Provider Edition version 4.0 Standard Features
- Select and scan
any ANSI EDI file; map and store ANSI ASC X12N X091 or X221 (HIPAA-compliant) Electronic Remittance Advice;
set up default remittance file name for each payer.
- Output to database
or delimited files.
- Multiple simultaneous databases are supported.
Use one database for Medicare, another for other payers; or search and report on remittance information
previously archived with the Archive and Extract Wizard.
- Standard Reports
include: Remittance Summary, Claims Summary, Provider and Patient versions
of Explanation of Remittance, Medicare Part A SPR and Medicare Part B/DME SPR; print one, all or selected claims from a payer's
remittance or one, all or selected remittances from database. What-You-See-Is-What-You-Get Print Preview with zoom-in, zoom-out,
fit page and multiple printer options.
- Powerful database search finds all claim
references in the remittance database where patient PCN/account number,
HIC number, member name or number, or payer ICN 'equals', 'starts with'
or 'contains' a user-entered value.
One-click printing or reprinting of reports when desired
claim adjudication records are located.
- On-line remittance
viewer for browse/select of claims; from viewer, mark individual claims
- Archive and Extract Wizard
allows users to move, delete or extract to a delimited file any remittances by individual
selection or date range to take maximum advantage of the PPPS' support for multiple databases.
- Change sort order
of claims within remittance for printing or on-screen viewing at will
using Patient Account Number or PCN, Name, HIC#, Member/Subscriber/Policy#
- Fast, efficient and proven:
The PPPS uses the same copyrighted Tal Systems EDI scanning technology in use at
thousands of user sites across the USA.
- Use any database
with an ODBC 3.0+ driver available; includes major commercial
databases Microsoft Access, Oracle, SQL Server, MySql and more.