Electronic Claims Processing - Jopari Solutions, Inc.

JOPARI RECOMMENDS MEDICAL TRANSACTION UNIFORMITY FOR P&C INDUSTRY

Leading P&C Clearinghouse's NCVHS Testimony Calls for Relevant X12 Standards, Cautions Against Overly Broad HIPAA Applicability

CONCORD, CA—December 6, 2011—Jopari Solutions, Inc., testified at the November 18th Hearing of the Subcommittee on Standards of the National Committee on Vital and Health Statistics (NCVHS) as part of a select Property & Casualty industry panel. The panel was convened to provide input to the Subcommittee on making standard transaction sets under HIPAA applicable to other insurance types. NCVHS will submit recommendations to HHS based in part on the panel's input.

Jopari, a leading P&C industry eBill agent, currently processes over 1.4 million ASC X12 N transactions monthly for thousands of medical providers connected with hundreds of workers' compensation and auto medical insurance payers nationally. Jopari provides 'singular end to end workflow' ensuring compliance with jurisdiction EDI standards and compliance nuances, providing a broad array of connectivity options enabling medical providers with diverse technical capabilities to participate in eBilling.

To promote administrative simplification and cost savings within the Property & Casualty industry, Jopari recommended NCVHS advocate that HHS focus on the relevant, appropriate and delimited X12 transaction sets in order to encourage adoption by the industry, including:

ASCX12N Healthcare Claim Professional and Institutional (837)
ASCX12 Acknowledgements (TA1, 999/277CA), and
ASCX12N Healthcare Claim Payment/ Advice (835).

Jopari also encouraged NCVHS to recommend support for expanded deployment of electronic funds transfer (EFT) capabilities by P&C payers, indicating a growing number of payers that accept eBill submissions are optimizing internal cost efficiencies by offering EFT medical payments. EFT payments also allow healthcare providers to reduce accounts receivables frictional costs.

Based on experience building a 50-state Property & Casualty connectivity infrastructure for the exchange of X12 transactions, Jopari urged that NCVHS recommend supporting a national standardized administrative simplification approach for the industry, to include:

Allowing sufficient time to review business requirements and workflow impact of ASACX12 278 treatment authorizations and certification transactions
Endorsing the IAIABC model rule and eBill Companion Guide to facilitate use of the appropriate HIPAA 5010 X12 transactions
Encouraging ongoing industry participation in standards setting to assist voluntary alignment
Offering support to technology vendors' use of the X12N standard transactions relevant to P&C lines of business
Supporting P&C industry outreach and provider community education regarding use electronic billing standards

Jopari CEO Steve Stevens, who attended the hearing, stated "We were pleased to see the NCVHS Standards Subcommittee take on the complex and important task of crafting P&C industry recommendations for HHS. Panel testimony at the November 18th Hearing made evident that applying an "all-inclusive" full set of X12 transactions to the Property & Casualty industry poses significant risks to the integrity of the industry's essential legal and contractual insurance obligations, as well as financial and structural competencies, should HIPAA requirements ultimately go beyond specified standards for electronic billing, remittance and payment."

About Jopari

Jopari Solutions, Inc. is a SAS 70 Type II certified technology products company supplying integrated eBill compliance and payment solutions to workers' compensation, auto, and health insurance industry Providers and Payers. Jopari significantly upgrades the technology to manage bills and disbursements, allowing substantial reductions in associated expenses. Jopari's products enable insurance Payers to comply fully with regulatory requirements, including eBill and ePay jurisdictional initiatives, and HIPAA. Insurance and other industry Payers take advantage of JopariPay™ to reduce payment processing costs and increase their operational competitiveness while realizing immediate returns on investment. For more information, please visit www.jopari.com or call 800.903.7799 ext 5213.

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