Solve CMS FHIR Interoperability
A fully integrated suite of Healthcare FHIR Resources
HiPaaS FHIR Platform
Healthcare CMS FHIR Platform
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
Enable CARIN Profiles. All mandate required CARIN Profiles mapped - Explanation of Benefit, Plan, Claim, Coverage and others
Out of box DVinci use cases. Payer Exchange, Provide Directory, Clinical Use Cases, Formulary Drug and Network Implementation
Out of box Blue button Implementation. Blue button compatible FHIR resources and server
Payer to Payer interfaces and Integration as per USCDI standards
Use Consent Management
3rd Party Consent Management. App on boarding process. Oauth security
Flows for onboarding 3rd Party FHIR Apps. Validating the app and generating Client secret key.
FHIR Oauth Integration to access API.
Pre-built mappings to healthcare standard extracts for claims, inpatient, professional, pharmacy, provider directory, eligibility, coverage and more..
HiPaaS SHIR CMS repository is in production and already tested with all leading Client Apps
HiPaaS Core Products
Insurance Payers Solutions
Manage Claims from various Trading partners, Clearing houses. SNIP Level 1-7 validations. 999 and 277CA generation. Claims Status interfaces
Implement all real time transactions with fastet API driven interfaces integrated with QNXT, Facets and Healthedge
Manage inbound and outbound enrollments from state, Medicare and Large groups. Compare with membership data in real time and manage updates
Compare Full file from Medicare, state plans with Membership and identify changes
Implement CMS FHIR Interoperability mandate with easy interfaces to translate EDI data 274, 837 and 834 data. Easy to implement and enable with built in mappings.
Out of box integration wiht Availity Clearing house and QNXT for all transactions
Integrated with HPS enrollments for commercial and group plans to handle multiple coverages.
Hospital Providers Solutions
Reconcile 837 Claims to 835 ERA remittance and Bank files
HETS CMS real time eligibility API, MBI Lookup and FISS/DDE emulator
Collect real time Vitals, Labs and run AI algorithms to manage cases like Sepsis monitoring, mortality rate monitoring, population health and others
Stream real time HL7 data, FHIR resources and APIs
Context and Chat driven Mobile app integrated with MyChart. Helpful to manage telehealth and chat with clinical staff.
Collect and analyze patient data in one Graph repository. Connect all HL7, FHIR and Revenue data together.
Coding validation and claims submission, with AI driven Claims module. Reduce claims rejection. Mapped with Medicare covered vs non covered codesets.
All FHIR resources mapped to Mongo DB
HipaaS Store and retrives healthcare data in Neo4j GraphDB. X12, HL7, FHIR modeling
Autoscale with Kubernetes. Deploy on Cloud or On Prem - AWS, Azure adn Google supported
Everything is Healthcare API. Access any X12, EDI segment or element via API
Support for all Healthcare data formats – EDI, HL7, FHIR, NCDP and more. using Boomi