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    Serverless Healthcare EDI Platform

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    Enterprise Healthcare EDI Platform for all X12 messages, SNIP L1-L7 Validation and data correction. Our serverless architecture allows payers, MCO, Administrators and other healthcare organizations to scale as the business scales not worrying about fixed cost.
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    Serverless Healthcare EDI Platform

     Info

    Overview

    Enterprise Healthcare EDI Platform for all X12 messages, SNIP L1-L7 Validation and data correction. Features include:

    • Serverless architecture - auto scalable using Fargate, EKS and Lamda
    • Support for both inbound and outbound for all EDI Transactions. EDIVAL comes with L1-L7 validations, custom process flow, workflows and smart corrections
    • Claims Management - 837 I, P, D
      • 837 I, P, D Loader and Validator
      • Generate 999, TA1, 277CA
      • Link 835 ERA, 276/277
      • Generate Outbound 837 I, P, D
      • Standard and Custom Edits
      • Automated Data Corrections
      • Simplified Trading Partner onboarding
    • 835 CLAIMS REMITTANCE EDI
      • Generate Outbound 835
      • Reconcile 835 ERA to inbound 837 claims
    • 270/271 CORE ELIGIBILITY CHECK EDI
      • Enable Realtime and Batch 270/271 Transaction with Core Compliance
    • 276/277 CORE Claims CHECK EDI
      • Enable Realtime and Batch 276/271 Transaction with Core Compliance
    • 278 PRIOR AUTHORIZATION
      • Enable Realtime and Batch 278 Transaction
      • Track every Prior Auth request and Response
    • 275 CLAIMS ATTACHMENTS EDI
    • 834 ENROLLMENTS MANAGEMENT
    • 834 Full File Compare
    • 820 PREMIUMS MANAGEMENT
    • 274 Provider Directory

    Highlights

    • Serverless Healthcare EDI Platform Claims Management - 837 I, P, D 835 CLAIMS REMITTANCE EDI 270/271 CORE ELIGIBILITY CHECK EDI 276/277 CORE Claims CHECK EDI 278 PRIOR AUTHORIZATION 275 CLAIMS ATTACHMENTS EDI 834 ENROLLMENTS MANAGEMENT 834 Full File Compare 820 PREMIUMS MANAGEMENT 274 Provider Directory

    Details

    Delivery method

    Pricing

    Custom pricing options

    Pricing is based on your specific requirements and eligibility. To get a custom quote for your needs, request a private offer.

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    Support

    Vendor support

    HiPaaS offers core product support as part of the offering. • Any core product defects or issues will be resolved based on priority and sla. Please contact support@hipaas.com  to log product defects. • HiPaaS also offers paid managed services for monitoring,loading and converting your FHIR data. • For large amount of data conversion dedicated environment will be offered under private pricing. • HiPaaS also offers professional services to implement various data transformation. • HiPaaS offers training documentation and hands on training