Streamline Healthcare Transactions
HIPAA-compliant data exchange, clinical conversion (HL7/FHIR), and enterprise integration for healthcare.
Learn MoreB2B Data Exchange HIPAA Accelerator
Accelerate HIPAA-compliant data exchange with our proven accelerator.
- Processes inbound HIPAA X12 messages with Level 1 and Level 2 validations
- Parses HIPAA X12 messages into Informatica canonical XML format for seamless downstream processing
- Serializes outbound messages to HIPAA X12 format for compliant data exchange
Clinical HL7 v2/CDA and FHIR Data Conversion
Bridge clinical data formats with comprehensive conversion capabilities.
- Process data from and to HL7 v2, v3, and CDA formats for clinical interoperability
- Process data from and to FHIR resources, enabling modern healthcare data exchange
- Create FHIR hubs to centralize and standardize clinical data across systems
Claims Inbound & Outbound Processing
X12 EDI/HIPAA Gateway for end-to-end claims management.
- Connect to Regional Exchanges or the Federally Facilitated Marketplace (FFM)
- HIPAA Message Gateway implementation for secure, compliant message routing
- End-to-end claims processing with validation, transformation, and delivery
Eligibility and Benefits Enrollment
Rapid customer file onboarding with comprehensive format support.
- Support for EDI X12 and custom eligibility formats
- Rapid customer file onboarding with automated workflows
Layout Support
Flexible layout support for diverse file formats and structures
Customer Field Logic
Custom field-level logic for complex business rules
Split & Merge
File splitting and merging for optimal processing workflows
Filtering
Advanced filtering rules to route and process data intelligently
Scheduling & Notifications
Automated scheduling with real-time status notifications
Secure MFT
Secure managed file transfer for protected health information
Data Integration and Management
Comprehensive data solutions tailored for the healthcare industry.
Data Analytics
Advanced analytics solutions to drive insights from healthcare data, supporting population health management and operational efficiency.
Data Governance
Enterprise-grade data governance frameworks ensuring data quality, compliance, and trustworthiness across the healthcare ecosystem.
Master Data Management
Unified master data management for patients, providers, and payers, creating a single source of truth across systems.
Real-time Integration Services
CAQH CORE Compliance for real-time eligibility and claims status verification.
EDI 270/271
Real-time eligibility and benefits verification, enabling instant coverage checks and reducing claim denials due to eligibility issues.
EDI 276/277
Real-time claims status verification, providing immediate visibility into claim processing stages and reducing follow-up overhead.
Why Work with Triade
Trusted healthcare data integration expertise backed by industry certifications.
Industry Experience
Our team has deep experience working within the healthcare industry, understanding its unique regulatory and operational requirements.
Tested & Proven Gateway
Our X12 HIPAA Gateway has been tested and proven in production environments, handling millions of transactions reliably.
Industry Certifications
Certified expertise in ASCX12, ACORD, and HIPAA standards, ensuring compliant and accurate implementations.
Transaction Sets Supported
HIPAA EDI 5010A compliant transaction processing.
EDI 270/271
Eligibility Inquiry and Response
EDI 276/277
Claim Status Inquiry and Response
EDI 278
Health Care Services Review
EDI 820/824
Payment Order / Application Advice
EDI 834
Benefit Enrollment and Maintenance
EDI 835/837
Claim Payment / Health Care Claim
EDI 999/TA1
Implementation Acknowledgement
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