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ONBASE 837 PROCESSOR
837 files are ANSI EDI HCFA files that are generated by a provider and submitted to a payer organization. The 837 file is the electronic data interchange (EDI) transmission of claim data from a healthcare provider to an insurance carrier (or clearinghouse). After a provider treats a patient, federal standard codes are assigned to the diagnosis given and the procedures performed during a visit. These codes are then entered into a provider's billing system where a claim is created. That claim is then transmitted to the payer in the 837 format.
The OnBase 837 processor can be used to not only import and index data automatically but it can also, separate all EOBs into an individual claim on a per patient basis. Individual HCFA claims can then be retrieved from the by submitting the claim number. Each individual claim is viewed using an XML style sheet. Since all information is retained during the conversion, it is possible to customize the standard XML style sheets to extract any additional information the customer may need. These style sheets are packaged with the 837 processor. This process can be scheduled in the same way as a COLD or DIP process.
Application
The 837 processor will produce an XML version of the data . This will allow for the presentation of the data in a document format with a single patient represented on each claim. For health insurers, this means having the ability to view the inbound EDI claims that they receive in a user-readable form presented with the look and feel of the HCFA-1500, UB92, or dental claim that are currently received in paper format. Data mining and further research can performed as the 837 file is archived in the XML format.
HL7 (Health Level Seven)
Health Level Seven (HL7) is an international healthcare messaging standard widely used to enable disparate healthcare applications to exchange key sets of clinical and administrative data.
The OnBase HL7 interface is capable of listening for all HL7 messages, even user-defined messages. The OnBase HL7 sender is integrated with the OnBase input processors (COLD, DIP, Scanning). When a document is processed HL7 output messages are generated which are sent to one or more destination applications. Since this uses Point-to-Point Protocol the network is not flooded with broadcast information.
835 Processor
The OnBase 835 processor can be used to not only import all that data and index automatically but it can also, separate all EOBs into individual claims. Individual EOBs can then be retrieved from by simply typing in the claim number of interest. A PCL version of the EOBs is an optional format that can be created from the EDI data. This process can be scheduled in the exact same way a COLD or DIP process can be scheduled.
Integration of Healthcare Applications with OnBase
Healthcare systems can be extended by using OnBase's Application Enabler technology. The Application Enabler can be used to retrieve the precise EOB a user needs right from the healthcare application they are using. This integration can be configured to work on many healthcare applications and all the screens a user requires without any programming or modification of the healthcare application.
Core Features
