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 …

X12 Validation for HIPAA Covered Transactions

Summary In this blog we go through an X12 validation example workflow. I’ll be processing the 837P transaction using our T-Connect EDI Gateway software. This HIPAA covered transactions processing system utilizes our X12 Studio Toolbox desktop application for easy loop and segment navigation and error corrections. This editing tool integrates within our platform but is also available as a standalone …