Cortex Eclaim System

Cortex Pharmacy Eclaim System is a standaloe application which used to generate Eclaim XML file for Pharmacies in Middle East Region, which is using the database any Clinical Management System for fetching the details and create a new database for saving the details. If the patient is an existing patient , the application will fetch the details of the patient from the existing Clinial management system database and then it will generate the XML for that patient and save all the details in the pharmacy Elaim database for future use. If that patient is new patient , option to enter the details of the patient and then it will generate the XML and save the details in the Pharmacy database.

We can generate XML for multiple patients also and then submit the XML through Green Rain to HAAD .

e-claim

e-claim

  • 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.