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Healthcare Interoperability Management & Integration


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Transformation of your Healthcare technologies requires optimized integrations to connect and instantly share the right information. Our products are calibrated to fully compliment your existing technical components to deliver your critical operational workflows better and faster - to provide the right information to the right entity at the right time.

Our products and solutions were engineered to:

  • Prevent records fall out and to reduce the number of occurrences in the first 6 months, 95% orphan records reduction in the first year.
  • Reduce reconciliation complexity and time by 80%
  • Provide 100% compliance and traceability with HIPPA and ACA
  • Recognize revenue two times faster, and reclaim revenue losses caused by mismanagement of records
  • Instantly deliver and connect new member interoperability to your front and backend systems
  • Manage any Business or Technical process regardless if it is internal or outsourced to any of your partners
  • Reduce consumer complaints and call center costs

Our Healthcare technology solutions understand the complexity of your interoperability and their unique interfaces to your business processes and technical patterns. We manage the delivery and integration process — connection and testing for each interface — and all necessary responsibilities for each.

Healthcare Solutions

Binder payment and recurring payments via payment gateways via EDI 820 or other transaction data formats.

We know Financial Management. e-Integrate’s Financial Management enables you to leverage the cloud and collect Binder payment and recurring payments via payment gateways via EDI 820 or other transaction data formats. From initial enrollment to financial transactions - e-Integrate’s Financial Management enables you to do more to control your financial transactions.

Our cloud and big data solutions know there are many methods and unique solutions required for Binder payment and recurring payments provisions - we have it covered. From exchanges that collect your payment or debit reoccurring fees per member, our Financial Management HIX marketplace covers it all across Financial Management functions.

Facilitate initial enrollment, with adds, terms and changes via EDI 834 or other transaction data formats.

We know member management. e-Integrate’s Member Management enables you to leverage the cloud and facilitate initial enrollment, with adds, terms and changes via EDI 834 or other transaction data formats. From initial enrollment to ongoing maintenance transactions, e-Integrate’s Member Management enables you to do more for your members on premise.

Our cloud and big data solution helps health plans identify and address the specific strengths and challenges required to adapt members from the HIX marketplace, including assessing readiness and defining Member Management business requirements, design and build of business processes and IT interaction across Member Management functions, review of operational requirements and vendor readiness assessment, and testing.

e-Integrate’s eCommand provides the industry’s first complete cloud transaction lifecycle management solution. e-Integrate’s eCommand Business-Driven IT Management capabilities allow you to quickly set up, manage, and support monitoring enrollment and payment operations locally and from across your partners. eCommand offers the best solution for intelligent transaction monitoring and management of the 834 and 820 EDI and gain unmatched customer support experience through real-time integration of each consumer in any environment. eCommand Reconciliation provides the power to perform financial and member reconciliation from a single view across trading partners, transaction and organizations, which is powered by collecting business event data and technical information. Reconcile the members transmitted versus the number of members received from within an organization, across trading partners or to and from Health Exchanges.

With eCommand 360: View your Data Everywhere Know what you didn’t know, with improved transparency. eCommand 360 provides the data owner visibility into partners or systems that before were “black box.” This technology revolutionizes how partners interact, giving enhanced transparency across organizations. Collect your transactional data from your trading partners. View transactions across your trading partners, business processes and business areas. Search multiple trading partners feeds, transactions, and messages for precise data location within the business. Identify problems proactively by searching errors and performing reconciliations across partners through eCommand’s user experience. Assign trouble-tickets, with eCommand’s meta-data, to a person or team to resolve.

Insurance Carriers and Exchanges are continually faced with a challenge of ensuring critical enrollment and payment data is exchanged between health insurance marketplaces and trading partners. e-Integrate has a comprehensive offering of integration, monitoring, and production configuration that allow carriers and exchanges alike to facilitate the insurance transactions and better maintain their members more easily implementing and maintaining the demands complex government regulations.

At e-Integrate we understand that these transactions are not just information being passed between organizations; this is truly lives at stake. Our goal is to improve and attempt to eliminate current challenges such as orphan transactions. We have the solution to enable exchange or carriers to quickly design, define and connect to their respective trading partners. Our solution includes the following e-Integrate products specifically configured for the Health Exchange requirements.

IPAK for HealthCare – Integration platform to quickly enable trading partner or private/public exchange connections including out of box data transformation and EDI compliance features validation.

eCommand 360 Healthcare Monitoring – Provides financial and member reconciliation from a single view across trading partners of feed, transaction, and member information, which is powered by collecting business event data and technical information.

Financial Management – Binder payment and recurring payments via payment gateways via EDI 820 or other transaction data formats.

Member Management – Facilitate initial enrollment, with adds, terms and changes via EDI 834 or other transaction data formats.

Plan On-boarding – Streamlines the on-boarding of Carriers to quickly facilitate services of their plans and members.

Streamlines the on boarding of Carriers to quickly facilitate services of their plans and members.

e-Integrate has automated your Plan Management requirements! e-Integrate’s Plan Management enables you to leverage the cloud and streamlines the on-boarding of your Health Plan to quickly facilitate services of their plans and members. From on boarding your health plans to the private or public exchanges – e-Integrate’s Plan Management solution enables you to do more to control your Health plan including loading plan information onto any system and managing Entity Information, Plan Information, AND Rating Information!

Configuration – CRUD (Create, Read, Update and Delete) attributes to the submitted plan benefits and service area, and rating, including the plan and benefits.

Validate – Run template business rules on your plan to see the all the configurations made to the plan meet expectations.

Publish – Publish plans to any backend data store using configurable transformation assets from EI IPAK offering.

Import – Import plans in from SERFF format or custom format into plan user experience so that they can be managed.

Connect with us now to learn how.

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