HiPaaS EDI and X12 Integration

Complete EDI and X12 Integration solution as a Platform.
Move your X12 EDI to cloud and save overall cost. HIPAA validations and pre-built X12 services

Batch processes – Out of Box HiPaaS EDI processing batch transactions for all healthcare transactions, 837, 835, 834, and the 27x series. HiPaaS supports x12, xml and non standard membership and enrollment formats. Fully HIPAA compliant and secure batch processing.
  • Easy transition to HiPaaS EDI with minimal changes to IT.
  • Integrated across multiple systems.
  • 24x7 managed services support
  • Zero IT footprint required at customer end
  • HIPAA compliance and On shore access only
  • Identifies lost transactions at key points and lists those transactions.

  • HiPaaS easily integrates with existing payer systems (Trizetto, QNXT, etc.)
  • HiPaaS batch processing provides for 100 percent accountability and transparency for all submissions.
  • HIPAA X12 pre-build process and mapping (837,835,834,820,270/271, 276/277,278,274).
  • All new out of box 274 Provider directory transaction.
  • HiPaaS batch integrates eligibility and claim status validation and updates seamlessly into the EDI flow, removes the requirement for additional staff actions
  • HiPaaS batch supports full file compare of 834 enrollment transactions, comparing full and change files against the membership system of record.
  • Creates an accurate membership file that updates only members with changes.
  • EDI Governance Setup.
  • Runtime on Cloud or at Premise.

Real time Transactions – Out of Box HiPaaS EDI supports all real time transactions - Authorizations, Claims, Eligibility and benefits and claims status..

  • HiPaaS easily integrates with existing Provider practice management and hospital information systems and standard payer systems (Trizetto, EPIC, etc.)
  • Fully supports Admin Simplification Core Mandates as well as Blue Cross Blue Shield Association requirements.
  • HIPAA X12 pre-build process and mapping (270/271, 276/277,278).
  • HiPaaS Real time integrates EDI and portal data to ensure full compliance and data integrity.
  • Integrates real time eligibility and claim status into the claim processing process to reducing denials for eligibility and duplicate processing for claims that are pended.
  • Runtime on Cloud or on Premise.

Following EDI services are provided as part of HiPaaS:

  • New EDI Implementation
  • EDI L1/L2/L3 support.
  • HIPAA X12 pre-build process and mapping (837,835,834,820,270/271, 276/277,278,274).
  • HL7 Services(Primary, Clinical, EHR)
  • Trading Partner Management.
  • EDI Mapping and Analysis
  • EDI Governance Setup.
  • Runtime on Cloud or on Premise.
HiPaaS
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