Health Care

A New World of Health Care Technology Challenges

The Affordable Care Act and the requirements to integrate with state exchanges and other key health care players has created significant Information Technology challenges for health industry executives and technologists alike.

 As a health care executive or technologist you must address these new challenges quickly and efficiently while not skipping a beat supporting your current operational responsibilities. This is a daunting task for even the best of the best technology organizations!

EDI 834 documents are the heart to all integrations

EDI 834 documents are the heart to all integrations, dealing with enrollment and the maintenance of enrollments.  In order to successfully integrate with the exchanges, companies must implement a number of architectural components that can be daunting and complex to successfully implement.

Your organization must quickly and efficiently address these levels of complexity by building both inbound and outbound EDI 834 processes that follow the required patterns for integrations with state exchanges and other data sharing partners.

EDI implementations don’t have to be complex

Decisions must be made around how to extract and publish data, how to map to the 834 standard, and how to appropriately batch and deliver data. If designed properly, your solution can be highly efficient, simple, and something that can be managed and extended for years to come.

  • Slalom
  • EDI Specialists
  • CNIC Health Solutions
  • Rocky Mountain Health Plans
  • Connect for Health Colorado
  • Monarch HealthCare
  • Premera
  • Delta Dental of Rhode Island
  • Hill Physicians Medical Group
  • Boon Chapman
  • Baxa Corporation
  • Pathology Associates Medical Laboratories

Does your organization have the time, budget and expertise to complete the  planning, architecture and implementation of archiving, mapping, reconstituting EDI 834 data, exception handling and advanced logging and reporting.