Claims Onboarding Features

Learn how Adeptia’s healthcare solutions provide seamless IT integration and connectivity between multiple public entities, local agencies and central offices.

Healthcare

Adeptia for Healthcare

A B2B Portal to Onboard Claims Data

The first problem we solve is making it easy for your business to onboard Claims data from your new or existing clients. Adeptia Connect is a secure cloud based B2B Portal that lets companies publish and share data connections with your business network. Your clients simply discover and consume these connections from the cloud marketplace in minutes. In other words, your company establishes a HIPAA 834 Claims data connection, your client is able to see that connection and subscribes to it through a self-service wizard and then is able to send the data you need in minutes.

An Integration Suite For Business Users

Adeptia Integration Suite is not a developer tool, but a true business solution. Our goal is to upend the traditional paradigm of integration software, namely, that it is a developer tool for IT teams to use. We want AIS to be recognized as a business application for exchanging business data, a key part of running a business.

Using AIS, users can connect to backend databases, pull out Claims data and can apply business rules and generate a valid HIPAA 837 Claims file. Now you no longer need to wait apply to those cross-reference service codes, fixing the SSN that has dashes, or the missing Provider ID or any other data issues that you want to fix.

Drag and drop graphical mapper allows you to pull Claims data and apply mapping rules.
Automate entire end-to-end process of onboarding, processing and managing Claims to Payers through a Trading Partner interface.
Drag and drop activities into a process designer and build flows that include human workflow steps.
Dashboard and reporting allows business users to manage pending tasks and track their status.

Accelerated Claims Capture

A Business Application To Manage Claims Processing

Adeptia provides a rich management interface for tracking and managing Claims. The interface can be modified to your preference. It has the ability to report on the data in a grid, users can select a Claim and make modifications. This application runs on top of the AIS and gives an added abstraction.