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UiPath Healthcare SMART EDI Conversion Suite

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Custom Activity, Finance & Accounting, UiPath Healthcare SMART EDI Conversion Suite
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Updated: June 26th, 2020

Published: June 26th, 2020

Enquiries: 1

Industry: Health Care and Social Assistance

UiPath Healthcare SMART EDI Conversion Suite

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Summary: 

UiPath SMART EDI Conversion Suite (270/271, 276/277 and 835/837) is a bi-directional EDI files conversion solution. It can un-spool the EDI files to DataTable & can spool an EDI file from claim forms

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

Details

Benefits

UiPath Healthcare EDI Convertor is a bi-directional EDI files conversion solution.
- Capability to work on real-time EDI conversion
- Fax Document(Forms) to EDI and EDI to form data
- Utilize EDI data for real time audits and comparison 
- Maximum accuracy in handling, reconciliation of data
- Real time data transfer between different systems
- Reduced administrative burden and costs
- Improve accuracy and save time by automated data validation
- Increase volume of electronic transactions

Compatibility

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.

Dependencies

Microsoft Excel
OopFactory X12 Open Source