How It Works

TECHNOLOGY

ACPN developed a proprietary software application to ensure accurate and timely healthcare transactions through our 'Perfect Repricing Process.'

The 'Perfect Repricing Process' consists of logic that allows for fully automated processing of medical claims. All claims are processed in full without human touch and are never assigned a 'pending' status.

Interfaces

ACPN has three interface capabilities - Electronic Data Interchange, Extensible Mark-up Language (XML) and our proprietary web-replacing application, QuickPrice.

Claims can be submitted, fully processed, and returned 24-hours a day through any interface. Payers may submit once daily or multiple times within a 24-hour period.

EDI

ACPN supports all standard HIPAA compliant EDI 837 file formats and most other file formats (CSV, Flat File, etc.) Custom interface development services are also available to support touchless solutions for submitting and receiving claim files automatically between systems.

XML

Payers can submit and receive fully processed claims on a realtime basis using XML. This method offers the ability to create an automated process for sending individual claims for immediate processing as an alternative to EDI that requires batch processing.

Online Web-Repricing

QuickPrice is a proprietary web application that enables payers to process claims via an SSL secured Web Portal. When system limitations or one-off conditions exist, payers can manually enter data from a HCFA or UB claim into QuickPrice. QuickPrice automation processes all claims in full and returns a 'repricing sheet' instantaneously for payment and documentation of processing.