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EDI Clearinghouse
Capabilities
As part of our commitment
to assisting our clients with full HIPAA compliance, FOX
Systems, Inc. (FOX) offers EDI Clearinghouse
capabilities that include the implementation,
operations, and ongoing support of an EDI transactions
clearinghouse. |
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Transactions serviced by
the FOX Clearinghouse include:
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NSF-formatted Batch or
Real-Time Transmission, Receipt, and Translation
for:
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ANSI X12 837 P/I/D
– Healthcare Professional/Institutional/Dental
Claim or Encounter Transactions
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ANSI X12 835 –
Claims Payment and Remittance Advice Transaction
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ANSI X12 278 –
Referral Certification and Prior Authorization
Requests Transaction
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ANSI X12 276/277 –
Healthcare Claims Status Request and Response
Transaction
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ANSI X12 270/271 –
Healthcare Eligibility Benefit Inquiry and
Response Transaction
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Technical Support
Capabilities, including:
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Communications hub
to support transmission, routing, and receipt of
transactions
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Transmittal of all
batch transactions to appropriate recipient(s)
within 24 business hours after receipt
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Transmittal of all
real-time transactions to appropriate
recipient(s) within 20 seconds of receipt,
excluding non-business hours
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24-hour x 7
days/week continuous processing and maintenance
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Help Desk support
from 7:00 a.m. to 7:00 p.m. CT, excluding
holidays
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Tracking logs for
all transactions
FOX is continuing to
expand its clearinghouse services to encompass the
remaining HIPAA transactions. These services will be
available in the coming months.
Related Products and
Services
As part of the FOX
Clearinghouse Services, FOX offers its clients
additional related products and services. These products
and services include:
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Practice Management
Software for scheduling, billing, patient tracking,
and statement processing, including related
implementation and training services
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Point-of-Sale
Terminals for Eligibility verification
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Third-party liability
receivables analysis software
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Address verification
services
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