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AHA-SOLUTIONS
HIPAA Transaction Testing and Certification Program

Provided by Claredi

 

Claredi provides comprehensive solutions for testing and certifying electronic transactions for HIPAA compliance.   Testing through Claredi’s classic, subscription-based, online system enables a hospital to measure transaction compliance and reduce the costs associated with individually testing each trading partner. Claredi’s inexpensive and easy-to-use system is built around Claredi’s proprietary healthcare EDI analysis engine—the same engine that drives Faciledi, the company’s in-stream production system.

Claredi maintains all HIPAA Implementation Guide edits, over 70 code sets, CCI and LMRP edits and companion document requirements for hundreds of payers; when one changes, so does the file in Claredi. In other words, the hospital can always test against current requirements. At the same time, staff can identify specific claims and results at a glance, see errors and problems immediately, and use these insights to improve communications with vendors, clearinghouses, and payers.  The AHA-endorsed Claredi solution also offers hospitals:

  • CCI and LMRP edit validation
  • Payer Companion Document validation based on guides provided by hundreds of the industry’s largest and smallest payers
  • Validation against 70+ code sets
  • Access to a dynamic test-file generator, enabling staff to test the hospital's IT systems to ensure that all incorrect or incomplete files are caught.
  • A listing of each capability - tested, HIPAA-compliant transactions - in an online directory, allowing the hospital to compare capabilities with payer requirements to become aware of any particular gaps.


PARTNER CONTACT : Contact Skip McKinstry for Claredi at (801) 444-0339 extension 208. LEARN MORE :    http://www.claredi.com

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