HIPAA

Custom EXTOL/HIPAA Interfaces

    Mapping
    • Inbound/Outbound Institutional 837
      • Emdeon
    • Inbound/Outbound Professional 837
      • Emdeon
    • Medicaid encounter submissions to State of Florida (FMMIS)
    • NCPDP

      Managed healthcare systems
      • PowerMHS
      • PowerSTEPP

        Programming
        • Subscriber lookup based on birthdate,sex
        • Apply hold codes based on claim frequency codes
        • Member matching based on MHS number, acct number (HICN, SSN). If no match, send back to Emdeon via 277.
        • Determine service code base upon company number, POS and revenue codes

          Communications
          • Set-up/Maintain SFTP communications with Emdeon


          EXTOL Business Partner Logo

          EXTOL/ERP Set-ups

          We have examples for many ERPs that interface with EXTOL. We customize interfaces for JD JDEdwards, SAP, VAI/S2K, and Oracle.