HiPaaS: Healthcare integration Platform as a Service

HiPaaS is leader in digital EDI platform for Healthcare companies

    What makes HiPaaS true digital EDI solution?

    Simplified integration with REST JSON based APIs – No EDI knowledge required

    On- premise solution or on SaaS – Cloud based

    Compliance and audit using built-in automated reconcile logic

    Simplified interactive dashboard that focuses on errors and issues

    Workflow driven Trading Partner Management

    HIPAA SNIP L1-L7 validations

    Workflow driven EDI errors analysis, route custom edit errors to act and resubmit

    Pre-built integration with QNXT and Facets 

    Integration Server – Pre-built Transformation/Translation mappings

    Pre-built connectivity and EDI implementation for to leading insurance companies (BCBS, Kaiser, Cigna, Anthem, United Healthcare , Aetna, and others), Medicare HETS/CMS, Medicaid, and State exchanges.

    EDI transmission error handling and tracking (TA1, 999)

    100% Compliance and audit using built-in automated reconcile logic

    HL7 Capability

    Managed Solution – No IT required

    Improved EDI customer service by ensuring same data analysis available for everyone

    EDI mapped to Healthcare Database

    Low EDI cost with cloud based Healthcare EDI management on Azure or on-premise

    Implementation – Easy to implement and configure

    HiPaaS pre-built digital business solutions:

    HiPaaS Mulitple Screens Shoots

    EDI 270/271 – Eligibility

    Ensure correct eligibility before treatment!

    Access real-time healthcare eligibility data via our cloud based dashboard or integrate with your application using our JSON API. Our Eligibility Service provides all of the following:

    • No EDI or healthcare knowledge required.
    • Easy to read and understand response in simplified English.
    • Get complete set of eligibility data.
    • Real-time eligibility Rest/Json based API for integration
    • Connected to leading Medical Insurance companies, Medicare HETS/CMS, Medicaid, State exchanges, leading Dental Insurance companies.
    • Easy plugin to your EHR and other applications

    EDI 834 – Enrollments

    Ensure access to care at all times!

    Our Enrollments and Benefits connectivity and reconciliation provides all of the following:

    • Send or receive standard or custom 834 file formats.
    • Eliminate spreadsheet with our simplified dashboard that focuses on errors and edits
    • Pre-built SNIP L1-L7 validations, custom validations , edits and resubmission
    • Automated reconciliation of every member data to ensure members can access service at point of service, especially on 1st of the month (Rx is most critical).
    • Automate daily, weekly, monthly full file and compare against membership data .
    • Automated reconciliation logic compare elements like demographics, rates, and dual memberships, outbound membership, and PCP assignments.
    • Identify Retro historical changes
    • Ensure all trading partners & providers receive the correct membership data
    • Built-in trending of enrollment quality metrics
    • Ensure compliance and audit trail
    • Easy to integrate with JSON based membership API – for various member transactions – Add, Change, Remove, Change Demographics, Life events, Change plans, Change PCP, Dual Coverage, Dual Rates, and others.

    EDI 837, 277CA, 276/277 – Claims

    Ensure No claims are left behind!

    Our Claims connectivity and reconciliation solution provides following functionality:

    • Send or receive standard or custom 837 I, P, D file formats.
    • Eliminate spreadsheet with our simplified dashboard that focuses on errors and edits
    • Pre-built SNIP L1-L7 validations, custom validations , edits and resubmission
    • No claims left behind – account for every incoming claim and processing
    • Reconcile every claim and line item for correctness
    • Trend claims submission data quality by trading partner, medical group and provider
    • Simple claims intake dashboard which focuses on claim file data, pre-processing and load logic.
    • Identify claim errors and implement special claims pending rules
    • Trace every claim till it is paid –file statistics, work in progress claims, pending claims, rejected claims.
    • Track claims customer service request – PDR requests and resolutions.
    • Track examiner productivity
    • Built-in trending of claims quality metrics
    • Identify duplicate claims and match them.
    • Ensure compliance and audit trail.
    • Receive or generate 277CA files and compare against claims.
    • Real-time and batch 276/277 Claims inquiry transaction and JSON API.
    • Easy to integrate with JSON based membership API – for various claims transactions – Claims submission, Claims hold, Claims Pend, Claims Rejections, Claims Split and others

    EDI 835 Claims Payment

    Account for every $ for claim and ERA payments!

    Claims Payments / ERA connectivity and reconciliation offers following functionality:

    • Send or receive standard or custom 835 file formats.
    • Ensure 835 file is balanced against check payments
    • Account for every claim and ERA payment
    • Pre-built SNIP L1-L7 validations, custom validations , edits and resubmission
    • Compare 999 files and identify errors in 835 files
    • Reconcile each payment data for correctness
    • Identify and Fix errors in files and resubmit data

    EDI 820 Payments

    Balance every 820 $ payment against Eligibility!

    Payment connectivity and reconciliation offers following functionality:

    • Send or receive standard or custom 820 file formats.
    • Simplified dashboard that focuses on errors and edits
    • Pre-built SNIP L1-L7 validations, custom validations , edits and resubmission
    • Account for every incoming $ from Medicare/MediCal against outgoing provider payments
    • Reconcile every member data payments against membership data, capitation payment against membership data and outgoing provider payments, compare rates, and dual memberships payments against PCP assignments.
    • Identify Retro historical payments

    HL7 Patient Data

    Integrate to any HL7 enabled application!

    Enable HL7 integrations with any EHR/EMR, PMS, Labs, Pharma, Devices and others with following features

    • Relate HL7 Orders against X12 Claims 837 files
    • Support for HL7 ADT, DFT, ORM, CCDA and others
    • Support for – FHIR (fire)
    • Support for custom HL7, XML and old formats
    • Support for Master Patient Indexing
    • Easy to integrate with JSON based Patient API for various Patient transactions – Add, Change, Remove, Add Insurance, Add appointments, Add Visits, Add Charges, and others
    • Ensure profitability – Calculate value of patient and care
    • Calculate various factors like CPT cost, inventory cost, real estate cost, practitioner cost, referral commission, marketing, admin cost and other ongoing cost – including charge backs.
    • Calculate intangible value of preventive care based on various treatment factors: number of visits, number of procedures, repeat procedure treatments, pharmacy prescriptions, quality of treatment and overall duration of single encounter with Patient, Patient satisfaction and others.
    • Get simple dashboard for value of patient with value by procedure, value by insurance, value by agents/referrals, value by pharmacy, value by provider, value by commissions.

    Available as plugins to your existing EDI implementations.

    You can choose any of HiPaaS technology component to integrate:

    HiPaaS API 

    #1 Healthcare managed API Platform with over 100+ customizable REST JSON APIs to enable you healthcare functionality, workflow and business processes which provides tools to automate integration.

    HiPaaS EDI 

    HiPaaS cloud based X12 EDI and Trading Partner management system with no healthcare knowledge up and running in days to manage 834, 270.271, 274, 27x, 837, 835 or any other X12 EDI  transactions.

    HiPaaS HL7 

     

    HiPaaS cloud managed HL7 integration up and running in days, no healthcare knowledge required to connect to any EHR, EMR, Labs, and Systems

    HiPaaS GPS AnalyticsHiPaaS Roadmap Circle

    • Business Dashboard for Claim, Patients, Members, Enrollments, Finance
    • Enrollment GPS compares member data with external 834 files
    • Claims GPS compares claims with each incoming 837 file
    • Finance GPS compares 820 and 835 payment files
    • Patient GPS compares value of Patient by Procedure codes

    Our Customers

    What are customers saying about HiPaaS?

    HiPaaS GPS

     

    The HiPaaS solution was easily implemented and has been a triumph for integration. It is everything we knew put in one place that facilitates deep dive analysis in a more efficient way. This has helped SFHP to reduce the time to market and increased customer satisfaction.

    – Sunny C, SFHP CIO

    HiPaaS API & EDI

     

    API were simple to integrate. DevCool HiPaaS did a GREAT job helping the team gain confidence in X12, so that was HUGELY helpful!  We’re confident that you’re more knowledgeable (with real-world X12 practical knowledge)

    – Bob H, W Health plan Architect

    HiPaaS HL7

     

    HiPaaS helped us to integrate multiple Clinics using different EHR systems via HL7 in less time and low cost!  With HiPaaS – we’re able to reduce our manual work for processing claims and can add more customers

    – Peter K, Hippocratics CEO

    About HiPaaS

    DevCool LogoDevCool Inc. launched HiPaaS in Q1, 2016 to address interoperability and data analytics issues within the Healthcare industry. HiPaaS is trademark of DevCool Inc

    DevCool is a trusted IT solutions provider and systems integrator to major healthcare payers and providers. The team has extensive experience in the healthcare industry and regulations.

    About the Team

    TeamDevCool is developed by core team of experts in HealthCare, Technology and Systems Integration.

    Hiring – Open positions

    HiPaaS News

    News

    1. SFHP CIO presents HiPaaS Case Study at HIMMS17
    2. HiPaaS sponsors Women in Health IT event in San Fran – May 19
    3. HiPaaS team @ WEDI 2017 – May 15- May 17
    4. DevCool HiPaaS Webinar Recording “Lifting the Fog” now available for reply: https://lnkd.in/bmevd6x
    5. Dell Boomi and DevCool Partner to Deliver Healthcare Integration Platform as a Service …read more

    Questions? Learn More About HiPaaS

    Request HiPaaS Information
    Close

    CONTACT US

    DevCool Inc, 4695 Chabot Drive, Suite 200, Pleasanton, CA 94588 | Email: info@devcool.com | Phone: 1-408-372-4313

  • Subscribe error, please review your email address.

    Close

    You are now subscribed, thank you!

    Close

    There was a problem with your submission. Please check the field(s) with red label below.

    Close

    Your message has been sent. We will get back to you soon!

    Close