Paperless Electronic Record System

The application is another step towards making a physician’s office paperless along with the ease of filing health care claims electronically. The application is compliant with the data standards set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its associated rules.

Various Features

1.837 Creation

a.837 is created from the XML file fed to it by the web application

2.837 Encryption and FTP

a.837 file is encrypted using PGP encryption by the windows service invoking the Encryption exe.

b.The encrypted file is FTP’d by the windows service invoking the FTP exe

3.Download and decrypt 997, 835 and Payer reports

a.Download exe continuously watches the clearinghouse FTP server to download files.

b.The downloaded files are decrypted by windows service invoking the Decryption exe

4.Parse 997

a.997 (Functional Acknowledgement) files are parsed by the windows service invoking the 997 exe and database is updated.

b.Payer reports both machine and human readable are parsed by the windows service invoking the 997 parser and database is updated.

5.Parse 835

a.835 (Remittance Advice) files are parsed by the windows service invoking the 835 exe and database is updated.

6.Information Display

a.Eclaim track page displays the 997 status (Rejected/Accepted) for an 837 file with a list of claims sent in a transaction. It also displays the payer detailed report for each claim.

b.Payer reports page displays the Human Readable reports for a provider