Medicare, Medicaid and Marketplace across 18 states

Processing 10M+ Claims, Enrollments, Eligibility and Claims payment

Hospital Remittance & Revenue Management

Reconciling 20M Claim payments per year

DHCS Full File Compare

Compare Medicare, Medicaid and DHCS Full file with QNXT and update changes

Medicare HETS Real time Eligibility

Check eligibility with HETS CMS across all channels and multiple systems

Clams & Encounter Management

L1-L7 Validations, Medicare and state rules for covered and not covered code sets. Improved data quality

Healthcare EDI on Cloud
Pay monthly no Contract

All you batch transaction running in hours
access X12 data via API

HiPaaS Platform

Services

We envision HiPaaS to focus on improving patient and revenue outcomes by implementing AI driven use cases

HiPaaS EDI Lite Cloud Product includes

Enterprise EDI Platform

SaaS Healthcare EDI

CMS FHIR Interoperability

HL7 Interfaces & API

Clinical AI Container

Clinical Data Model

Load 837 I, P , D

Upload and Validate 837 I, P, D via UI or SFTP folder. View data on UI

TA1, 999, 277CA

Manage out of box 999

835 Claims Payments

Load 835 Claims Payments and Reconcile with Claims data

Access 837 and 835 data via API

Implement real time transactions with fastest API driven interfaces integrated with QNXT, Facets and Healthedge for Claims Status

Load 834 Enrollment Files

Load and validate 834 Files. View data on UI

Load 820 Payment files

Manage 820 Payments and reconcile with enrollments data

Access 834 data via PI

Access all enrollment data via API using Oauth

Generate Outbound files

Generate Outbound files using loaded data on criterias

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Healthcare EDI on Cloud Pay monthly no Contract

All you batch transaction running in hours access X12 data via API