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Services And Software For Clearinghouses
DP Solutions provides EDI Services and Software for Clearinghouses
Healthcare EDI Services
How can you tell when it’s time to look outside your organization for help with your Healthcare EDI needs?
- Bringing new trading partners online takes more time than it used too
- Your daily operations team and research and development team are the same personnel
- Customer satisfaction with your services is down
- Simple errors and their rate of occurrence are going up not down
- You are unable to deliver new services to customers in a timely fashion
- Business growth is constrained because your EDI solution cannot scale
- You have multiple legacy IT systems that do not work or play well together
- You spend more time reacting to problems then planning and developing your business strategy
- Employee morale is down because they are stressed and overworked
How do you select the right company to provide you with the Healthcare EDI assistance you need?
- On staff EDI programmers and analysts that understand Healthcare claims processing and the claim payments workflow
- Successful track record of providing EDI products and services to providers, clearinghouses, third party administrators, claims repricers, durable medical equipment vendors and consultants.
- Thorough understanding of the EDI file structures and how to validate, deconstruct and construct them
- Real business experience in systems and data gap analysis, data translation, data mapping, claim validation, duplicate claim detection, creating cleaner claims, claim payment reconciliation, coordination of benefits workflows, and claims repricing
- Successful development and implementation of our own brand of EDI tools that are in use today providing Healthcare EDI services to a wide variety of customers
Healthcare EDI HIPAA Compliant Solutions
Healthcare EDI HIPAA compliant transactions have benefited healthcare entities in areas such as claim transaction cost and labor savings, quality improvements, and decreased accounts receivable. In order to fully benefit from EDI savings, your organization requires a comprehensive EDI translation solution that fits your specific healthcare organizational needs.
Mediverge™ is DP Solutions' EDI translation solution for translating non-standard healthcare formats, such as the HCFA1500, UB92, and NSF, into HIPAA-compliant EDI transactions. The Mediverge™ EDI Translation System includes a combination of translation software and customized services, which provide turn-key EDI solutions for healthcare entities and their business associates. Our project team will integrate and customize our translation software to work with your existing systems, database or interface wherever possible. Mediverge™ EDI Translation System includes several packages:
- 837P Healthcare Claim Professional Package
- 837I Healthcare Claim Institutional Package
- 835 Healthcare Claim Payment/Advice Package
- 275 Healthcare Claim Attachment - Coming in 2006
- 277 Request for Additional Information - Coming in 2006
Each Mediverge™ EDI package includes translation software and a combination of professional services, including:
- Mapping and Gap Analysis
- Process Consulting
- Trading Partner Set-Up and Testing
- Installation and Integration
Technically Speaking:
Mediverge™ software components are built on a Microsoft SQL Server platform. DP Solutions can integrate with any database system that has ODBC connectivity. Our development languages consist of VB, VBA, VBScript, XSL, XSLT, T-SQL, VB.NET, and C#.
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