HiPaaS Enrollments and Payment Reconciliation

HiPaaS Enrollment, Eligibility,Payments and Provider Network Reconciliation. HiPaaS Provider Network Reconciliation.
Reconcile and account for every member eligibility and payments. No IT changes required.

Enrollments dashboard and reports with membership, eligibility, payments and provider network reconciliation.
  • No changes required to your current your systems.
  • Integrated across multiple systems and milestones.
  • Integrated to QNXT and Facets.
  • 24x7 managed services support
  • Zero IT footprint required at customer end
  • Host it On Premise or on our HIPAA compliant Cloud.
  • Identifies lost transactions at key points and lists those transactions.

    • Consolidated view of errors, rejections and denials on one screen
    • Compare 820 payments to 834 eligibility
    • Compare provider outbound eligibility to membership
    • Compare provider network payments to eligibility
    • Compare provider network performance
    • Compare multiple 834 files
    • Compare 834 against multiple systems
    • Ability to match enrollment data against membership system
    • Provides duplicate matching and reporting for membership
    • Workflow to assign enrollments in error for research and manual resolution
    • Group notification of file rejections via email or EDI
    • Provides automated audits of membership
    • Enrollment transaction transparency from group to membership system
    • Customizable reporting based on customer need
    • Full File compare
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