HEALTHsuite

Electronic Data Interchange (EDI)

 

Increase Productivity 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 tool that accommodates any proprietary electronic file format (inbound / outbound) - including files from legacy systems and scanning devices.

 

Supported HIPAA EDI Transactions:

270/271 - Eligibility Inquiry and Response

276/277 - Claim Status Inquiry and Response

278 - Request for Service and Response (Request from Provider and Response from Health Plan or Administrator)

820 - Premium Payments

834 - Enrollment and Disenrollment

835 - Remittance Advice

837 - Medical Claim and Coordination of Benefits

997 / 999 - Functional Acknowledgement

 

The robust functionality of the HEALTHsuite 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".

 

 

 

 

 

 

 

 

 

 

 

 

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