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MarketplaceListingsCustom ActivityUiPath Healthcare SMART EDI Conversion Suite
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Summary

Summary


Overview

Overview

UiPath Healthcare EDI convertor is a bi-directional solution with below listed features
This solution converts the EDI 270/271 transaction the eligibility and benefit information request & response files, EDI 276/277 for Claim Status Inquiry and response, & EDI 835/837 for electronic transaction for claims submissions and claim payment information into meaningful DataTables/DataSet for automated data validations, verification and data entries to different healthcare systems. This real time converted data can also be utilized for reporting & analysis purpose.
This solution has the capability to generate the EDI files from different data sources like Claim Forms, excel data source, health information systems and backend data bases like SQL bases on defines configuration files.
Use Cases
  • EDI files conversion to dataset for data analysis & Reporting
  • Benefit & eligibility data verification and validation
  • Healthcare Claim data validation & Edits (Ex. CMS 1500)
  • Payment Posting data validations & Automated data entry
  • Eligibility mismatch
  • Cash and Credit adjustments
  • Real time EDI file updates
  • Advanced Analytics/Machine Learning/ BI Extraction

Features

Features


Additional Information

Additional Information

Dependencies


Runtime

Windows Legacy (.Net Framework 4.6.1)

Publisher

Internal Labs

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Technical

Updated

26 Jun 2020

Works with

UiPath Healthcare EDI convertor is a bi-directional solution which converts the EDI 270/271 transaction files, EDI 276/277 for Claim Status Inquiry and response, & EDI 835/837 for electronic transaction into meaningful DataTables/DataSet for automated data validations, verification and data entries to different healthcare systems. This real time converted data can also be utilized for reporting & analysis purpose.

Tags

Healthcare, Payer, Provider, EDIs, RCM, Payment Posting, Claim Edits, Benefit & eligibility verification, Real time eligibility, 270, 271, 276, 277, 835, 837

Application

EDI

Support

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