HIPAA EDI Software Solutions
SoftCare’s TradeLink b2b Gateway supports all versions of HIPAA EDI standards, all communications protocols and can be quickly integrated to any HealthCare Organization, Third Party Administrators (IPA, PPO and Clearing Houses) and Insurance Carriers and Payers applications and business processes. TradeLink fully automates, audits and operates the exchange of business information between organizations in standard formats like EDI, HL7, XML and customer file formats. Our open standard integration tools are based on XML and XSLT and allow for integration to database, XML, and other formats. The system allows users to define specific business processes, any HIPAA EDI Implementation, Trading Partner Companion Guides, any version of EDI Standard, all Communications Protocols and can integrate to any business application.
SoftCare's Health I.T. business process consultants and solutions architects bringing innovative Best Practices approaches to Healthcare Information Exchange. We focus on healthcare IT solutions that use best practices to implement open standards for data exchange implemented with our TradeLink b2b Gateway software.
TradeLink comes pre-configured for all HIPAA EDI Transaction Sets that can be quickly modified by the user for specific trading partner companion guides. Communications can be integrated to existing communications servers or can be supplied with our multi-protocol manage files transfer modules. Read More on TradeLink b2b Gateway Software ...
TradeLink Solutions for HIPPA 4010 5010 EDI
EDI 837 - EDI Health Care Claim Transaction set (837) is used to submit health care claim billing information, encounter information, or both. It can be sent from providers of health care services to payers, either directly or via intermediary billers and claims clearinghouses Read More ....
EDI 835 - EDI Health Care Claim Payment/Advice Transaction Set - ERA can be used to make a payment, send an Explanation of Benefits (EOB) remittance advice, or make a payment and send an EOB remittance advice only from a health insurer to a health care provider either directly or via a financial institution. Read More ....
EDI 834 - EDI Benefit Enrolment and Maintenance Set can be used by employers, unions, government agencies, associations or insurance agencies to enrol members to a payer. The payer is a healthcare organization that pays claims, administers insurance or benefit or product. Read More ....
EDI 820 - Payroll Deducted and other group Premium Payment for Insurance Products (820) this transaction set can be used to make a premium payment for insurance products. It can be used to order a financial institution to make a payment to a payee. Read More ....
EDI 824 - Application Advice transaction set can be used to report the results of an application system's data content edits of transaction sets. The results of editing transaction sets can be reported at the functional group and transaction set level in either coded or free-form format. It is designed to accommodate the business need of reporting the acceptance/rejection or acceptance with change of any transaction set.
EDI 270 - EDI Health Care Eligibility/Benefit Inquiry is used to inquire about the health care benefits and eligibility associated with a subscriber or dependant under the subscriber's policy. A subscriber is a person who elects the benefits and is affiliated with the employer or the insurer. Read More ....
EDI 271 - EDI Health Care Eligibility/Benefit Response is used to respond to a request inquire about the health care benefits and eligibility associated with a subscriber or dependant. Read More ....
EDI 276 - EDI Health Care Claim Status Request this transaction set can be used by a provider, recipient of health care products or services or their authorized agent to request the status of a health care claim. This document and the Health Care Claim Status Notification (277) are envisioned to be the next documents to be implemented by larger Health Care organizations Read More ....
EDI 277 - Health Care Claim Status Notification transaction set can be used by a health care payer or authorized agent to notify a provider, recipient or authorized agent regarding the status of a health care claim, or to request additional information from the provider regarding a health care claim or encounter. Read More ....
EDI 278 - Health Care Service Review Information transaction set can be used to transmit health care service information, such as subscriber, patient, demographic, diagnosis or treatment data for the purpose of request for review, certification, notification or reporting the outcome of a health care services review. Read More ....
EDI 997 & EDI 999 are Functional Acknowledgement Transaction Sets that are automatically managed by the SoftCare TradeLink software solutions.
Xmapper Integration Solution Overview
XMAPPER
provides an
Integrated Development Environment for developing and
managing B2B transformations. It provides the ability to
create validate, convert, and manage XML schemas and
XML files. TradeLink XMAPPER provides a best-of-class XML
implementation platform that combines industry leading XML
solutions into a simple and intuitive solution. It is fully
integrated into SoftCare’s TradeLink EDI Management system, to
allow a company to quickly and efficiently define and manage XML
transformations to move EDI files to and to TradeLink to and
from business systems.
Xmapper is an Open Standard XML/XSLT based
Integrated Development Environment (IDE) used to manage all
aspects of a organization's Application Integration to
and from EDI, EHR, HL7 and other business documents
and file formats. Xmapper views all data and
business documents as "XML" including Databases,
XML, EDI, HL7, Flat files and other data formats.
All data descriptions, schemas, transformation rules
and processes and kept in a central repository for
easy implementation, maintenance and support
Read More on XMapper ...
Solutions Overview
TradeLink b2b
Gateway Software Presentation
TradeLink b2b Gateway is a market leading solution for a fully automated, audited and reliable HIPAA EDI, Managed File Transfer software solution. Supports all EDI, XML and HealthCare Data Formats, provides integrated communications for any direct connect or clearing house application. View Presentation
Provider Portal
Solutions Presentation
SoftCare professional business analysts and technical teams design and develop business, Information Technology, operation and financial systems for HealthCare Communities. Working closely with the Provider Groups, 3rd Party Administrators, Payers and stakeholders, design realistic systems for an evolutionary change for the HealthCare Business Chain. View Presentation
