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Healthcare Solutions
Mediverge® EDI Translation System
The Mediverge® EDI Translation System has 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
- 837D Healthcare Claim Dental Package
- 835 Healthcare Claim Payment/Advice Package
- 270/271 Healthcare Eligibility, Coverage or Benefit and Information Response Package
- 277/275 Healthcare Claim Request for Additional Information and Response Package
- 276/277 Healthcare Claim Status Request and Response Package
- 834 Benefit Enrollment and Maintenance Package
- 820 Payroll Deducted and Other Group Premium Payment for Insurance Products Package
- 278 Healthcare Services Review - Request for Review and Response Package
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
For more information, view the Mediverge™ Technical Data Sheet, schedule a demo, or contact us.
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Integration Services
Healthcare Process Consulting
For over 30 years, DP Solutions has been helping businesses achieve their strategic goals with technology and improved business processes. Our Healthcare Analysts have taken the decades of business process expertise acquired by DP Solutions and applied it to a defined revenue cycle consulting methodology that benefits various healthcare organizations including Providers, Payers, Clearinghouses and Financial institutions.
DP Solutions begins each EDI project with a Workflow Analysis in order to fully understand the client’s processes and trading partner requirements. With years of experience working in various healthcare capacities, DP Solutions' Healthcare Analysts fully understand the needs and challenges faced by the healthcare industry. Click here to view resume highlights of our healthcare analysts.
Mapping and Gap Analysis
DP Solutions Healthcare Analysts work in conjunction with your client teams to conduct a Translation Mapping and Gap Analysis using Analysis Tools to map proprietary data or database tables to the translator database. Our Analysts will also work with your client team to identify additional data elements required for EDI transactions that are not found on originating formats, such as the HCFA1500 or UB92 claim formats. Deliverables from this engagement are Translation Maps, which include the complete structure and rules to build EDI transactions.
Systems Integration
DP Solutions' Project Team can integrate our Mediverge ™ Translation System with your organization’s current workflow and healthcare IT infrastructure, including practice management systems, hospital information systems, adjudication systems, database applications or proprietary systems.
The DP Solutions’ Integration Services Group has over 30 years experience providing application development and customization services for enterprise level Windows applications and web-based applications based on various technologies and programming languages. These technologies and languages include:
Development Technologies:
- Microsoft .NET
- COM (Component Object Modeling)
- CDO (Collaborative Data Objects)
- ADO (Active X Data Objects)
- UML (Unified Modeling Language) SQL (Structured Query Language)
Development Programming Languages:
- Visual Basic, Visual Basic.NET, and C#
- Visual Basic Script, WSH, CSH and JavaScript
- ASP, ASP.NET, VB.NET, C#
- HTML, DHTML, CSS
- XML, XHTML, XSL, XSLT, XSD
- Microsoft T-SQL
Trading Partner Setup and Testing
The DP Solutions’ Project Team also excels in establishing and maintaining direct trading partner connections. Our trading partner direct connections services include: trading partner enrollment, implementing communication infrastructures (such as SFTP), trading partner customization, testing, and ongoing trading partner maintenance.
In order to meet trading partner specific Companion Guide requirements, DP Solutions has also partnered with Foresight Corporation to integrate Types 3-7 compliance with our translation solutions, utilizing the EDISIM™ standards editor and the InStream™ validation application.
Contact us to learn more about DPS Integration Services, or for a free Workflow Analysis to learn how our healthcare EDI solutions can help your organization meet its business goals.
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