276/277 CORE Claims Status

HiPaaS EdiVal Claims Status - API and Dashboard

For Providers

For Insurance Companies - Response 277 Claims Status

• CORE Compliant 276/277 Real time Claims Status for Payers Receive CORE compliance Claim status using SOAP XML and security. Route the request to claims system using intelligent router. Get the claims status response, generate and send 277 X12 response
  

• Claims 276/277 status Batch Receive Claim request file from Trading Partners . Route the request to claims system using intelligent router. Get the claims status response, generate and send 277 X12 response
  

• 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 Claims Graph Node and available to audit
  

• HETS Integration Integrate with HETS Medicare and validate and send claims payment files. Integrate to other large trading partners
  

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

• View Claims Status Requests and Response time View incoming requests and outgoing responses, track response time , track AAA, Track compliance to BX score
  

• Claims Status API same claims status data for other member touch points like web, provider portal, member portals, IVR and customer service port
  

• Claims Status on Kafka Stream Claims status 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.