- Supports provider
participation in payer Electronic Funds Transfer and Electronic Remittance
Advice without a major software investment; funds and adjudication details
are available immediately without waiting for the U.S. Mail, Federal
Express or other carrier for checks, EOB's and other remittance documentation.
- Assists provider
with Remittance Reconciliation - identifying which claims have been
adjudicated by the payer - and Remittance Posting - crediting the patient
- Eliminates the
need for a service bureau/clearinghouse and the associated subscription
and/or per-remittance document fees.
- Reduces "paper
document" handling and storage; decreases lost, misplaced or stolen
documents, enhancing the security of confidential patient data.
- Provides advance
HIPAA-readiness. Enhanced patient data security and audit trails for
all transactions are automatic; and the PPPS supports the ANSI ASC X12N
X091 Remittance Advice, which will be the only HIPAA-compliant ERA format
when the remittance provisions of the 1996 HIPAA are fully implemented.
- Facilitates bank
account, payer and patient account reconciliation by storing all remittance
data for search, recall or reprint on-demand.
- Provides industry
standard structured data storage, allowing the user to generate additional
historical or specialty reporting, develop automatic posting to existing
claims processing or practice management systems, and create personalized
patient statements for copays, coinsurance and deductibles. Users of
Microsoft Access® or Visual BASIC®,
Lotus Approach®, Seagate Crystal Reports®
and other software may create these reports and interfaces using their