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Payer EDI X12 Processor

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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