From CMS-1500 to UB-04 to Dental — we handle every aspect of healthcare EDI integration, translation, and automation.
End-to-end EDI solutions tailored exclusively for the healthcare industry.
CMS-1500 / EDI 837P — PDF conversion, OCR, validation, and submission for physician & provider claims.
UB-04 / EDI 837I — Hospital and facility claim processing, conversion, and electronic submission.
ADA Form / EDI 837D — Dental claim conversion, OCR, validation, and payer connectivity.
Real-time and batch eligibility verification (270/271) with major payers and clearinghouses.
ERA/835 processing, payment posting, reconciliation, and remittance advice automation.
Ongoing EDI environment support, monitoring, troubleshooting, and partner management.
Complete professional claim lifecycle — from paper CMS-1500 forms to fully compliant electronic 837P transactions.
Convert paper or PDF CMS-1500 claim forms into HIPAA-compliant EDI 837P transactions, ready for clearinghouse or payer submission.
Optical character recognition for paper CMS-1500 forms. Extract patient, provider, diagnosis, and procedure data automatically.
Generate printable, compliant CMS-1500 forms from electronic 837P transactions for archival, audit, or manual review.
Full HIPAA 5010 syntax and semantic validation. Check for missing segments, invalid codes, and business rule violations before submission.
Hospital and facility claim processing — convert UB-04 forms to electronic 837I and back.
Transform UB-04 institutional claim forms into HIPAA-compliant 837I transactions for electronic submission to payers.
Intelligent OCR extraction from paper UB-04 forms — revenue codes, diagnosis codes, procedure codes, and billing details.
Generate printable UB-04 forms from electronic 837I data for facility records, audits, and manual claim review.
Complete HIPAA 5010 validation for institutional claims. Validate revenue codes, DRGs, occurrence spans, and condition codes.
Dental claim processing — from ADA claim forms to fully compliant 837D electronic transactions.
Convert ADA dental claim forms into HIPAA-compliant 837D transactions for electronic submission to dental payers.
Optical character recognition for paper ADA dental forms — extract tooth numbers, procedure codes, and treatment details.
Generate printable ADA dental claim forms from electronic 837D data for office records and patient documentation.
Full dental claim validation — CDT codes, tooth surfaces, oral cavity designations, and HIPAA 5010 compliance.
We build, connect, and maintain your entire healthcare EDI environment.
Build EDI capabilities directly into your Practice Management System, EMR, or EHR application.
Connect to Availity, Change Healthcare, Trizetto, Office Ally, Waystar, and all major clearinghouses.
Direct payer connections — Medicare, Medicaid, Blue Cross, Aetna, UnitedHealth, Cigna, and more.
Parse and store EDI data into SQL Server, PostgreSQL, MySQL, MongoDB, or any database platform.
Generate compliant EDI transactions from your database records, ERP objects, or application data.
Convert between EDI and JSON, XML, CSV, flat files, or any proprietary format your systems use.
Ongoing monitoring, troubleshooting, schema updates, performance tuning, and partner onboarding.
Full HIPAA 5010 compliance checking, syntax validation, semantic rules, and business rule enforcement.
End-to-end testing with clearinghouses and payers. Certification support for production readiness.
From inbound parsing to outbound generation — every step of the healthcare EDI lifecycle, automated.
Parse inbound EDI files into structured objects for processing.
Syntax, semantic, and HIPAA rule validation against 5010 specs.
Custom field-level mapping between EDI segments and your data models.
De-batch multi-transaction files or batch claims together for submission.
Generate compliant outbound EDI files from your application data.
Automatic TA1, 997, 999, and CONTRL acknowledgement workflows.
Real-time monitoring dashboards with alerts and notifications.
Complete audit trail for HIPAA compliance, debugging, and operations.
We connect to clearinghouses, payers, and trading partners using every major protocol — in real-time or batch mode.
Real-time web services
REST API connectivity
B2B messaging protocol
Standard file transfer
SSH-encrypted transfer
FTP over TLS/SSL