Products

Our complete suite of HIPAA EDI software products for healthcare is strategically designed by industry experts to streamline your processing workflow electronically, in a standardized and HIPAA compliant way.

CLAIMS

HIPAA Claim Master

Advanced application that manages all aspects of healthcare claims and processes your daily 837 transactions.

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HIPAA Claim Payment Master

Effectively transforms your 835 files into precise, readable forms that take all the guesswork out of payment Information.

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HIPAA Claim Status Responder

Substantially reduces time spent researching claim status queries.

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HIPAA Claim Status Checker

Efficiently transforms the process of creating claim status requests into an effortless exchange.

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HIPAA Authorizer

An indispensable component that enables both, creating and responding 278 authorization request transactions.

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HIPAA Claim Attachment Master

Send and Receive EDI Attachments in a Standard way.

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ENROLLMENT

HIPAA Enrollment Master

Seamlessly transmits 834 files to plan sponsors, insurance companies, or TPAs. Communicate with health insurance exchanges (HIE).

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HIPAA Premium Payment Master

Software for the HIPAA 820 Transaction Set. Take control over your premium payments and get paid by health insurance exchanges (HIE).

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HIPAA Eligibility Responder

Serves up patient insurance eligibility data in real time, offering HIPAA and CORE compliance for 270/271 transactions.

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UTILITY

HIPAA Dashboard

Track claim status, denials, billed amounts, paid amounts, deductions, patient responsibility and more with our intuitive HIPAA Dashboard.

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HIPAA EDI Editor

Conveniently formats and transforms your EDI into easily readable files. View organized data with ease without the need for Notepad.

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HIPAA 999 Master

Turns the 999 Functional Acknowledgment code into a readable format. Facilitates the correction of issues at hand.

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HIPAA EDI Exchange

Securely transports EDI files, manages trading partners, and performs HIPAA compliance checks.

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HIPAA Compliance Editor

Compliance with HIPAA rules is essential in the exchange of EDI files.

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CORE COMPLIANT

HIPAA Realtime Server

A self hosted web service that is CORE Phase I + II compliant and handles SOAP and MIME requests in batch or real-time mode.

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HIPAA Eligibility Responder

Serves up patient insurance eligibility data in real time, offering HIPAA and CORE compliance for 270/271 transactions.

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HIPAA Claim Status Responder

Substantially reduces time spent researching claim status queries.

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PROVIDER SPECIFIC

HIPAA Eligibility Checker

Electronically validates all relevant patients’ eligibility benefits in real time.

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HIPAA Claim Status Checker

Efficiently transforms the process of creating claim status requests into an effortless exchange.

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HIPAA Authorizer

An indispensable component that enables both, creating and responding 278 authorization request transactions.

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COMPLETE SUITE

HIPAAsuite For Providers

Strategically designed by industry experts, this package combines all the EDI products a Provider needs at a discounted price.

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HIPAAsuite For Payers

This package includes a program for every EDI transaction that a Payer needs, bundled into a robust, money saving software suite.

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HIPAA Health Plan Package

This package allows Payers to manage the complete life cycle of a claim and related HIPAA EDI transactions.

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HIPAA Revenue Cycle Manager

A package that combines all of our individual HIPAA EDI products designed for complete Revenue Management.

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UNMATCHED COMPLIANCE

The Professional Choice for Healthcare EDI

Since 2001, we’ve focused exclusively on healthcare EDI. Our tools are designed to work exactly how your billing and
enrollment teams work.

WEDI/SNIP Validation

Comprehensive checking from SNIP level 1 through 7 ensures your files pass any payer gateway.

No EDI Knowledge Needed

Our human-readable interfaces translate complex EDI codes into simple forms and reports.

Direct Database Link

Post directly to SQL, Oracle, or any ODBC database without manual import/export.

CAQH CORE Compliant

Fully compliant with the latest CORE phase rules for eligibility and claims.

Success Stories from Real Users

HIPAASuite tools are used by independent practices, billing companies, and
major health plans across the USA.

"We appreciate the smooth functionality and faithful support you’ve provided for over a decade. I have personally enjoyed the ease and grace with which you have taken care of us."

" It is a local install that we take care of and we don't have to deal with the constant slowness we had from previous cloud based software. We have been able to customize to our needs making our billing process almost entirely automated. "

" HIPAAsuite products do an amazing job and the quick, helpful service they provided during our product evaluation earned our business. " kinneyllc.com >

" Claim Master is a work horse... We run thousands of transactions through the software on a daily basis and the program never fails to deliver. "

" Companies accepting 835 files need a solution. HIPAA Claim Payment Master did exactly what we were looking for at a very reasonable price. "