Workflow driven process to notify errors and fix error
Ability to fix errors on file and re-submit
Pre-built EDI edits and hooks to add custom edits
Pre-configured and pre-developed based on customer requirements ( No Developers required)
Send/Route EDI files directly to payers, providers or clearing house via Trading partner management
EDI Analyst support available as needed
Reconcile with HiPaaS EDI Analytics (Added module)
Send or Receive EDI files with any carrier or clearing house
Real time or batch EDI setup
Get Real time eligibility 270/271 for Medical, Dental and Vision with our state of art JSON REST API.
Complete 834 Enrollment/834 Eligibility solution:
Submit 834 Enrollments, eligibility data to insurance carriers or providers
Complete 837 Submission, tracking, 835 ERA payments
Complete 5.1 Eligibility File solution
Complete 835 Generation and balancing solution
X12 processing for all healthcare transactions 837 (837I,P,D), 835, 834, 820, 270/271,277/278, 274 & other 27x series
Enable Trading partner management
Expose EDI transaction functionality as JSON REST API web services.
We provide 24×7 support for EDI
X12 Connectivity to Insurance companies, Clearing house, exchanges, CMS & state exchanges
Connectivity with leading Insurance Carriers
You can scale as your business scales
HiPaaS EDI Analytics provides daily transaction volumes and errors.
Benefit Administration made easy –
834 Enrollments Connectivity
HiPaaS is connected to leading healthcare payers to send and process 834 data. We provide solution to submit 834 for brokers, large groups, small groups, TPA and benefit administrator.
Benefit Administration – Direct Connectivity to Submit 834 Enrollment data to various insurance carriers – Medicare, Medical, Kaiser, Cigna, Anthem, Cambria, UHC)
Medi-Cal Enrollment and Payment Monthly Full File compare and reconciliation against QNXT membership data– Full File Compare for 834 and 820
Save Time – Route EDI Edits, Fix and Resubmit EDI Files !
Most of the delays and money is spent in going front and back on EDI Edits. Here is how HiPaaS solves it:
EDI Edits are routed to queue
EDI Analyst can login in and check the edit issues
EDI Analyst can fix the data errors and resubmit the file
Entire or Partial file is resubmitted
EDI Analyst can send email to Trading Partner if error is not fixable
#1 Real-time Eligibility API for 270/271
The API supports Medical and Dental Eligibility data
API is connected to Medicare CMS/ HETS to get Medicare Part A, Part B Eligibility
API is connected to various insurance carriers or clearing houses to get eligibility data
It is used by members across various states to get eligibility data.
The response is mapped into simple readable JSON.
You can now just call our API to connect to any insurance company, clearing house, Medicare, Medicaid or Medi-Cal plans and get the eligibility.
It is very easy to integrate
HiPaaS 837, 835 ERA Submission
With HipaaS it is easy to submit , track and manage Claims and payments. HiPaaS is connected to leading carriers and clearing houses.
Why HiPaaS is #1 choice for migrating healthcare EDI to Cloud ?
HiPaaS is for everyone – small clinics, small initiatives, vendors, to large hospitals & payers
Less implementation time
We do all the heavy lifting for you
HiPaaS is highly appraised by our trusted customers.
We have data to prove more than 60% cost savings in IT spend and data analysis time.
We are only one to offer ability to resolve EDI edits and re-submit files.
We provide in-built compliance and business and IT Audit dashboard.
Business can account for every member, every $ and every submitted claim.
HiPaaS EDI Platform is now connected to leading insurance companies ( Kaiser, Cigna, Aetna, Anthem, Blue Cross, Medicare, Medicaid, Dental Insurance companies and more).
HiPaaS is also delivering Medical and Dental real-time eligibility data via JSON based API.
Flat fee pricing model – No transactions driven fees.
Run HiPaaS on-premise (managed via cloud) or on Azure platform.
Easily migrate your existing EDI to HiPaaS Azure based platform.
Try for free
DevOps Infrastructure management
Minimal IT required
Minimal Healthcare knowledge required
Secure HIPAA Complianc
HiPaaS has next generation cloud architecture
Simplified connectivity protocols
Run it on-premise or On Cloud
Cloud and DevOps infrastructure
Connect to anyone and anywhere
Scale as your business grows
Available on MS Azure Cloud and Microsoft stack
HiPaaS DB supports 20K+ healthcare fields
Process flows, business rules and workflow for business processes
No More Spreadsheets – Interactive Dashboard
Easy plugin to internal and external applications
Easily integrate to your website
Interactive BI Dashboard
Innovative HiPaaS Website
Integrated with Salesforce Cloud solutions
What are customers saying about HiPaaS?
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 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
DevCool 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
DevCool is developed by core team of experts in HealthCare, Technology and Systems Integration.