               Institution/Group Claim Entry System
                          Model:C1A2A179
         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
                        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 group practice 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 $195.00 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 send
    a check or money order for $195.00 plus sales tax to:
                                           Com1 Software, Inc.
                                           P.O. Box 482
                                           Hudson, OH 44236
                                           (216) 653-3771
    MASTERCARD, VISA, AMEX Accepted.

  DISTRIBUTION:
    You may make copies of the C1A2A179.EXE, C1A2A179.C,
    C1A2A179.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 a single group practice of
    medical services to 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.  Claims are entered into the system in
    batches organized by insurance carrier.

  FEATURES
   ELECTRONIC CLAIMS
   - NSF and Prolink formats allow claims to be sent DIRECT
     to the insurance carriers. Direct electronic claims
     avoid the per claims charges associated with clearing
     houses.
   - HCFA-1500 image files can be used to transmit claims
     to a clearing houses.
   - Built in asynchronous communications eliminates the need
     for any additional communications software. Integration
     simplify 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.

  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.
     - Provider database allows for up to 999,999 providers
       within the group.
     - Insurance carrier database for all the insurance carriers
       that 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. (PIN or UPIN)
     - Institution isurance contract table for storing and controlling
       carrier specific ID's and processing requirements.
     - Provider insurance ID table lets you store provider to
       carrier specific id's. (PIN, or UPIN).
     - Provider fee schedule lets you set up each provider's
       charge for a any procedure.
   - 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.

  BATCH PROCESSED CLAIMS
   - Organize claims into carrier specific batches.
     - Primary claims submission.
     - Claims reordering for resubmission.
     - Search for batches by carrier name.
     - Process batches individually.
       - Print or transmit claims carrier by carrier as you see fit.
     - Claims adjudication at processing validates and will suspend
       claims with errors prior to submission.
     - HCFA-1500 like claim screen.
     - Batch listings and register provide clear hard copy
       of claims activity.

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

  UPWARD COMPATIBILITY
   - As your needs change and you wish to add to or replace your
     Model 179 with a more advanced system or additional products
     form Com1 Software, your existing investment in data entry
     is protected.

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

  TYPICAL APPLICATION
  As patient's visits are completed use the Batch Entry
  to determine if a batch has been created for the
  patient's insurance carrier. If one has and it is still
  in the OPEN status, add the patient's claim into that
  batch. If that patient's insurance carrier does not have
  a batch in the open status, create a new batch for that
  carrier. Repeat this process. When an adequate number of
  claims have been entered into a batch process that batch.
  Verify suspended claims after processing to see if any
  errors have occurred. Use the batch listing as an audit
  the batch. Transmit or print claims. Use the processing
  register to determine the status of pending batches and
  their claims. Use the processing register update to clear
  completed batches from the Batch Entry screen. We suggest
  that in a typical office claims should be completed on
  a weekly basis.
  Verify suspended claims after processing to see if any
  errors have occurred. Use the batch listing as an audit
  the batch. Transmit or print claims. Use the processing
  register to determine the status of pending batches and
  their claims. Use the processing register update to clear
  completed batches from the Batch Entry screen. We suggest
  that in a typical office claims should be completed on
  a weekly basis.

  ADD-ON PACKAGES
  Several add-on packages, offered at no additional charge,
  currently available to be used with this application.  Add
  all of the packages or just those that will enhance the 
  system to fit your specific needs. The Carrier Batch
  Processing Package (C1C3A248) is already included as part
  of the product and is used to create carrier specific batches
  of claims for processing to insurance carriers. 

  Claim Entry System Reports Package (C1C3A221)
  Allows you to create several useful reports. 

  Database Replication Package (C1C3A244)
  Used to import data from a remote dialup site with use of
  the Online HUB Package. The Online HUB Package (C1C3A128) is
  available only with the Billing Service Claim Entry System
  Model A199 and Billing Service Billing System Model A210.

  Frame Conversion Utility Package (C1C3A246)
  Allows you to use the system with data received from external
  sources.  The  Frame Conversion Utility is a programmable
  interface wherein you can create simple and efficient interface
  files to fit your specifications.  Also can be used to add
  functionality, such as NSF electronic claims, to existing systems. 