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Part of the MedTranDirect Electronic Claims Processing suite. MedTranDirect is the premier HIPAA compliant electronic claim system offered by MedTranDirect, Inc. All MedTranDirect products are designed to securely transmit and receive HIPAA ANSI X12N formatted data with government (Medicare & Medicaid) and commercial agencies.
HIPAA Compliant Electronic Billing System
Supports
- NDC
Supports inclusion of NDC codes for pharmacy charges. Directly import NDC codes via print image.
- NPI
No need to maintain NPI in host system. Transmission of NPI data on claims can be managed based on payer acceptance mode (e.g. do not transmit NPI, send NPI and legacy provider #, send NPI exclusively)
- POA
Directly import present on admission (POA) codes via print image. Business rules in place to handle POA requirements based on facility type.
- Insured DOB & Gender
Directly import date of birth and gender information for primary, secondary and tertiary subscribers from host system into 837Direct via print image.
Features
- No per claim submission charges
- No software license fees
- No hardware required on site, other than workstations with internet access
- Imports electronic data from existing systems
- All HIPAA 837 data elements accessible for editing
- Professional and Institutional electronic billing formats
- Built in HIPAA, receiver, and payer level electronic billing edits
- Edits and prints paper 1500s, HCFA04s, UB92s, and UB04s
- Meets HIPAA electronic billing transaction security requirements
- Direct electronic transmission for government claims and any other eligible payer
- All electronic bills archived for six years minimum
- OCE/CCI Edits and CPT4 Code Validation
- Supports new Present on Admission Indicators
- 277Direct : 277/276 Electronic Bill Status Tracking system available
For Information, Contact Kalon Mitchell (417) 581-9585 Ext. 206
The Health Insurance Portability and Accountability Act (HIPAA) Transaction Standards & Code Sets mandate that all health care providers use new standard electronic formats. In compliance with the HIPAA standards, The MedTranDirect Suite enables health care providers to submit electronic transactions for electronic bills, and electronic bill status. Contact Us to find out more about how our products utilize the 837, 835, 277 & 276 electronic transaction formats.
Request More Information about MedTranDirect Electronic Claim Submission Suite
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