This system contains three distinct components:

1. The Remote Site Delivery System

2. The Claims Intake System

3. The Outbound Claims Transmitter and Archival System

The Remote Site Delivery System was designed for use by Medical Offices, Clinics, and Home Healthcare Agencies. Claims, Encounters, and Referrals are generated by the operator responding to a series of preprogrammed questions. This data is automatically archived and batched for unattended transmission to the appropriate Claims Intake System.

The Claims Intake System was designed for Parent Organizations that need a direct data communications link with it's satellites and contracted providers. The Claims Intake System checks the incoming billed procedures for correct pricing and will automatically adjust this pricing to the Parent Organizations payment schedule. The Claims Intake System also has the ability to create statistical reports from this data. These reports can then be transmitted throughout the Organization Via internal e-mail. The Claims Intake System will also translate this data for printout onto the HFCA 1500 claim form.

The Outbound Claims Transmitter and Archival System can receive the raw batched data from the Claims Intake System, sort the claims and encounters per Lines of Business, and transmit theses claims to the designated carriers. Using the ANSI 837-X12A1 format, or your proprietary format. The Outbound Claims Transmitter and Archival System will generate a Unique Patient Number for each Claim, Encounter, or Referral. After Transmission, this data is archived and can be retrieved using the Unique Patient Number.

This system also provides automatic off-site backup in as much as each Claim or Encounter is archived at both the Remote Site and the Outbound Transmitter levels.

Please note: All three components are Y2K compliant. The total system (all three comments) can be installed and in operation in two weeks. Also note, that Claims can be routed through Clearinghouses.