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Please select a Solution below to see
more information on that Solution:

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Health Plan Solutions
> Health Plan Real Time EDI Architecture
  > EDI Gateway for Provider Direct Connectivity
  > Enterprise Integration and Process Management
  > Revenue Cycle Auditing
> Provider Self-Service Solutions
  > Claims Management for Payers

Hospital and Provider Solutions
> Provider Claims Management

MiddleSolve/Provider Claims Manager now supports data imports from HIS and Practice Management systems to assist the provider community with meeting HIPAA compliance transaction sets requirements.

Claims Manager

Claims Manager implements a sequence of steps to convert claim data extracted from a HIS or Practice Management system into 837 format. The steps are:

1. Importing the claims to the Claims Manager warehouse files.
2. Reviewing / editing the claims in the warehouse.
3. Sweeping claims from the warehouse to the claim export file.

Claim Viewer

edisolve will work with any HIS or Practice Management system to integrate Claims Manager architecture to the provider community.