Claims Engine 2000

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#003333" TEXT="#F7F7FF" background="040d4c00dduajq.png"> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="0" WIDTH="95" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 46 WIDTH="91"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="46" ALIGN="bottom" WIDTH="91" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> <B>Starting at $3,199.00</B></div> <div> <A HREF="id21_m.htm#product_description" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Product description</A></div> <div> <A HREF="id21_m.htm#system_requirements" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">System requirements</A></div> <bR> <div> <B>Features</B></div> <div> <A HREF="id21_m.htm#switches_supported" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Switches supported</A></div> <div> <A HREF="id21_m.htm#ncpdp_versions_supported" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">NCPDP versions supported</A></div> <div> <A HREF="id21_m.htm#protocols_supported" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Protocols supported</A></div> <div> <A HREF="id21_m.htm#plans_supported" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Plans supported</A></div> <div> <A HREF="id21_m.htm#single_or_batched_claims" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Single or batched claims</A></div> <div> <A HREF="id21_m.htm#claims_import_feature" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Claims import feature</A></div> <div> <A HREF="id21_m.htm#real_time_import_interface" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Real-time Import interface</A></div> <div> <A HREF="id21_m.htm#reports" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Report Engine</A></div> <div> <A HREF="id21_m.htm#local_reports" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Local Reports</A></div> <div> <A HREF="id21_m.htm#claim_statistics" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Claim statistics</A></div> <div> <A HREF="id21_m.htm#claim_history" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Claim history</A></div> <div> <A HREF="id21_m.htm#point___click_design" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Point & Click design</A></div> <div> <A HREF="id21_m.htm#help" TARGET="TRLX_Middle" TITLE="Claims Engine 2000">Help</A></div> </td> <td valign="top" width="100%" style=" border-top: 20px solid #FFFFFF; border-left: 20px solid #FFFFFF;border-right: 20px solid #FFFFFF; border-bottom: 20px solid #FFFFFF;" BGCOLOR="#EEEEEE" TEXT="#080000"> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="DayTech Corporation "><B><IMG SRC="048904e0.png" border=0 width="400" height="78" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></A></div> <div>  <A HREF="index.htm" TARGET="_top" TITLE="DayTech Corporation ">Home</A> |  <A HREF="id20.htm" TARGET="_top" TITLE="Electronic Claims Submission System">Electronic Claims Submission System</A>   |   <B>Claims Engine 2000</B>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Report Engine">Report Engine</A></div> <bR> <div> Claims Engine 2000</div> <bR> <div>  <A NAME="product_description"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Product description</B></div> <bR> <div> CE2000 is a multi-user product that can run on almost any PC or PC network that supports Windows*. In addition to being able to create and transmit prescription drug claims quickly and easily,CE2000 supports several other  features that make it the product of choice for high volume or centralized claims processing environments.</div> <bR> <div> For starters, CE2000 is <B>LAN compatible</B> allowing multiple users to create and transmit claims at the same time. Users can share a common database of plans and claims history making it easy to work from any station on the network. <B>Shared files</B> may be located on a Server or shared drive.</div> <bR> <div> System Administrator functions provide for better management through the use of <B>User IDs, passwords and privileges.</B><FONT SIZE="2" COLOR="#990000" FACE="Arial" > </FONT></div> <bR> <div> CE2000 offers an optional <B>Claims Import feature</B> that allows you to import your claim data from another system. </div> <bR> <div> Our <B>Real-time Import interface</B> allows CE2000 to operate as a dedicated Transaction Client. In this mode CE2000 can immediately detect claims being imported from a host  system, convert them to NCPDP format, transmit them and return the response information to the host system, all in unattended mode. </div> <bR> <div> And finally, <B>CE2000 supports transmission using frame relay, secure, encrypted internet transmission or VISA dialup</B>. You can use a leased line or frame relay connection to your switch, providing instant access and eliminating the need for each user to have a modem or to share a modem pool. Or you can opt for transmission over the net using <B>secure internet portal services and strong 128 bit encryption</B><B>.</B><B> </B>VISA dialup protocol is always available as either the primary means of communication or as a backup to a frame relay or internet configuration.</div> <bR> <div> * Windows is a trademark of microsoft Corporation</div> <bR> <div>  <A NAME="system_requirements"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>General s</B><B>ystem requirements:</B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="386" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="82"><div> <B>NOS:</B></div> </tD> <tD VALIGN=TOP><NOBR><div> Windows 2###, Novell, Peer-to-peer*</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> Disk Space:</div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> 20 meg to install - growth depends on options used </div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="82"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="82" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> <B>Client OS:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="293"><div> Windows XP, Vista or 7</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="82"><div> Memory:</div> </tD> <tD VALIGN=TOP WIDTH="293"><div> 128 meg or higher recommended</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> Disk space:</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="293"><div> 20 meg</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="82"><div> Printer:</div> </tD> <tD VALIGN=TOP WIDTH="293"><div> Ink Jet, Laser or Dot Matrix**</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="82"><div> Modem:</div> </tD> <tD VALIGN=TOP><NOBR><div> 2400-56kb (US Robotics recommended)***</div> <div> <B>or an Internet connection</B></div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> <B>This product is distributed on CD </B></div> <bR> <div> *    <FONT SIZE="1" COLOR="#000000" FACE="Arial" >CE2000 may be installed on a standalone single-user PC if desired</FONT></div> <div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" >**  </FONT>Can be used with a network printer</div> <div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" >***</FONT> Not required if using frame relay,  modem pool or Internet connection</div> <bR> <div>  <A NAME="switches_supported"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Switches supported</B></div> <bR> <div> NCPDP claims are usually transmitted through a "Switch". The switch acts as a router to assure that the millions of claims being submitted by providers reach the correct payers and the responses from the payers make it back to the originating provider. The major national switches used with DayTech products are RelayHealth (formerly NDC) and Emdeon Business Services (formerly WebMD). </div> <bR> <div> <B>DayTech software is certified with both RelayHealth  and Emdeon Business Services for the creation and transmission of prescription drug claims in all of the commonly used NCPDP formats up to and including Version D.0.</B></div> <bR> <div>  <A NAME="ncpdp_versions_supported"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>NCPDP versions supported</B></div> <bR> <div> CE2000 currently supports the following NCPDP formats:</div> <bR> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version D.0 variable (all transaction types)</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version 5.1 variable (all transaction types)</B></div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version 3.2 variable</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version 3A fixed</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version 3B fixed</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Version 3C fixed</div> <bR> <div>  <A NAME="protocols_supported"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Protocols supported</B></div> <bR> <div> <B>CE2000 can transmit claims using a secure internet portal with 128 bit strong encryption to either RelayHealth  or Emdeon Business Services</B><B>.</B> It also supports TCP/IP protocol which allows it to be used over a leased line or frame relay. Additionally, CE2000 is currently in use with several different types of modem pools. It is possible to use internet connection, VISA dialup and TCP/IP on the same system. The transmission method can be switched on-the-fly with two mouse clicks.  </div> <bR> <div>  <A NAME="plans_supported"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Plans supported</B></div> <bR> <div> CE2000 comes with setup information for over 5,100 private and State Medicaid insurance plans that accept prescription drug claims in NCPDP format. <B>This list is searchable by plan name, BIN, or processor control number</B><B>.</B> Once a plan is located it can be activated with a mouse-click and a few keystrokes. The plan is installed with its required fields already set. The user may fine-tune these fields as required to match their particular submission requirements.</div> <bR> <div>  <A NAME="single_or_batched_claims"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Single or batched claims</B></div> <bR> <div> Normally POS claims are created and sent one-at-a-time in a manner that is similar to credit card authorization processing. <B>Using CE2000 you may also create batches of claims and transmit them all at once.</B> Batches may contain claims for different patients and plans. Users can create and delete their own batches as necessary. Claims may be created and added to the batch using the keyboard and screen or imported from a host system using the optional Claims Import feature. </div> <bR> <div> Batches of claims may be transmitted in unattended mode allowing the user to leave the computer while claims are being sent. In this mode, four methods of transmission are supported. Using the new secure internet portal feature, batches of claims can be sent over the web using strong 128 bit encryption. Using standard dial-up and VISA protocol CE2000 can automatically place a separate call to the switch for each claim or, in most cases, it can make a single call to the switch, send all of the claims in the batch, hang up, and process all of the responses. This mode transmits claims at up to 4 times the speed of the normal call-per-claim mode. Using a leased line or frame relay with TCP/IP protocol is the fastest method of all!  Any station on the network can send a claim to RelayHealth or Emdeon by simply establishing a socket, sending the claim and killing the socket. This method of transmission is the fastest and most reliable for high volume environments because it operates at speeds of 56kb or greater and requires no dialing. CE2000 automatically establishes and kills sockets for each claim in an unattended batch.  </div> <bR> <div> <B> <A NAME="claims_import_feature"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Claims import feature</B></div> <bR> <div> Using the optional Claims Import feature, <B>you can import claims to CE2000 from another system</B><B>.</B> CE2000 will convert the claims to the appropriate NCPDP format and save them in a batch. Once in the batch, claims may be edited, transmitted and erased as if they had been created using the keyboard and screen. </div> <bR> <div> Import files may contain multiple claims for multiple patients and multiple plans. Each claim may exist in single or multiple records with fixed width or delimited fields. CE2000 contains a simple template system that allows you to map your import file format to the plans in your CE2000 system.</div> <bR> <div> You can transmit batches of imported claims just like you would any other batch of claims. In addition to the normal printed reports and claims imaging functions, <B>CE2000 will also produce a response file for each imported batch that may be used by the host system to determine the final status of each imported claim</B><B>. </B>This file both fixed width and delimited. Alternately, CE2000 can return both the claim and response in their actual NCPDP format.</div> <bR> <div> <B>CE2000 with the Claims Import feature and one workstation starts at $4,679.</B></div> <bR> <bR> <div> <B> <A NAME="real_time_import_interface"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Real-time Import interface</B></div> <bR> <div> Want to really automate your claims processing and still use your legacy system to create your claims? The CE2000 Real-time interface allows a PC to act as a Transaction Client. <B>In this mode the PC continuously monitors a range of file names and launches an import operation any time a file name in the scanning range is detected.</B><B> </B>Files can contain single or multiple claims for single or multiple plans. CE2000 converts the claims to their corresponding NCPDP format(s) and transmits them using dial-up, leased line or frame relay. Response information is posted back to the originating system and the interface returns to idle mode waiting for the next import file. This all takes place using standard ASCII Sequential files that almost any system can create; no software integration is necessary! </div> <bR> <div> Real-time mode supports several new options that allow it to be adapted to a wide variety of processing environments. It can be used for central billing batches, back-ending a practice management system for sending single claims as they are created, or for use by intake units that need to submit claims for preauthorization then immediately reverse them.</div> <bR> <div> Best of all, CE2000 can be switched from manual to real-time mode with a single click of the mouse! CE2000 can also be configured to launch into real-time mode on system boot  </div> <bR> <div>  <A NAME="reports"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Report Engine</B></div> <bR> <div> <B>The Report Engine is a new feature of CE2000 that allows you to produce custom reports from a queriable database of information collected about each transaction. Refer to the </B><A HREF="id27.htm" TARGET="_top" TITLE="Report Engine"><B>Report Engine product description</B></A><B> for details.</B><FONT SIZE="2" COLOR="#990000" FACE="Arial" >  </FONT></div> <bR> <div> <B> <A NAME="local_reports"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Local Reports</B></div> <bR> <div> CE2000 also supports several local printing and report options that can be customized to your operation. It can print a full page for each transmitted claim which may then be placed in the patient's file. It can report the results of unattended batch transmission in several different formats from page-per-claim to line-per-claim and any combination thereof. A printed audit report may be produced at any time listing every paid claim. The report is organized by insurance plan with totals. Using the optional Import feature CE2000 can also return responses in files that can be parsed and processed by the host system that originated the claims.</div> <bR> <div> <B> <A NAME="claim_statistics"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>Claim statistics</B></div> <bR> <div> CE2000 continuously captures payment information which is always available to management from the Claim Statistics area. This information may be presented on screen or printer using a variety of selection criteria. </div> <bR> <div>  <A NAME="claim_history"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Claim history</B></div> <bR> <div> The system may be optioned to save an image of every paid claim to disk. These claims are saved under the patient's ID and may be recalled at any time to reverse the claim or create a refill. They may also be used as a "boilerplate" to create new claims. This feature virtually eliminates data entry on reversals and refills. It also drastically reduces the data entry required on new claims. This feature may be disabled if you use the Import feature and want all claims to be submitted by a host.</div> <bR> <div>  <A NAME="point___click_design"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Point & Click design</B></div> <bR> <div> Using the mouse and/or keyboard you can quickly navigate between screens and fields.</div> <bR> <div>  <A NAME="help"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><B>Help system</B></div> <bR> <div> Help is always a mouse-click away! In addition to the printed System Administrator Guide, Quick Start Guide and Import Reference Guide, PDF versions of the manuals are always available from the program menu bar. You can even get help right down to the individual field level during claims entry that details the purpose of the field and the standard NCPDP codes that may be assigned to it. </div> <bR> <bR> <bR> <bR> </td> </tr></table></body>