               Solo/Group Version Medical Billing System
                  Model:C1B3A210  Version 1.03
         Copyright (c) 1992-1997 Com1 Software Development
                      Com1 Software, Inc.
                         P.O. Box 482
                      Hudson, Ohio 44236
                        (216) 653-3771
               http://user.aol.com/c1soft/c1000.html
                        c1soft@aol.com

IMPORTANT NOTICE:

    This computer program is protected by copyright law and
    international treaties. Any unauthorized reproduction or
    distribution of this program or any portion of it may result
    in severe civil or criminal penalties, and will be prosecuted
    under the maximum extent possible under the law. This program,
    and all support programs and documents are provided "AS IS"
    without warranty of any kind, either expressed or implied,
    including and not limited to the implied warranties of
    merchantability and fitness for a particular purpose. In no
    event shall Com1 Software, Inc. or Com1 Software Development be
    liable for any damages arising out of the use or inability to
    use this program, support programs or documentation. All
    prices and other information is subject to change without
    notice. This program is to be used for the insurance
    submission of a single medical provider on a single computer
    or local area network. This program and support documents
    are for trial and demonstration purposes. Any other use is
    strictly prohibited.

SHAREWARE:

    This program is released as shareware. It is not free and
    is not in the public domain. This program is not for sale
    outside of the United States. This program until registered
    will limit the number of patients and claims you may
    enter on it.


REGISTRATION:

    The registration fee for the program is $695.00 plus sales tax.
    Registered users will receive a registration file
    allowing them full use of the product. The registration
    file may only be used by the registered user on a single
    computer or local area network. Updates of this program
    are made available on a regular basis through online
    services and bulletin boards. Registered users may use
    new versions of the program as they become available.

    To register please fill out the ORDER.TXT document and
    a check or money order for $695.00 plus sales tax to:
                       Com1 Software, Inc.
                       P.O. Box 482
                       Hudson, OH 44236
                      (216) 653-3771

DISTRIBUTION:

    You may make copies of the C1B3A210.EXE, C1B3A210.C, C1B3A210.D,
    OVERVIEW.TXT, INSTALL.TXT and ORDER.TXT program
    and documentation files together and distribute them
    to others. All six files must be present and may not be
    distributed without the other files. No additional files
    may be present without the prior written consent of Com1
    Software, Inc. None of the files may be modified in any way.
    This program or any portions of it may not be distributed
    outside of the United States.

CONCEPT:
     This product is designed to allow anyone handling medical
     billing for either a solo or group practice to enter patient
     visits as invoices into the system.  When an invoice has
     been placed in a status of Released, and a Processing
     Batch is created, that invoice will be processed by the
     created batch.

     Providers may submit primary insurance claims for their
     patients direct to insurance carriers via asynchronous
     modem using the Health Care Financing Administration's
     National Standard Format electronic claims format, the
     HCFA-1500 universal claim form, or indirectly through the
     claims clearing house of your choice.

     Payments, adjustments, and insurance remittances may be
     entered into the system.  Processing can examine invoices
     that have been remitted or where payment has been made.

     Insurance claims will be processed in order with any balance
     due being processed as an invoice.  Processing to secondaries
     and balance due invoices will not be processed until prior
     claims are reconciled.

FEATURES
  ELECTRONIC CLAIMS
   - NSF and Prolink formats allow claims to be sent DIRECT
     to the insurance carriers. Direct electronic claims
     avoid the per claim charges associated with clearing
     houses.
   - HCFA-1500 image files can be used to transmit claims
     to a clearing house.
   - Built in asynchronous communications eliminates the need
     for any additional communications software. Integration
     simplifies processing and eliminates the need to exit and
     reenter applications.
   - Supports the Xmodem and Zmodem protocols.
   - Built in script language allows users to write custom logon
     procedures for uploading and downloading of claims data
     to the host computer. Scripts are stored as a database
     relative to each insurance carrier allowing for
     seamless integration and organization.
   - Supports COM1 through COM4 serial ports up to 9600 baud. Allows
     direct connection to serial ports or Hayes compatible
     modems.
   - Customize the product to better fit your specific practice needs
     through an initialization configuration file.


  PAPER CLAIMS
   - HCFA-1500 Revision 12/90 universal claim form.
     - Supports current Medicare requirements.
     - Handles most government and private insurance requirements.
     - Custom form controls allow for modified form rules required
       by some state administered programs.
     - Supports free form documentation records direct to form in
       field 24.

  DATABASE DRIVEN
   - Information entered into system is stored and organized into
     appropriate database. Data remains in system for later reuse
     or verification.
     - Insurance carrier database for all the insurance carriers
       that you wish to submit claims to. Store carrier specific
       notes for each carrier in an easy access linked database.
     - Procedure code database support for most any coding method
       separate or mixed. Tracks procedure base fee and unit values
       in both database and history and relative to each claim.
     - Diagnosis code database support for virtually any coding method.
     - Modifier code database linkable to insurance carriers for
       carrier specific modifiers.
     - Referring Source database with insurance contract table for
       recording each referring providers insurance specific ID
       numbers.
     - Provider insurance contract table for storing and controlling
       carrier specific ID's and processing requirements.
   - Relational database method designed for quick and reliable
     data retrieval and update.
   - Front end edits and processing help enforce data integrity for
     more reliable claim information.
   - Patient database is designed to handle virtually any combination
     of guarantor, coverage, and patient relationships. Enter
     patients through standard patient data entry screens or on
     the fly at the time of claim entry. Alternate ID's allow you
     to enter and search for patients based on your own ID's or ID's
     used in another systems. Store note on each patient in an easy
     access linked database.


 FULL BILLING AND RECEIVABLES POSTING
     - Basic system for full practice billing.
     - Processing controls invoice status and determines appropriate
       action.
     - Claims submission for all patient insurance.
     - Bill for Self Pay and patient balance due.
     - Claims reordering for resubmission.
     - Post payments, adjustments and insurance remittance.
     - Process remaining balances on invoices to proper
       responsible party or insurance carrier.
     - Report on invoices, their statuses, for selected
       periods.
     - Report on payments by category for selected periods.


  NETWORK READY
   - Compatible with any DOS Network Operating System. The only limit
     to the number of users is the limits of your network.


  ONLINE HELP
   - Extensive online context sensitive help.
   - Tutorial Assistance for novice users.
   - Alpha search on all documentation topics.

  ADDITIONAL FEATURES
   - On Demand Forms.
   - Notes documents on patients and invoices in linked
     database.
   - Insurance reconciliation with automatic assignment
     adjustment posting.
   - Customize system configuration, for processing,
     features or functions.


TYPICAL APPLICATION
  As patients visits are completed, invoices are entered
  into the system.  If additional information is needed for
  the patients account, claims can be retained and held in
  a NEW status.  Complete invoices are RELEASED by the user
  to be picked up and processed the next time a Processing
  Batch is created.  Processing determines quality and
  direction for the invoice.  As invoices are paid off
  and/or their submission to insurance carriers are
  reconciled, processing reviews the status of the invoices
  and will take action if required.  Insurance forms may be
  printed or transmitted on a carrier by carrier basis by
  batch.  Self pay and patient balances due are handled with
  insurance claims on a batch by batch process.  We suggest
  that a typical office should process on a weekly basis.



