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We've enhanced the EDI toolkit
in exciting ways!
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The
toolkit not only maps data but can help you understand how
the X.12 data got from there to here. |
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We implement the toolkit and transactions, upgrade from one version to
the next, and enhance & customize the toolkit to meet you business
processes. Implementation of any and all steps of SDLC: investigation,
analysis, design, implementation and maintenance.
Collaboration
at every level
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Some
useful toolkit enhancements
& customizations we've done...
- Action codes to "Go to" runs, individual
transactions such as claims, referrals, and members.
- Custom screens/pages to show all steps used to match
HMOs, groups, patients, enrollment, claims, referrals,
and providers
- Custom matching logic for HMOs, groups, providers,
vendors, patients, members, claims, referrals, transactions,
etc...
- Override fields on edit screens to be able to correct
incomplete data
- Cross application logic
- Custom rulebanks to allow users to support frequent
changes without programmer intervention
- Dictionary lookups for specific values, fields, active
entries, defaults, etc.
- Custom error reporting
- Custom testing tools to dump filed objects( i.e. claims,
referrals, enrollment records, etc.)
- Mapping X.12 data to the database
- Inquiry/Edits screens
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Rulebanks
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Implementation of specific business
logic
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Training IS staff to understand the
format and how the data gets to your database
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Reporting
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TA1, and 997 transactions
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Toolkit transactions we've implemented
We've implemented every transaction that GE has developed.
In some cases, we've even helped GE with the development
effort
- 837/835: Claims/Remits (BAR, MCA, HPA)
- 834: Enrollment roster (MCA)
- 270/271: Real time interactive eligibility (MCA)
- 270/271: Batch mode eligilibility (MCA Hold file)
- 278: Referral and authorizations (MCA Payor Request
& Provider Response)
- 276/277: Claim status/response (MCA)
- Up Conversion from 3051 to 4010
- 4010, IDX Flowcast and the newest transaction sets supported
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InfiniMed, Inc. All Rights Reserved
9 Bartlet St. Suite 351, Andover, MA 01810
Phone: (978) 646-9281 Fax: (978) 646-0062
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