Moogilu designed, architected, and delivered an Electronic Data Interchange (“EDI”) encoding and decoding services for Healthcare Claims submission. Here below are the project specifics:
Healthcare Compliance Rules Engine
Healthcare Compliance Rules Engine includes:
Design and Architecture of EDI Claims generation engine in Ruby and Java
EDI XML Claims Schema for validation
XML Schema Validation
EDI Code generation for Claims Submission
Decoding EDI signal from the Governement
Extensive reporting on encoded and decoded EDI signals
Automated QA system to compare EDI signals
Automated un-bundling of EDI files from one master files for multiple customers
Realtime verification or EDI signal using XML for readability
With EDI encoding and decoding for Claims:
Generate EDI Claims Signals from any charge capture system