X12 EDI Consulting
Ensure your EDI implementation meets Compliance, HIPAA and industry standards.
We deliver and manage end to end EDI X12 consulting.
HiPaaS X12 EDI Consulting features at a Glance :
- Detailed Review of X12 processing for all healthcare transactions 837 (837I,P,D), 835, 834, 820, 270/271,277/278, 274 & other 27x series.
- Review existing Inventory and documentation
- Review existing business and technology architecture
- Review runbooks, operational document
- Review SNIP 1-4 or 1-2 validation setup and process
- Review tracking IDs at each level (ISA, GS, ST, Business Unit)
- Review Codesets maintenance process
- Review L5, L7 custom checks – Member check, npi lookup, etc..
- Review error reporting process and edifecs error report
- Review any automated TA1,999, 997, 277, 277CA process
- Review duplicate check logic
- Review Custom edits process
- Review ICD9/10 code handling or lookups
- Review Claim number to Line number mapping
- Review Claims/Encounter split process
- Review business on boarding, trading partner docs
- Review business communication process with providers, trading partners
- Review edits, pending, rejection process for transaction
- Review file management, data retention process
- Review Pick up transmissions from a queue
- Review any different validation levels (via ESF choice-list) at the Trade Relationship level
- Review HIPAA regulations process
- Review resubmission process
- Review new business requirement request process
- Review message routing and mapping to Facets
- New EDI Implementation
- EDI L1/L2/L3 support.
- Trading Partner Management.
- EDI Mapping and Analysis
- EDI Governance Setup.