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healthENGIN® - A Fully Integrated Total Payer Solution

healthENGIN: The HIPAA 5010 Solution Leader

M2 Systems' intelligent messaging infrastructure delivers healthENGINTM, a single-source solution for connectivity, translation and interoperability in a scalable, flexible, cost-effective and proven all provider, all payor, all transaction system.

healthENGINTM processes EDI and proprietary healthcare claims, payments, eligibility and payment inquiries, submits patient information safely across networks, and enables full HIPAA standards compliance including the latest 5010 transactions.

healthENGINTM processes 200 million healthcare transactions a year for a consortium of Blue Cross Blue Shield organizations and other insurance providers.

HIPAA
  • 5010 transaction format and edit libraries
  • Standard delivery of ready-to-use solutions to meet compliance and testing timelines
  • Support 4010A1 and NCPDP best practices concurrent with ramp-up to 5010
  • Rapid deployment of all standard formats through preconfigured libraries
  • Implementation model for deployment of standard transaction flows
Proven Technology
  • Existing payer install base
  • 23 year history of successfully deploying flexible architecture to provide global solutions
  • Multi-tier architecture enables cost-effective, scalable solutions
  • Single configuration supports real-time and batch processing
  • Browser-based user tools for rapid deployment and lower administrative costs
Trading Partner Management
  • Total onboarding solution for 5010 migration
  • Accommodates multiple secure file transfer methods for trading partner base through single management point
  • Provider-facing services
  • Secure web-based file transfer
Robust Features
  • Configurable Rules for transaction acceptance, translation and delivery
  • Any-to-any translation of X12, NCPDP and flat-file formats
  • Rule-based multi-tier editing and validation, configurable by trading partner
  • Real-time browser-based support tools

M2 Systems Corporation
2301 Maitland Center Parkway
Suite 240
Maitland, Florida 32751
Tel: 407.551.1300
Fax: 407.551.1399



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