Case Study: HEALTHCAREfirst streamlines HIPAA claims processing with PMAM Corporation

HEALTHCAREfirst - Customer Case Study

PM AM Corporation worked with HEALTHCAREfirst, a privately owned firm dedicated to the home care and hospice industry. The client needed to implement HIPAA-compliant transactions for billing and claims as required by U.S. law. They required this integration with their existing accounts system to be seamless and without disrupting their ongoing operations.

PM AM Corporation developed two applications to meet this challenge. The first implemented the 837A1 standard for health care claims, and the second implemented the 835A1 standard for payment advice, integrating the data into the client's system. This solution drastically reduced the time taken to submit a claim, minimized human errors from manual processes, and cut manual intervention. The results included a more reliable, real-time system and optimized execution costs for HEALTHCAREfirst.

HEALTHCAREfirst