healthcare edi software Caliber Health

Enhanced QNXT Integration – EDI Transformation and Tracking

TriZetto’s QNXT is a widely adopted platform for claim processing and membership administration. QNXT relies on the Microsoft stack, particularly BizTalk, .Net and SQL Server, to process and store EDI messages. These technologies give developers many tools for customizing and tracking HIPAA transactions, but the complexity of implementing business rules and lifecycle reporting on Electronic Data Interchange (EDI) data is a constant …

X12 Studio – PDF Claim Form Generator Feature

Exporting X12 837 claim files into standardized CMS1500 or UB-04 forms is simple with T-Connect X12 Studio Toolbox’s PDF Claim Form Generator. CMS1500 is the standardized form for X12 837P (Professional) EDI files.  The CMS1450, aka UB-04, provides the form for 837I (Institutional).  Both forms are provided by the Centers for Medicare & Medicaid Services (CMS). The PDF claim files …

EDI Solutions Comparison for Healthcare

EDI Solutions – T-Connect Product Comparison Below we compare T-Connect EDI Solutions for Healthcare.  We offer these electronic data interchange (EDI) solutions: T-Connect SDK T-Connect Database plus SDK T-Connect EDI Gateway All three T- Connect EDI solutions utilize our powerful processing engine that can scale to process millions of claims, enrollments, and other 5010 transaction set types. Below you’ll find …

EDI 837P File Validation

How to Validate EDI 837P Files and Resubmit Corrections  February 8, 2019  Caliber Health Database Toolkit, EDI Gateway, Products, SDK, X12 Studio Knowing how to efficiently validate ASC X12N – Insurance transactions with Electronic Data Interchange Software or (EDI Software) is a major contributor to the effectiveness of 5010 payment and claims processing organizations. It’s critical that health care organizations quickly and accurately identify and respond to invalid EDI …