EDI Solutions Details

Key Features

PC-ACE is a comprehensive claims management system. Some of the more prominent features include:

  • Combined Medicare Part A, Institutional All-Payer and Professional claims system
  • Electronic submission of claims in ANSI-837 format
  • Flexible claim import from existing systems
  • Remittance translation/export to existing systems
  • Comprehensive real-time claims editing minimizes rejected claims
  • Field-level edit validation provides immediate user feedback
  • Automatic code validation (diagnosis, procedure, etc.)
  • Detailed claim import and edit validation error reporting
  • Context-sensitive pop-up selection lists speed claim entry and promote accuracy
  • Prints Institutional and Professional claims on plain paper or preprinted forms
  • Maintains claim payment history
  • Unattended scheduling of claims activities
  • Integrated backup, restore and file maintenance functions
  • Familiar Microsoft Windows “look and feel”
  • Comprehensive online help system
  • Technical support through direct customer service line and Internet website
  • Ongoing maintenance, updates and enhancements

Reviewed 9/23/2024