Features and Licenses

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The HIPAA Claim Status Checker comes with several features. The basic version is has no database attached. It allows for

•	Manual entry of claim status requests

•	Import of 276 claim status request files that were created somewhere else and editing the information

•	Display and printing of claim status requests in humanly readable format with all the cryptic codes translated.

•	Creation of 276 EDI files

•	Reading, displaying and printing the information of 277 claim status responses as well as 277CA claim acknowledgments in humanly readable format with all the cryptic codes translated.

The transport of the EDI files to the payer and receiving the responses are left to other devices in the basic version.

Image file creation. This feature allows for the saving in TIFF or PDF format of the display images from 276 and 277 files.

Database connectivity. By tying the HIPAA Claim Status Responder to a database the product becomes vastly more powerful. Now we can save claim status request and response records in the database and link the request with the response. In addition there are tables for the company setup and requesters, subscribers and providers that are used in the manual entry forms are remembered and make the data entry much faster.

EDI Exchange. This module again expands the functionality of the software by adding all that is necessary to transport the 276 request files to the payers and receive from them the response. EDI Exchange handles the trading partners and their peculiarities, encryption, FTP, SFTP, has logs for incoming and outgoing files, Checks in and out going EDI files for HIPAA compliance and more.

RealTime Client. The HIPAAsuite RealTime client is an add-on to EDI Exchange and adds the capability to exchange requests with payers and receive responses in real-time or batch mode according to the CORE protocols MIME and SOAP.