Improving communication and empowering efficient management of EDI transactions to ensure the shortest cycle-time from claim submission to payment. Health Plans get data fast and Providers get paid faster!

EDI (Electronic Data Interchange) technology streamlines business operations by allowing companies to exchange documents digitally in a standardized format.

From faster document transmission and transformation to automated workflows, EDI integration has the potential to reduce costs and errors, creating smoother relationships with partners and customers. An example of its application in order processing. Buyers submit orders for products that suppliers invoice before both parties exchange actual receipts. An efficient electronic data interchange between businesses enables this optimized interaction.

AIS web services, provided by Jalin Health, enable rapid deployment of systems integration for optimum enterprise interoperability. This extends to real time electronic systems integration (ESI) with Quantum Choice core (processing) services such as claims adjudication, enabling real time claim editing and pricing with external systems. Additionally, support for the most commonly used HIPAA EDI transactions enables expedient clearinghouse connectivity, and increased speed-to-value.

Jalin Health Integrative EDI technology provides powerful solutions.

• Automate inbound and outbound processing of X12 5010 and proprietary formats, including claims (837s), enrollments (834s), remittance (835s), finalized authorizations (278, proprietary), and more.
• Leverage isolated configuration layers (transform and business rules) to meet your specialized business needs for full-spectrum, end-to-end processing.
• Increase automation for claim lifecycle from receipt of claim through payment and encounter reporting.
• Manage many-to-many trading partner agreements through our Trading Partner Manager client. Supports generation of TA1 and 999 responses for X12 5010 document types. Apply reusable processing rules to multiple trading partner agreements, or specialize processing for specific trading partners.
• Configured for your business needs. The transform layer allows common processing tools to be applied to X12 5010 and proprietary formats. The configuration layer supports specialized processing of your inbound and outbound transactions targeting claims system configuration.
• Customize your EDI processing to automate workflows beyond standard EDI processing. Our modular application supports development of customized enhancements to meet your specialized needs, including mapping, scrubbing, translating, and validating your data
• Meet compliance requirements for HIPAA, utilizing code sets such as NPI, ANSI, Standard Health Care Codes, CPT/HCPCS, ICD-10, etc.
• Reap the benefits of standard processing and specialized processing within a single product, limiting administrative costs through decreased manual intervention and support calls while increasing the data throughput for your business.