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Business Challenges

Handling millions of dollars of claims from multiple providers is a challenging task. The client approached OSP Labs to build a system that improves claim transaction starting from the provider filling to reimbursement. We had to develop a solution for the secure processing of EDI Health Insurance Claims Transactions in HL7 formats.

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Solutions Design and Development

Using our healthcare development experts, we developed payer-specific EDI interface for the legacy billing system to generate secure data transactions. The solution helps-

  • With claim automation, the system eliminated the manual task associated with remittance. The payment information for respective members is automatically sorted for scrubbing and send directly to designated claim department.
  • Submit healthcare claim billing information are sent from providers to payers with one click. The system can transmit data with different payment responsibilities to monitor payment statistics circulated between providers and payers.
  • EDI for healthcare claim payment is used to make a payment, create and send Explanation of Benefits (EOB), or send an ERA from a health insurer to a healthcare provider directly through the system.

Value Delivered

The return on investment was measured on how our platform boosted our clients claim process.

Health Management Solutions

HL7 Format

The EDI transaction was developed using HL7 interfaces and secured with HIPAA data regulatory compliance.

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Claim Automation

From claim to payment between providers and payers, we delivered an end-to-end automated billing system.

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HIPAA Claim Master

Applied HIPAA 837, 835, 276/277 for electronic claim process, provider-payer communication, and efficient status report.

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Cloud-Based EDI

Highly intuitive web-based EDI solution hosted on secure AWS cloud server to make critical document exchange easier.

Population Health Management

Intelligent Analytics

We put the data back in the driver’s seat with smart data visibility, payment analytics, and intelligent decision-making tools.

What Makes OSP Labs Health Team Best for Your Need?

Our thoughtful team of healthcare specialists are here to solve your challenges, from the moment you contact us to final delivery.

1

A 360o support for holistic solution development for web, mobile and software.

2

Knowledgeable healthcare team developing process-driven solution for providers, payers, and billing companies.

3

A complete flexible involvement models to let you manage your team the way you want.

4

Products/Solution developed keeping healthcare standards- HIPAA, HL7, PHI, GXP, and FDA rules in mind.

5

Committed to provide latest digital technology to support your business administration.

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Free no-obligation consultation targeted to solve your clinical challenges

7

Excellent project management skills to ensure successful project journey from start to development and launch.

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Amazing end-products ensuring regulatory compliance made using only the best technologies possible.

Let’s Talk

See how our solutions can help resolve your healthcare challenges.

(410) 695 3687