Claims-2-Payer™
Claims Outload Interface for your claims managment system--extract and transmit claims data to insurance groups in X12, NSF or proprietary formats as required by your payers.
Claims-2-Payer™
What can it do for you?
Complete Gap Analysis with Payer
Approved Submission formats through ClearingHouses or Direct Submissions
Claims-2-PAYER™ extracts data from your claim system and formats it for delivery of claims information to payers. Using DaFoDiL®, Claims-2-PAYER™ provides an easy means of complying with each payer’s unique interpretation of HIPAA 837 specifications, NSF or their own proprietary encounter formats.
Claims-2-Payer™ provides the following benefits:
- All interfaces are completely tested against payer’s requirements.
- Multiple formats to handle all payers.
- Edit files based on extensive data checking.
- Validation specific to the payer.
- Data translation.
- Store payer-specific data either in your claims processing system or in Claims-2-Payer™.
- Batch Control information reporting.
- User-controlled data extraction–get the claims you need.
- Data extraction kept separate for each payer.
- Use editor for resubmitting rejected data.
- Simple and easy to use.