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Home / Solutions / HIPPA EDI Solutions /
| Direct Payer Connectivity Solutions - Claims Reconciliation |
The HIPAA compliant EDIEngine Reconsiliation (eCR )handles all X12 formats and provides direct payer connectivity. eCR can be used by Billing Services, Clearinghouses and for small to medium sized hospitals.
Following are some of the engine features:
- Automated processing of 837(P,I,D),835,270/271,276/ 277,278/278R,997 transactions.
- Dynamic creation of 997s.
- Supports payer profiles
- Rule based workflow management
- Supports legacy and new X12 formats
- Encrypted communications
- Reconciliation module to reconcile claims at various points of "electronic claim life cycle".
- Payer, Provider, Claim with item views and edits.
- Report wizard and caned reports
- Audit trail
- Online X12N Dictionary.
- X12N translations/ encryption/transfers.
- Platform independent, Java based solution.
- Additional legacy healthcare format/encryption/processes built on demand.
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