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Alternative Options
Some practice management system (PMS) vendors are not making all the changes
required to support HIPAA formats initially; rather, they are requiring
providers to use new clearinghouse services. If your PMS vendor is one of
these, please make sure you understand all the new incremental costs and
implications that you are facing. You do have some options to consider.
Our enterprise clearinghouse, Advanced Health Information Network (AHIN), is available to convert your current
electronic claim format into the new standard format. Those providers that have
not begun testing by August 2003 will receive an enrollment form to use AHIN as your
HIPAA clearinghouse. Please complete and return this form promptly if you wish
to use that service. Commercial carriers other than USAble Administrators may
be subject to a 10-cent handling fee per claim.
In addition to AHIN, there are several proven vendor solutions that interact with
major PMS systems to generate HIPAA-formatted claims. In no particular order, a
few are:
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