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| MEDPLEXUS, INC -
EDI |
| Business Segment |
| USA Healthcare technology provider. |
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| About the Client |
| MedPlexus was launched in 2000 by a team of visionaries who realized that the healthcare industry needed IT solutions that leveraged the latest technology, addressed the increasing complexity of managing a healthcare practice and generated real, tangible benefits to physician practices of all sizes. |
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| Problem Areas |
The Physician’s office in the USA is bound by many federal regulations and with the arrival of HIPAA, it has been necessitated to comply with these regulations to interact with the insurance companies electronically. The main areas to be addresses were
· Implementing HIPAA regulations for electronic communication through EDI |
| Vision for the desired solution |
| HIPAA compliance and seamless integration of communication between medical practices and insurance companies. |
| How Indus solved/addressed the problem areas |
| Medplexus identified Indus to develop the EDI solution complying to HIPAA regulations and provide communication security.
The solution designed is capable of supporting communication with multiple insurance companies and EMC receivers in different states and is fully scalable. It gives the facility for online processing as well as batch mode processing. |
| Results |
| Physician’s office benefited substantially following the implementation of the solution, like |
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Meeting the federal HIPAA implementation deadlines |
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Substantial reduction in time for bill processing |
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Reduced the delay time in eligibility enquiry |
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Increased the productivity of claims processing across the practices |
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Substantial reduction in claim rejections |
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