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".