Deep Dive: transaction sets and messages supported
The current version supported by the out of the box HIPAA Gateway Accelerator supports the following HIPAA EDI transaction sets (version 5010A) for both Inbound and Outbound traffic, it can be extended as needed or be customized to include more messages. Here’s a list of high level messages and their explanations:
Additionally, Triade’s Clinical Solutions and Claims Inbound/Outbound Processing Solutions are designed to provide end-to-end management of crucial data, tracking process and streamlining claims submitted to payers. These solutions are built to help organizations stay competitive and manage their processes more effectively. Here are some insights:
Clinical solutions are technology-based systems that support the delivery of healthcare services. These can include electronic health records (EHRs), practice management systems, and clinical decision support systems. These solutions help healthcare providers manage patient data, track patient progress, and improve the overall quality of care. We support and build integration systems from and to EHR’s.
Claims Inbound/Outbound Solutions
Claims inbound solutions are technology-based systems that support the receipt, validation, and processing of claims submitted to payers. These can include claims management systems, claims editing systems. We support and build integration systems from and to Claims inbound and integrate them with external partners with purpose built solutions for healthcare integration.