Healthcare Provider ePartner™

Healthcare Provider ePartner™ is a comprehensive web based claims management portal to meet the needs of the healthcare community of providers, hospitals, state and local healthcare agencies, and payers. This system is designed to integrate with the existing business processes and systems within the client’s environment allowing providers to more efficiently submit claims, track eligibility, review remittance advice, etc. while addressing the transaction compliance requirements of HIPAA.

Claims Submission

ADSI offers offer three alternatives for clients to easily submit HIPAA compliant X12N claims:

1. Direct Data Entry (DDE) for organizations that deal with paper claims
2. Interfacing with client Patient Management or Claims Management Systems to generate X12N claims
3. Submission of paper claims to ADSI for processing and conversion to HIPAA compliant X12N transactions

Payment Tracking

Providers can log-in to the portal to review their remittance advice online in a user-friendly environment.

Features List

Healthcare Provider ePartner™ offers the following capability:

• HIPAA Compliant claims transactions processing
• Direct data entry for HIPAA compliant 837 I, P, D claims
• Customizable Rule-Based Claims Management System
• Support for all HIPAA transactions
• Eligibility/Benefits checks
• Remittance checking
• Bill Patient and Insurance Companies (HCFA-1500, UB92, & other forms)