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Cortex Eclaim System
A standalone program called Cortex Pharmacy Eclaim System is
used to create Eclaim XML files for pharmacies in the Middle
East region, which use any Clinical Management System database
to receive information and a new database to save it. If the
patient is an existing patient, the program will retrieve all
of the patient's information from the pharmacy's Elaim
database and then build an XML for that patient, saving all of
the patient's information for later use. If the patient is a
new patient, there is a choice to enter their information, and
it will then produce the XML and preserve their information in
the pharmacy database.
Features of this application:
- It helps pharmacies to generate the Eclaim XML for claim of medicines for the Existing patients in the pharmacy.
- It helps to generate the XML for claim of medicines for the new patients in the pharmacy.
- The data for the new and existing patient will be saved in the pharmacy database for future reference
- Application have masters for entering the approved drug list from ministry of health, Clinician licenses and insurance.
- Modified Encounter Page to list out claim as per Claim Status like Not Submitted/Submitted/Rejected/Resubmitted
- Option to submit claim in TEST/PRODUCTION mode to for testing . Once submitted as PRODUCTION can’t submit again till get a response from the provider.
- Option for Submitting Claims will be available for Combination search via Insurance/Group, From&To Date and Status with NOT SUBMITTED.
- Option for Re Submit Claims will be available for Combination search via Insurance/Group, From & To Date and Status with REJECTED.
- Auto Search option with Member ID in Patient Registration Page
- Option to change Insurance/Group/Plan under the same Member ID.
- Give proper title to text boxes used to saving activity.
- Change color to readable color in table contents of diagnosis, activity & claims.
Features of this application:
- It helps pharmacies to generate the Eclaim XML for claim of medicines for the Existing patients in the pharmacy.
- It helps to generate the XML for claim of medicines for the new patients in the pharmacy.
- The data for the new and existing patient will be saved in the pharmacy database for future reference
- Application have masters for entering the approved drug list from ministry of health, Clinician licenses and insurance.
- Modified Encounter Page to list out claim as per Claim Status like Not Submitted/Submitted/Rejected/Resubmitted
- Option to submit claim in TEST/PRODUCTION mode to for testing . Once submitted as PRODUCTION can’t submit again till get a response from the provider.
- Option for Submitting Claims will be available for Combination search via Insurance/Group, From&To Date and Status with NOT SUBMITTED.
- Option for Re Submit Claims will be available for Combination search via Insurance/Group, From & To Date and Status with REJECTED.
- Auto Search option with Member ID in Patient Registration Page
- Option to change Insurance/Group/Plan under the same Member ID.
- Give proper title to text boxes used to saving activity.
- Change color to readable color in table contents of diagnosis, activity & claims.