Tal Systems' Provider Payment Partner^™ System is Windows^® desktop software for providers, durable medical equipment vendors, laboratories and other health care organizations which receive payment directly from third-party payers such as insurance companies, HMOs and government programs. The PPPS maps payers' Electronic Remittance Advice files from the ANSI '835 Health Care Remittance' format into a database or creates delimited files. From the database, the system provides a series of on-screen inquiries and printed reports.

The PPPS fully supports the current HIPAA-mandated ANSI ASC X12N X091A1 implementation of the 835 Heath Care Claim/Payment Advice document.

Legacy maps are available to permit scanning and storage of pre-HIPAA Medicare and other implementations of the '835' document.

PPPS Version 3.2 Released November 2007

Tal Systems is pleased to announce the release of version 3.2 of the PPPS.  Standard Features now include:

The WYSIWYG previewer features multiple zoom-in, zoom-out, fit screen and send-to-printer options; when printing directly to a named printer that printer may be changed 'on the fly.'

Complete summary of all remittances stored in the current database; change database 'on the fly' ; filter by dates; select any standard or tailored plugin report from the toolbar for any one or multiple selected remittances; redirect output to printer or previewer at will.

The PPPS automatically identifies duplicate remittances from payers; a system configuration option allows the user to STORE, SKIP, or ASK when duplicate remittances are encountered.

For those who wish to separate Medicare, Medicaid and commercial payers or save remittance data separately by calendar or fiscal year, the PPPS supports as many different databases as desired. .

The PPPS database is fully 'open' enabling users to create their own reports using tools such as Crystal Reports,  Microsoft Access and other query products.  

Find payment records by patient name, account number or ID; by payer's ICN and more; use 'equals,' 'starts with' or 'contains' to locate records. 'One-Click' printing of reports when desired claim payment records are found; reprint an insurer's payment information for a patient 'while he waits.' Filter all searches by remittance date or include "All" to generate complete claim or patient payment histories.

Easily manage the multiple database support provided by the PPPS. Move old remittances to archive databases; extract remittances to databases or delimited files for other reporting. The PPPS supports any database with an ODBC interface including Microsoft Access^®, Oracle^® and MySql^™ .

Standard reports include Explanation of Remittance (Benefits paid), Remittance Summary, Claims Summary, Medicare Part A SPR, Medicare Part B/DME SPR, the "PC-PRINT Single Claim Report" required by MediCal for Medicare Part A COB claims and more. Print one, all or selected claims from any payer's remittance.

Includes both Provider and Patient versions of the EOR ("EOB") Report with optional inclusion of details, reason code explanations and/or payment remarks.

For providers who need that 'something special'  the PPPS supports 'Plug-In' tailored reports, queries and interfaces not requiring modification of the standard software.

Providers may define which adjustment reason codes are included in Discount, or define their own 'buckets' such as 'UCR', 'PENALTY' or 'CAPITATION REDUCTION.'

Take a Tour of the PPPS 

For more details and to see the screens and reports included in the PPPS, click below and run the PPPS Tour software. Full-featured time-limited evaluation version available on request; contact Tal Systems Inc. for details.

Take the PPPS Tour

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