10 Reasons Why
Billings and Claims
EDI Message Processing
CiverSubmit™ is an EDI format specification tool that runs as a background task to CIVER-PSYCH®.
and allows users to send and receive EDI messages.
- Reduces claim submission/remittance cycle
Billing cycles can be set to daily instead of weekly or monthly as a result of
automation of processing steps.
- Reduces errors on claims
Provides flexible processing options (e.g. rejection of an entire data set on errors, or partial
processing with routing of failed transactions to an error file), resulting in "clean" outgoing data
and consistent incoming data.
- Automates generation of outgoing EDI files
Request for authorizations and claim files (full suite of HIPAA formats, e.g. 270,278,837 etc.)
can be automatically generated to Payors.
- Automates processing of incoming EDI files
Incoming EDI files (e.g. 278, 835 etc.) can be automatically processed to Patient Records.
- Accommodates custom EDI formats
Allows Agencies to build custom EDI formats for intra-hospital lab/pharmacy EDI data exchange.
- Reduces network traffic
When used in conjunction with CiverExchange™,
CiverSubmit can generate custom EDI files for each intended recipient,
resulting in reduced network traffic.
Format Specifications for the 837 HIPAA Format
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