Navigation:  Getting Started > Processing an Electronic Claim

How can I process an Electronic Claim?

The HIPAA Claim Master application makes it simple to process and view Electronic Claims. Follow the instructions below to open a single EDI file and display its details in an easy-to-read table format:

 

1.Go to File > Open on the main menu window.

 

 

 

Alternatively, click the "Open Document" icon in the "Taskbar."

 

 

2.Browse the folders and select a file with a .edi extension. Then, click "Open."

 

 

Note: Only claim files in "ANSI 837" format can be opened with the HIPAA Claim Master application. An error message will be displayed if you select a file in a different format. See Configuring Application Options.

 

 

3.Select one of the options in the "Output Mode" box. In our example, we selected the "Screen" mode.

 

 

Note: You can choose the output mode but not the claim type; this is automatically set. If you have the EDI Exchange component licensed, you will have the option to run a HIPAA compliance check before processing a file.

 

4.The file is now open. Click the "Run" button in either the Taskbar or at the bottom of the Info Bar to process the file.

 

 

5.When you click the "Run" button, the file will be parsed and the information displayed. Since in our example the output mode is "Screen," the claim is displayed in a separate window. See Displaying Claims.