Electronic Claims Translation Module

ISSI's Electronic Claims Translation Module was developed by experts in claims processing and Electronic Data Interchange (EDI) solutions, resulting in the best product in the marketplace. The Electronic Claims Translation Module is a fully HIPAA/EDI-compliant processor that provides complete support for the HIPAA/EDI transaction set, including the new 5010 and ICD-10 requirements.

The module allows for the HIPAA-compliant translation of EDI transactions between proprietary systems, EDI 4010, and EDI 5010 systems. When used in conjunction with the ISSI Claims Processing Module, the Electronic Claims Translation Module simplifies the processing, auto-adjudication, and auto-release of electronic claims.

The Electronic Claims Translation Module can also work with many third-party claims processing systems, repricers, health networks, providers, and trading partners. Health Plans can efficiently and effectively send and receive electronic claims transactions at a fraction of the cost and hassle associated with clearinghouses or proprietary products.

Case Study: Claims Administration System


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