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Case study - Claim Generator Application >>
Claim Generator Application
 
 
 
The Challenge

A leading provider of comprehensive technology and professional solutions for managing schools’ special populations required us to develop a Claim generator application complying with HIPAA record formats.

Our client’s objective is to optimize submission of electronic claims that can be automatically transmitted to processing agencies for faster reimbursement. The challenge was to build the application complying with HIPAA record formats, reduce paper work for educators and help in generating accurate claims with minimum educator’s intervention.

 

 

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The Solution

Comat was involved in design and development of the application. This application enables schools to import records as per Health Insurance Portability and Accountability Act (HIPAA) record formats. Its engine allows for auto applying correct state rates, codes, and rules when generating claims. The reporting module enabled reports based on different administration and user levels.

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The Package

There was a significant reduction in administrative cost with the tool enabled to optimize creation of electronic claims. We at Comat demonstrated a faster learning curve to implement HIPAA record formats and to generate audit trail to defend revenue against billed claims.

There was also an obvious increase in productivity that was in tune with our client’s goal to provide easy-to-use software solutions curtailing burden of paperwork and helping educator to focus improving student achievement.

The solution was developed using C#, .NET framework, Crystal Reports, XML, SQL Server 2000.

 
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