

EDIVAL
WE FIX YOUR HEALTHCARE EDI #EDIFIX
AI driven Healthcare EDI Platform
SNIP L1-L7 VALIDATION WITH SMART CORRECTIONS
FEATURES
SNIP L1-L7 VALIDATIONS
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Custom or out of box companion guide setup for L1/L2 Validations.
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Configure complex validation and compare rules based
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Diagnosis Codes, CPT, ICD-10 and HCPCS code set validations
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Medicare validation with whats covered and not covered
VALIDATION TEMPLATES
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Companion guide templates
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SNIP L1 to L7 rules Templates
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Compare Codesets, ICD templates
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Covered and Not Covered template
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NPI lookup template
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Other data templates
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Entire EDI data is available to access via Rest API or configured to stream on Kafka Queues
SAVE TIME
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Save time on Reconciling data
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Save time on data correction
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Save time on resubmission
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Save time on searching transactions.
NOTIFICATIONS
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Data correction notifications
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File delay notification
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Validation Error notification
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Threshold notification ( Claims rejection, etc)
SMART AI CORRECTIONS
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Smart correction on repeating data error
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Automated AI learning rules to correct data
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Codes and values to mark for rejections
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Compare with other file or external data source
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Audit every correction
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Manual Corrections via Work queues
FULL API INTEGRATION
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Everything in EdiVal is accessible via API. Validation results and 999, TA1 and 277CA can be accessed via API
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For Realtime access – Call API with the Payload data.
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For Batch access, load the file to S3 bucket and call the API with filename.
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API response includes EDI Validation Results:
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999 Response
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TA1 Response
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HTML with error
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Trading Partner Information – You can use it to validate Trading partner
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API are available for access claims, enrollments and all EDI data – validated or errored
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APIs are available to run complex query and lookup any data EDI data element
SINGLE VIEW OF EDI
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Powerful dashboard gives audit tracing across files and transaction level
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Plugin any BI tool to write your own analytics
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Real time visibility to data as it is validated and Loaded
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Realtime visibility to edi errors and corrections
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Audit trail of every change
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Same data view for edi analyst and customer service
SUPPORTING HEALTHCARE EDI TRANSACTIONS FOR MEDICARE & MEDICAID IN 18 STATES
HIPAA EDI
TRANSACTIONS
FOR PAYERS AND PROVIDERS
EDIVAL supports both inbound and outbound for all EDI Transactions. EDIVAL comes with L1-L7 validations, custom process flow, workflows and smart corrections.

CASE STUDIES

12M+ MEMBERS
We validate Claims and Remittance for Largest Plan with 12M+ members

14 STATES MARKETPLACE MEMBERS
We enable all EDI transactions for Marketplace members in 14 States

18 STATES MEDICARE MEMBERS
We enable all EDI transactions for Medicare & Medicaid members in 18 States

50K+ PROVIDERS
We are providing real time Eligibility data to 50K+ Providers
SUPPORTING HEALTHCARE TRANSACTIONS FOR 20M+ MEMBERS


GET STARTED
Invest your time where it's needed. Set it up once and auto-scale
HIPAAS supports AWS Cloud, Azure or GCP or On-Prem for Enterprise customers.
