Healthcare Company Evolves Insurance Claims Process with EDI Software Technology
Healthcare Industry | Claims Processing | EDI
Electronic Communication in the Digital Age
Retail, healthcare and financial services need to exchange data securely in standardized formats. This data must comply with relevant standards, such as HIPAA. Chetu specializes in Electronic Data Interchange (EDI) software solutions, enabling these and other organizations to transfer important data more effectively.
EDI Software Integration
We perform seamless EDI software integrations of systems with internal ERP and back-office platforms. The goal is to consolidate data from disparate systems, and automatically generate output files ready for translation to EDI.
EDI Software Implementation
Our developers configure and deploy secure point-to-point EDI software capabilities via AS2, SFTP, and FTPS, or by using a Network Service Provider/Value-Added Network (VAN) to support various communication protocols.
Custom EDI Software Systems
Chetu's experts engineer custom web-based, on-premise, and hybrid systems to enable reliable EDI software communications that conform to prominent standards including ANSI ASC X12, EDIFACT, and TRADACOMS. We also develop EDI software mapping interfaces and schemes to generate and envelop outbound EDI messages from critical software platforms.
EDI Healthcare Software Platforms
Our experts program HIPAA-compliant EDI healthcare software platforms using X12 messages for healthcare insurance claims and billing transaction sets, including 270/271 (eligibility and benefit inquiry and response), 835/837 (healthcare claim and healthcare claim payment), and 276/277 (healthcare claim status request and healthcare information status notification).
EDI Retail Software Solutions
We develop EDI retail software solutions that seamlessly coordinate transactions through all stages of fulfillment between customers, warehouses, shippers, 3PLs, and business partners. We do this using ANSI ASC X12 and EDIFACT standards to communicate common codes, such as 204 (motor carrier load tender), 210 (motor carrier freight details and invoice), and 214 (transport carrier shipment status message).
EDI Financial Services Software
Our EDI financial services software solutions include engineering secure EDI software systems to enable financial services for banking, securities, payments, and merchant services providers. The goal is to communicate payment data between originators and receivers, including common EDI transactions such as 812 (credit/debit adjustment), and 820 (payment order/remittance advice).
