                Solo Practice Claim Entry System
                  Model:C1A1A170   Version 1.01
         Copyright (c) 1992-1995 Com1 Software Development
                      Com1 Software, Inc.
                         P.O. Box 482
                      Hudson, Ohio 44236
                        (216) 653-3771



IMPORTANT NOTICE:

    This computer program is protected by copyright law and
    international treaties. Any unauthorized reproduction or
    distribution of this program or any portion of it may result
    in severe civil or criminal penalties, and will be prosecuted
    under the maximum extent possible under the law. This program,
    and all support programs and documents are provided "AS IS"
    without warranty of any kind, either expressed or implied,
    including and not limited to the implied warranties of
    merchantability and fitness for a particular purpose. In no
    event shall Com1 Software Inc.,or Com1 Software Development be
    liable for any damages arising out of the use or inability to
    use this program, support programs or documentation. All
    prices and other information is subject to change without
    notice. This program is to be used for the insurance
    submission of a single medical provider on a single computer
    or local area network. This program and support documents
    are for trial and demonstration purposes. Any other use is
    strictly prohibited.

SHAREWARE:

    This program is released as shareware. It is not free and
    is not in the public domain. This program is not for sale
    outside of the United States. This program until registered
    will limit the number of patients and claims you may
    enter on it.


REGISTRATION:

    The registration fee for the program is $79.00.
    Registered users will receive a registration file
    allowing them full use of the product. The registration
    file may only be used by the registered user on a single
    computer or local area network. Updates of this program
    are made available on a regular basis through online
    services and bulletin boards. Registered users may use
    new versions of the program as they become available
    as long as only the right most alpha character in the
    version number has increased. Latest versions of the
    program may be ordered on 3.5 inch floppy disks for $10.00
    and a printed copy of the manual for $30.00.

    To register please fill out the ORDER.TXT document and send
    a check or money order for $79.00 to:
                                           Com1 Software, Inc.
                                           P.O. Box 482
                                           Hudson, OH 44236
                                           (216) 653-3771



DISTRIBUTION:

    You may make copies of the C1A1A170.EXE, C1A1A170.TXT,
    C1A1A170.CFG, C1A1A170.DOC, and ORDER.TXT program
    and documentation files together and distribute them
    to others. All five files must be present and may not be
    distributed without the other files. No additional files
    may be present without the prior written consent of Com1
    Software, Inc. None of the files may be modified in any way.
    This program or any portions of it may not be distributed
    outside of the United States.



CONCEPT:
    This product is designed to allow a single provider of
    medical services to submit primary insurance claims for their
    patients direct to insurance carriers via asynchronous modem
    using the Health Care Financing Administration's National
    Standard Format electronic claims format, the HCFA-1500
    universal claim form, or indirectly through the claims clearing
    house of your choice.  Claims are entered into the system in
    batches organized by insurance carrier.



FEATURES
  ELECTRONIC CLAIMS
   - NSF and Prolink formats allow claims to be sent DIRECT
     to the insurance carriers. Direct electronic claims
     avoid the per claims charges associated with clearing
     houses.
   - HCFA-1500 image files can be used to transmit claims
     to a clearing houses.
   - Built in asynchronous communications eliminates the need
     for any additional communications software. Integration
     simplify processing and eliminates the need to exit and
     reenter applications.
   - Supports the Xmodem and Zmodem protocols.
   - Built in script language allows users to write custom logon
     procedures for uploading and downloading of claims data
     to the host computer. Scripts are stored as a database
     relative to each insurance carrier allowing for
     seemless integration and organization.
   - Supports COM1 through COM4 serial ports up to 9600 baud. Allows
     direct connection to serial ports or Hayes compatible
     modems.

  PAPER CLAIMS
   - HCFA-1500 Revision 12/90 universal claim form.
     - Supports current Medicare requirements.
     - Handles most government and private insurance requirements.
     - Custom form controls allow for modified form rules required
       by some state administered programs.
     - Supports free form documentation records direct to form in
       field 24.

  DATABASE DRIVEN
   - Information entered into system is stored and organized into
     appropriate database. Data remains in system for later reuse
     or verification.
     - Insurance carrier database for all the insurance carriers
       that wish to submit claims to. Store carrier specific
       notes for each carrier in an easy access linked database.
     - Procedure code database support for most any coding method
       separate or mixed. Tracks procedure base fee and unit values
       in both database and history and relative to each claim.
     - Diagnosis code database support for virtually any coding method.
     - Modifier code database linkable to insurance carriers for
       carrier specific modifiers.
     - Referring Source database with insurance contract table for
       recording each referring providers insurance specific ID
       numbers.
     - Provider insurance contract table for storing and controlling
       carrier specific ID's and processing requirements.
   - Relational database method designed for quick and reliable
     data retrieval and update.
   - Front end edits and processing help enforce data integrity for
     more reliable claim information.
   - Patient database is designed to handle virtually any combination
     of guarantor, coverage, and patient relationships. Enter
     patients through standard patient data entry screens or on
     the fly at the time of claim entry. Alternate ID's allow you
     to enter and search for patients based on your own ID's or ID's
     used in another systems. Store note on each patient in an easy
     access linked database.



  BATCH PROCESSED CLAIMS
   - Organize claims into carrier specific batches.
     - Primary claims submission.
     - Claims reordering for resubmission.
     - Search for batches by carrier name.
     - Process batches individually.
       - Print or transmit claims carrier by carrier as you see fit.
     - Claims adjudication at processing validates and will suspend
       claims with errors prior to submission.
     - HCFA-1500 like claim screen.
     - Batch listings and register provide clear hard copy
       of claims activity.

  NETWORK READY
   - Compatible with any DOS Network Operating System. The only limit
     to the number of users is the limits of your network.

  UPWARD COMPATIBILITY
   - As your needs change and you wish to add to or replace your
     Model 170 with a more advanced system or additional products
     form Com1 Software, your existing investment in data entry
     is protected.

  ONLINE HELP
   - Extensive online context sensitive help.
   - Tutorial Assistance for novice users.
   - Alpha search on all documentation topics.


TYPICAL APPLICATION
  As patients visits are completed use the Batch Entry
  to determine if a batch has been created for the
  patients insurance carrier. If on has and it is still
  in the NEW status add the patient's claim into that
  batch. If that patients insurance carrier does not have
  a batch in the new status, create a new batch for that
  carrier. Repeat this process. When an adequate number of
  claims have been entered into a batch process that batch.
  Verify suspended claims after processing to see if any
  errors have occurred. Use the batch listing as an audit
  the batch. Transmit or print claims. Use the processing
  register to determine the status of pending batches and
  their claims. Use the processing register update to clear
  completed batches from the Batch Entry screen. We suggest
  that in a typical office claims should be completed on
  a weekly basis.

INSTALLATION:

 Create a new subdirectory. For example if you are using the a hard
 disk drive C: and the subdirectory you want is \C1A1A170, enter
 the following at the DOS prompt:

               C:
               MD\C1A1A170


 Change the current subdirectory to the one we have just created using

               CD\C1A1A170

 Copy all files from the program floppy disk to the new subdirectory.
 example:
               COPY A:*.* C:\C1A1A170

Five files should have been copied into the \C1A1A170 subdirectory.

               C1A1A170.EXE       The Claim Entry System program
               C1A1A170.TXT       The shareware documentation
                  ORDER.TXT       Order and registration form
               C1A1A170.CFG       Documentation transport file
               C1A1A170.DOC       Documentation transport file

 To print the documentation to a printer use the DOS type command. For
 example to printer 1:

               TYPE C1A1A170.TXT>LPT1
               TYPE ORDER.TXT>LPT1

 To run the program from the C: drive under the \C1A1A170 subdirectory
 in the following and then press ENTER.

               C1A1A170

 The program will being execution by either verifying or creating the
 files required by the system. When either process has been completed
 you will be placed in the Claim Entry System Model 170 main menu.

 This product comes with complete documentation. A full
 users manual can be printed from within the product.

- Choose the HELP option under the Main Menu.
- Select DOCUMENTATION.
- Arrow down to PRINT.
- Hit ENTER and highlight will go over to READY.
- Arrow down to LPT1.
- Hit ENTER to print manual.


  GENERAL SPECIFICATIONS:

   - Designed to be a batch based system.
   - Will allow you to create a batch of 1 to 999 claims
     for any insurance carrier with a total dollar value
     from $0.00 to $99999999.99 per batch
   - Processing batches 999,999,999 per system.
   - Patients 999,999 per system.
   - Guarantors 999,999 per system.
     - Coverage contracts 999,999 per system
     - Dependents 999,999 per system.
     - Active coverage 15 per dependent.
   - Insurance carriers 999,999 per system.
   - Provider Contracts 999,999 per system.
   - Primary insurance claims only.
   - Four diagnosis maximum per claim
   - Six procedure maximum per claim
   - Three modifiers per procedure maximum.
   - Supports HCFA-1500 rev. 12/90
     - Printed or transmitted async.
   - Supports Prolink(sm) transmission format.
   - Supports NSF National Standard Format 001.04


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