Enrollment Full File Compare – DHCS CA

When it comes to end of month full file activities, Insurance companies spend lot of time in reconciling data. Net result of it delay in enrollment and prescription delivery at point of service.
HiPaaS provides out of box module for Full file compare with state (In this case DHCS CA state) . The full file is loaded in HiPaaS, each element is compared with QNXT. Business can review the differences and fix QNXT. The comparison can be ran multiple times to check accuracy.
The outbound reconcile checks all the data going to IPA is proper based on PCP assignments