Make Artificial Intelligence a Reality
Rethink
Healthcare
Solutions
Experience the future of Healthcare with
AI-enabled auto scalable platform HiPaaS
Revenue Monitor: AI driven Payment Posting Automation
Monitor Healthcare Payments to ensure efficient revenue cycle management
Remittance Posting and Claims Compare : Post ERA Remittance and automatically compare against submitted claims
Treasury Posting and ERA Compare : Post Treasury and bank file to compare with ERA Remittance received
Workflow and work-queue Management : Remittance work queues for manual and automated posting of reconciliation
Clinical AI Monitor: Enable Clinical Decision Support
AI Driven Clinical Decision Modeling : Collect real time Vitals, Labs and run AI algorithms to manage cases like Sepsis monitoring, mortality rate monitoring, population health and others.
Enable Interoperability : Stream real time HL7 data, FHIR resources and APIs. HL7 , FHIR & Rest API Integration and any data sources. Out of box clinical data repository build on graph model
HiPaaS EDI: Simplify Healthcare EDI
AI enabled Complete Healthcare EDI validation platform : with automated data correction and work queues. Simplified Trading Partner onboarding and configuration. Companion Guide setup for L1/L2 Validations. Configure validation and compare rules based on trading partner, line of business, state, or transaction types.
837, (I, P, D), 834, 835, 270/271, 276/277, 278, 274, 275, 820, 277CA
Claims Management : Claims validation, automation, claims status and remittance management . Manage automated claims corrections, rejections , claims status and claims payments
Real Time Transactions : Realtime Eligibility, PreAuth management, Claim status, Claims Attachments and Provider Directory
Enrollments Management : Manage inbound and outbound enrollments. Medicare, Medicaid enrollments management. Full file and Audit file compare, Compare with membership data in real time and manage updates
Availity Integration : Out of box integration with Availity Clearing house and QNXT for all transactions
HPS Enrollments Integration : Integrated with HPS enrollments for commercial and group plans to handle multiple coverages.
FHIR Monitor: Enable FHIR CMS Interoperability
US CORE Profiles (USCDI) and CARIN Resources : Enable FHIR Server with USCI and Bluebutton resources. Allergy, Observation, CarePlan, Patient, Encounter, Immunization, Location, Condition, Diagnostic Report, Explanation of Benefits, Procedure and more US Core Extensions mapped
DVinci use cases. : Out of box DVinci use cases. Payer Exchange, Provide Directory, Clinical Use Cases, Formulary Drug and Network Implementation
Prebuilt Interfaces : Simplified out of box mappings to convert EDI data and custom feeds to be converted to FHIR data resources
Payer to Payer Interfaces : Payer to Payer interfaces and Integration as per USCDI standards
Consent Managenet, 3rd Party App Management and App Integration : Use Consent Management 3rd Party Consent Management. App on boarding process. Oauth security
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About
Why Choose HiPaaS?
Kubernetes Cluster
Autoscale with Kubernetes. Deploy on Cloud or On Prem - AWS, Azure and Google supported
Healthcare Neo4j GraphDB
HipaaS Store and retrieves healthcare data in Neo4j GraphDB. X12, HL7, FHIR modeling
Healthcare Interoperability Solved
Support for all Healthcare data formats – EDI, HL7, FHIR, NCDP and more. using Boomi
Secure Healthcare API
Everything is Healthcare API. Access any X12, EDI segment or element via API
