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The Payor EDI Processor product is an EDI front-end application that supports receiving and responding to all the X12 healthcare transaction sets. It is a cost effective solution that can replace or interface to your legacy system while maintaining HIPAA compliancy with minimum disruption to existing operations.
- HIPAA compliant
- Supports a number of communication protocols and rules to accommodate various Trading Partners
- Viewing and Printing of Electronic Claims as HCFA-1500, UB92 or ADA2000
- Adjudication and Payment of Claims with HIPAA compliant codes and the Creation of the Electronic Remittance Advice(835)
- Automatic Responses to Claim Status and Eligibility Requests
- Screen interfaces to respond in detail to EDI Requests and Operations, like Payment Advice, Claim Status, Eligibility data or Authorizations and Services Review.
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