Athena Software and Cimend Information Systems Announce New Electronic Claims Processing Application for U.S. Behavioral Health Care Providers

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Waterloo Region software company Athena Software and Pittsburgh-based Cimend Information Systems announce the development of a new electronic claims processing tool for use with Athena's Penelope case management system. This tool allows Athena's client base of social services and behavioral health organizations in the United States to easily import 835 remittance files from payers -- indicating whether insurance claims have been paid or denied -- into the Penelope application.

This process takes only a few minutes to run and can save hundreds of employee hours a year.

For behavioral health care organizations in the United States using Athena Software's Penelope case management system, getting reimbursed for insurance claims just got easier.

Pittsburgh-based technology company Cimend Information Systems has developed a program that will read the X12-835 electronic transmission of claim payments and denials, then update billing information in the Penelope application accordingly.

Cimend's 835 tool is an add-on for use with the Penelope system allowing users to receive and process payments faster, with detailed reporting on payments (either full or partial) and denials. Penelope's existing EDI feature allows users to easily create electronic 837 claims for submission to funders -- the 835 program will now help organizations process electronic payments with equal speed and ease.

"We are so pleased to launch this product with Cimend," said Diane Stanley-Horn, business development director for Athena Software. "Alongside our 837 claim-generation capabilities, Cimend's 835 module will make billing and reconciliation for Athena clients even quicker and easier. Like Penelope, Cimend's tool is also scalable to meet the different needs of different organizations."

As with Penelope, the 835 Import System developed by Cimend is a web-based application protected by a 256-bit high security Secure Sockets Layer (SSL) connection and runs on Cimend's virtual cloud servers, saving organizations the need to commit IT resources to maintaining the application. As Cimend president William Streiff explains, the system can also save valuable staff time as well.

"With the Penelope 835 Import System, organizations can quickly, accurately and securely import 835 files, eliminating the need for dedicated staff members to manually comb through each file. This process takes only a few minutes to run and can save hundreds of employee hours a year," says Streiff. "The entire process is easy to use, requiring only two clicks of the mouse."

Users of the 835 Import System access the application using a secure log-in, upload the 835 file from their workstation then download the uploaded file into Penelope in two easy steps. Reports on previous imports can be generated in multiple formats, including PDF, Rich Text and Microsoft Excel and Word. Reports can also be searched for relevant data or printed out for reference.

Organizations who purchase the 835 tool from Cimend also receive data storage, backup and restoration services as part of the package. The 835 Import System is compatible with the new Health Insurance Portability and Accountability Act (HIPAA) 5010 transaction standards, which took effect Jan. 1, 2012.

The 835 payment processing tool was created and is licensed separately for Penelope clients by Cimend Information Systems.

COMPANY INFORMATION

Cimend Information Systems (http://www.cimend.com) provides worldwide consultation services evaluating IT systems and process redesign. Based in Pittsburgh, Cimend specializes in electronic medical record design and implementation for the healthcare field.

Athena Software (http://www.athenasoftware.net) is a global case management solution provider based in Kitchener, Ontario, Canada.

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William Streiff

Diane Stanley-Horn
Athena Software
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