HEALTHsuite
Electronic Data Interchange (EDI)
Increase Automation and Efficiency with Advanced EDI Capabilities
HEALTHsuite includes complete EDI support for all mandated HIPAA ANSI X12 transactions plus electronic UB92, NSF, State, and Federal formats. The HEALTHsuite EDI gateway also includes a powerful translation and mapping component that allows our clients to accommodate any proprietary electronic file format (inbound / outbound) - including files from legacy systems and scanning devices.
•Supported HIPAA EDI Transactions
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270/271 - Eligibility Inquiry and Response
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276/277 - Claim Status Inquiry and Response
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278 - Request for Service and Response (Request from Provider and Response from Health Plan or Administrator)
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820 - Premium Payments
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834 - Enrollment and Disenrollment
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835 - Remittance Advice
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837 - Medical Claim and Coordination of Benefits
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997 - Functional Acknowledgement
The robust functionality of the EDI gateway coupled with the advanced real-time claim adjudication
capabilities of HEALTHsuite allow you to employ a paperless and human-less environment for 24 x 7
claims adjudication and response processing. For more information on how the advanced
solutions from RAM Technologies can give your organization a unique competitive edge
"Click Here Today".