reading and parsing (837) EDI files
View claims in standard forms
Print claims

Additional features available:

IMAGE FILE CREATION
EXPORT DATA
MAKE 837’S – (Export Data required)
CLAIM ENTRY – (Export Data required)
MAKE 277CA – (Export Data required)
EDI EXCHANGE

Related programs you may want:

HIPAA Enrollment Master (834)
HIPAA Claim Payment Master (835)

Included with the basic version:

Reading and parsing (837) EDI files
View claims in standard forms
Print claims

Additional features available:

Image file creation
EXPORT DATA
Make 835’s – (Export Data required)
ADJUDICATE & PAY – (Export Data required)
EDI EXCHANGE

Related programs you may want:

HIPAA Claim Status Checker (276/277)
HIPAA Claim Master (837)

Included with the basic version:

Reading and parsing (276) EDI files
Create a response manually
Create 277 response EDI files

Additional features available:

IMAGE FILE CREATION
AUTOMATIC RESPONSE
EDI EXCHANGE

Related programs you may want:

HIPAA RealTime Server
HIPAA Eligibility Responder (270/271)

Included with the basic version:

Create 276 requests
Read and parse 276 status requests
View and print 277 responses

Additional features available:

IMAGE FILE CREATION
DATABASE INTEGRATION
EDI EXCHANGE
Real-Time Client

Related programs you may want:

HIPAA Eligibility Checker (270/271)

Included with the basic version:

Read and parse 278 EDI files
Create authorization requests
Create authorization responses

Additional features available:

IMAGE FILE CREATION
DATABASE INTEGRATION
EDI EXCHANGE

Related programs you may want:

HIPAA Claim Status Checker (276/277)
HIPAA Eligibility Checker (270/271)

Included with the basic version:

Read and parse 834 EDI files
View and print enrollment records

Additional features available:

IMAGE FILE CREATION
EXPORT DATA
MAKE 834’S – (Export Data required)
Export to ASCII/Excel
EDI EXCHANGE

Related programs you may want:

HIPAA RealTime Server
HIPAA Eligibility Responder (270/271)

Included with the basic version:

Read and parse 820 EDI files
View and print premium payment records

Additional features available:

IMAGE FILE CREATION
EXPORT DATA
MAKE 820 – (Export Data required)
EDI EXCHANGE

Related programs you may want:

HIPAA Enrollment Master (834)

Included with the basic version:

Reading and parsing (275) EDI files
Create a response manually
Create 271 response EDI files

Additional features available:

IMAGE FILE CREATION
Automatic Response
EDI EXCHANGE

Related programs you may want: HIPAA Enrollment Master (834) HIPAA Claim Payment Master (835)

Included with the basic version:

Additional features available:

Related programs you may want:

Included with the basic version:

Read and parse 999 EDI files
View and print acknowledgements

Additional features available:

IMAGE FILE CREATION
DATABASE INTEGRATION

Related programs you may want:

HIPAA EDI Exchange

Included with the basic version:

Additional features available:

Related programs you may want:

HIPAA Claim Master (837)
HIPAA Enrollment Master (834)
HIPAA Eligibility Responder (270/271)
HIPAA Eligibility Checker (270/271)
HIPAA RealTime Server
HIPAA Claim Payment Master (835)
HIPAA 999 Master
HIPAA Authorizer (278)

N/A

Included with the basic version:

Additional features available:

EDI EXCHANGE
HIPAA Eligibility Responder – (with Auto Response)
HIPAA Claim Status Responder – (with Auto Response)

Related programs you may want: HIPAA Enrollment Master (834) HIPAA Claim Payment Master (835)

Included with the basic version:

Create 270 requests
Read and parse 270 status requests
View and print 271 responses

Included with the basic version:

Create 270 requests
Read and parse 270 status requests
View and print 271 responses

Related programs you may want:

HIPAA Claim Status Checker (276/277)
Authorizer (278)

Included with the basic version:

HIPAA Claim Master 837
HIPAA Claim Payment Master 835
HIPAA Claim Status Checker (276/277)
HIPAA Eligibility Checker (270/271)
HIPAA Authorizer (278)
HIPAA 999 Master
HIPAA EDI Exchange
HIPAA EDI Editor

Additional features available:

Related programs you may want:

Included with the basic version:

HIPAA Claim Master 837
HIPAA Claim Payment Master 835
HIPAA Enrollment Master (834)
HIPAA Premium Payment Master (820)
HIPAA Real-Time Server
HIPAA Eligibility Responder (270/271)
HIPAA Claim Status Responder (276/277)
HIPAA Authorizer (278)
HIPAA 999 Master
HIPAA EDI Exchange
HIPAA EDI Editor

Additional features available:
Related programs you may want:

Software included:

HIPAA Claim Master 837
HIPAA Claim Payment Master 835
HIPAA Claim Status Responder 276/277
HIPAA Eligibility Responder 270/271
HIPAA RealTime Server
HIPAA EDI Exchange
HIPAA EDI Editor

Additional features available:

Related programs you may want:

Software included:

HIPAA Claim Master 837
HIPAA Claim Payment Master 835
HIPAA Claim Status Checker 276/277
HIPAA 999 Master
HIPAA EDI Exchange
HIPAA EDI Editor

Additional features available:

Related programs you may want:

Software included:

DB connect

Additional features available:

IMAGE FILE CREATION
Make 275’s
EDI EXCHANGE

Related programs you may want:

Software included:

Additional features available:

Checks EDI files for HIPAA compliance.
Displays raw EDI data in a readable color-coded format.
Highlights errors in the EDI file.
Gives detailed error descriptions.
Generates error reports in a variety of formats.
Allows file editing and refreshing results.
Automated and manual processing.
Supports HIPAA SNIP validation levels 1 through 4.
Sorts EDI files into good and bad, compliant and non-compliant.

Related programs you may want:

UNMATCHED COMPLIANCE

The Professional Choice for Healthcare EDI

Since 2001, we’ve focused exclusively on healthcare EDI. Our tools are designed to work exactly how your billing and
enrollment teams work.

WEDI/SNIP Validation

Comprehensive checking from SNIP level 1 through 7 ensures your files pass any payer gateway.

No EDI Knowledge Needed

Our human-readable interfaces translate complex EDI codes into simple forms and reports.

Direct Database Link

Post directly to SQL, Oracle, or any ODBC database without manual import/export.

CAQH CORE Compliant

Fully compliant with the latest CORE phase rules for eligibility and claims.

Success Stories from Real Users

HIPAASuite tools are used by independent practices, billing companies, and
major health plans across the USA.