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HIPAA 5010 Migration Solutions
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Transaction Validation Solutions for Healthcare
Foresight has been the leader in electronic transaction management since our founding in 1990. We created the first HIPAA-based EDI transaction validation engine in 2001, and our transaction validation solutions continue to lead the industry in speed, flexibility, and depth of validation.
Fastest Validation Engine
Foresight’s Instream® transaction validation engine is the fastest, most thorough available. With validation speeds benchmarked at over 100 claims per second on a single processor, it’s even faster when run in parallel. It’s also scalable enough to be the validation solution chosen by some of the largest names in healthcare, some processing over 3 million transactions per day.
The result: The deepest transaction validation available without creating a processing bottleneck.
Learn more about Foresight’s Instream validation engine.
Content-based Splitting and Routing
Most healthcare organizations are comprised of multiple lines of business and use several legacy back-end systems. Scrubbing data and getting it to the right place is a essential to keep your operation flowing efficiently.
Foresight’s transaction validation process is flexible enough to perform:
- Splitting Good-from-Bad – Keep errors from entering and leaving your operation, while re-wrapping automatically and allowing good transactions to be processed without delay.
- Splitting Good-from-Good – Send valid transactions to the right destination based on source, Line of Business, transaction type, and other user-defined variables.
The result: Increased first-pass rates, reduces full file rejections, lower operational costs from less research and re-work.
Learn more about Foresight’s Instream validation engine.
Automated Data Correction & Substitution
Reduce the time required for transaction correction with the ability make global data changes within a file.
And when certain errors are most common, you can have the system replace certain data elements with user-defined, table-driven content during the validation process.
The result: Increase first-pass rates, less research time, reduced human intervention required for transaction correction.
Learn more about Foresight’s Instream validation engine.
Partner-specific Business Rules
Every partner is different. You may allow some to submit only certain transactions, and some may require leniency of rules enforcement while you bring them up to speed.
With partner-specific business rules, you turn on and off certain transactions or specific edits for partners. And you can adjust the error severity level for each of your trading partners, relaxing edits for new partners, and increasing the error severity over time.
The result: Coupled with partner-specific reporting, this lets you bring each partner up to compliance on their own schedule, while providing direct feedback on their most common error types, so they can fix the biggest problems first.
Learn more about EDISIM® guideline management suite.
Be Prepared for 5010
Foresight’s HIPAA 5010 Solutions are real, and they’re already available now.
With our advanced guideline comparison, business rule migration, publication and testing tools, you’ll have all you need to begin your preparations.
And we fully support the Dual Production transition period with the ability to accept in production 4010A1 and/or 5010 transaction sets on a partner-by-partner, and transaction-by-transaction basis. Detailed reporting shows on the same screen the progression from 4010A1 to 5010 as volumes shift through migration progress.
The result: Foresight’s partners are fully prepared to begin 5010 migration activities.
Learn more about Foresight’s HIPAA 5010 Solutions.
Stay Current with Guidelines and Code Set Tables
Guidelines
Foresight maintains an expansive library of all the ASC X12 industry standard transactions and many payer-specific companion guides for each transaction. These are ready for you to apply your own business rules and for you to publish your own companion guides.
We have all named HIPAA transactions in the new ASC X12 5010 standard format. So you’ll be ready for your 5010 migration activities.
Code Set Tables
We monitor over 55 Code Set Tables, including both ICD-9 and ICD-10, for changes on a daily basis. Updates are sent as they occur via email notification.
The result: You can easily update guidelines and code sets between major software releases to ensure you have all the most up-to-date values.