More than ever, payers and providers face a future filled with increasing regulations, compliance mandates, and new data exchange partners and formats. To address these challenges, organizations need insight into the full lifecycle of claims that flow in and out of core processing systems via electronic transactions. Optum™ delivers the next generation of HIPAA validation solutions for health plans and physicians that ensure timely and accurate claim payments and as a result, decrease costs and administrative burdens, while increasing overall physician and member satisfaction.Ensure HIPAA 5010 compliance with advanced preproduction testing and certification as well as production validation and routing. Our full suite of solutions include:
Optum Transaction Testing Service (formerly Claredi® Classic)
Test X12 transactions by uploading files to a secured website. This web-based tool provides validation and error report generation "certifying" as to whether files are compliant.
Our Classic version includes a file restriction of 50 MB per file with a monthly aggregate volume restriction of 200 MB.
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Our Premium version includes a file restriction of 300 MB per file allowing for an unlimited monthly aggregate volume.
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Transaction Testing Portal (formerly Communedi®)
A private-label online transaction testing environment hosted on the web and administered by Optum. It allows providers to self-register and conduct transaction testing for HIPAA compliance as a part of a community of trading partners.
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Transaction Validation Manager (formerly Faciledi®)
A self-contained application that provides “in-stream” validation of X12 files. This option provides a wider variety of reports and responses than Transaction Testing Service. It also provides custom splitting and routing of individual “business units” (e.g., a single claim in a batch) based on user-defined rules.
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Transaction Services
Access all of the functionality above — or just selected components — from within your existing systems.
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Call: 800.765.6705
Email: inform@optum.com