HiPaaS EDIVal

For Providers

For Insurance Companies

• 275 Claim Attachment Transactions via EDI Real time for Payers Receive 275 Claim Attachment Transactions via EDI and security. Route the request to membership system using intelligent router. Get and generate the response.
  

• 275 Claim Attachment Transactions via EDI Batch Receive 275 Claim Attachment Transactions via EDI request file from Trading Partners . Route the request to membership system using intelligent router.
  

• 999, TA1 Response Create and send 999, TA1 based on SNIP L1 / L2 Validation results based on the Companion guide configuration. Outgoing 999 is attached to Graph Node and available to audit
  

• Prebuilt mappings - QNXT, Facets and Healthedge Prebuilt mappings, connectors and integration to QNXT, Facets and healthedge systems
  

• View Claim Attachment Transactions via EDI Requests and Response time View incoming requests and outgoing responses, track response time , track AAA, Track compliance.
  

• 275 Claim Attachment Transactions API Same Claim Attachment data for other member touch points like web, provider portal, member portals, IVR and customer service
  

• Claim Attachment on Kafka Stream Claim Attachment request and responses on Kafka streams
  

• Views and Alerts Setup different business threshold alerts and notify business. Define analysis views by Provider, by trading partner, Submitter and others.