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EDI 827 X12 claim HIPPA file processing

Requirement prior to bidding experience with HIPPA X12 EDI solutions. You must have a current solution or one that you built. I can purchase one you built. You need to work minimum supervision and deliver. Must have EDI x12 knowledge.

INCOMING CLAIMS:

1) EDI 837 I/P MAPPING -- Mapping Tools to Map in EDI files from different vendors so the system can load the data. This mapping tool should be configurable and GUI interface preferably.

2) GENERATION OF 999 / 277 / TA1 -- Validation of the EDI files needs to happen up front if the file is bad or if needed later on in any of the steps below the ability to generate 999/277/TA1 to be generated automatically.

3) FLATTENING OUT 837s JASON FORMAT (ability to create 1500/ub PDF forms from the data submitted)

LOADING INTO SQL SERVER – SQL Tables should be detailed with specific fields, instead of blub these fields will allot validation for members, providers, coding, diags and other fields.

Once data is loaded into SQL server, we have to track:

File Name, Received date, load date ...

On the File Name (since 1 file might have 100 or 1000 claims) status Fields

Example Statuses :

Validated ,

Pending ,

Missing – Member ,

Missing Provider ,

Missing Vendor.

5) AFTER LOADING TO SQL VALIDATION WILL BE DONE (back end sql queries developed by us which will update "status" field based on that later steps to generate 837 or send out errors member not found to the submitter see Step 2)

7) VALID RECORDS FROM DATABASED CONVERTED BACK TO 837 FORMAT (to be loaded into core system) ability to retain original file name, and/or business logic to change file name with prefix/suffix.

ENCOUNTERS OUTGOING :

1) REFERENCE SQL DATABASE ABOVE TO IDENTIFY CLAIMS TO BE SUBMITTED AS ENCOUNTERS

2) MAPPING UTILITY FROM SQL BACK TO 837 I/P FILE GENERATION ( includes validation to make sure its valid 837)

3) CREATING TABLE PRIOR TO 837 I/P GENERATION

4) GENERATING 837 FROM STEP 3

sample utilities open source.

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Need full VS files, with any licenses or DLLs that will help edit the project in any way on our end. Ideally, you did this and you need to tweak your process. Please do not bid if you have no experience, also please message share a sample of screenshots with obfuscation of work done that can be reused or rebuilt for this.

Kemahiran: .NET, Pengaturcaraan C#, Pengaturcaraan Pangkalan Data, Python, Electronic Data Interchange (EDI)

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Tentang Majikan:
( 49 ulasan ) Northridge, United States

ID Projek: #30153330

3 pekerja bebas membida secara purata $221 untuk pekerjaan ini

ganeshrasekar

I can do it

$200 USD dalam 7 hari
(34 Ulasan)
5.3
parulsainiindia

Professional software developer with over 15 years of overall experience in software development and maintenance looking for challenge projects fit my skills. Main specialization: * developing Windows Desktop and Web Lagi

$244 USD dalam 7 hari
(2 Ulasan)
3.0
jain206542

Gone thru your requirements. I am a Master's in Engineering possess 18 years experience of which International experience of 10 years .Have done several technical projects related to your work. Have experience in softw Lagi

$220 USD dalam 7 hari
(0 Ulasan)
0.0