The latest version of the Tkfp open source EMR has
the ability to produce the HIPAA required ANSI X12 400A1 claim format required for electronic insurance claims in the U.S. It is written in Tcl/Tk and integrates with the demographic/insurance, accounting and note generating modules of Tkfp. The provider can generate the claim him or herself, having it ready for transmission at the same time the note is finished, assuming all the required insurance information is entered correctly. Tkfp is available at Sourceforge.
The ANSI X12 V4010A1 files are passing almost all the tests at the HIPAA Conformance Certification Organization site.
So far the system is designed to work with an on-line clearinghouse such as MDOn-line who
process the payor responses. Eventually we may be able to process those in Tkfp as well. We feel the
ANSI X12 837 form is the initial step.
The file Tk_familypractice_55.tar.gz has a self installation script included and can be used as a base install on Linux and includes all needed Tcl/Tk and extensions. It should be installed in an ordinary user directory and does not depend on any system libraries. This makes it very easy to install or remove at the expense of a rather large 70mb download. Also required for billing are PYTHON with the PYTHON Imaging library. Also required is almost any version of PERL is for a few small but important functions. The file Tk_familypractice_55_patch.tar.gz has the latest changes and can be extracted in the same directory from where Tkfp was installed with the command:
tar xvfz ./Tk_familypractice_55_patch.tar.gz
It can also be used with Winzip to apply the patch
to the Windows version of Tkfp. The Windows version also needs PYTHON and PERL and the install is not as automated as on Linux.