Top-Notch Professionals with
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Healthcare IT Solutions
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Atlanta GA, August 2, 2016:
- interoperability standards (e.g., for Affordable Care Act regulatory compliance)
- customer base that is familiar with SFTP
This release also has turnkey support for the Minimum Lower Layer Protocol (MLLP) which is commonly used for transport of HL7 files. Use of SureDeliver for transport using MLLP gives the same robust queue, message, trading partner connection features that come with SureDeliver. Since MLLP does not support encryption or authentication, VPN or IPSEC security can be used with MLLP for securing the connections.
This release is also better integrated with BNETAL's SureEDI, with major enhancements to help manage Electronic Data Interchange (EDI) transactions. This version also improves upon Version 8.3 by providing improved feature set for managing the turn-key implementation of the CAQH® CORE® Phase IV Connectivity Rule, in addition to implementations of CAQH CORE Phase I, II and III Connectivity Operating Rules for support of the HIPAA transactions for which Affordable Care Act (PPACA, or ACA) has mandated the use of CAQH CORE Operating Rules for HIPAA covered entities. The HIPAA transactions include Eligibility, Claim Status, Electronic Remittance Advice, Claims, Prior Authorization, Premium Payments and Benefit Enrollments.
HIPAA covered entities like Health Plans, Clearinghouses and other entities can avoid lengthy, expensive and risky implementation and testing projects, and greatly improve returns on investment by using SureDeliver®. SureDeliver® provides ready-now, secure and turn-key enterprise grade implementation, with highly intuitive management interfaces. SureDeliver® easily integrates with the business layer for X12 processing, providing a parallel gateway that complies with all of the connectivity and security requirements. SureDeliver® is supported by industry experts in CAQH CORE Connectivity, with decades of enterprise level connectivity and security experience from large projects of national scope, such as the CDC's Public Health Information Network (PHIN), and HHS's Nationwide Health Information Network (NwHIN).
The CORE Operating Rules developed in previous Phases (I, II and III) were focused on Healthcare Eligibility (X12 270/271), Claim Status (X12 276/277), and Electronic Remittance Advice (X12 835) transactions. These Operating Rules have been adopted into the Affordable Care Act (ACA) regulations and have been mandated for HIPAA covered entities. The current Phase (IV) is focused on the next set of transactions, including:
- Healthcare Claims or equivalent encounter information (X12 837)
- Enrollment and dis-enrollment in a health plan (X12 834)
- Health plan premium payment (X12 820)
- Referral certification and authorization (X12 278)
SureDeliver® provides connectivity and security implementation to support all of these transactions.
BNETAL Subject Matter Experts were engaged by CAQH® CORE® for their CORE Phase IV Connectivity Operating Rule development, where BNETAL provides subject matter expertise and facilitation to industry stakeholders including Health Plans, Clearinghouses, Healthcare Providers, government entities, vendors, and standards development organizations. BNETAL was tapped for in-depth expertise in connectivity and security and knowledge of the healthcare administrative transactions and more broadly, health-IT interoperability standards. BNETAL has provided connectivity and security expertise to CAQH since 2006, has conducted several industry training webinars, and has represented CAQH in several national level initiatives in healthcare interoperability.
BNETAL SureDeliver® is robust, secure, and ACA Section 1104 compliant gateway, which has been successfully implemented for regulatory compliance, operational efficiency and strong security. Using BNETAL SureDeliver®, customers are assured of a compliant connectivity solution that will be kept up-to-date with the latest version of the CORE Connectivity Operating Rules, hence customers can focus on their business domain.
BNETAL's nationally recognized experts in connectivity and security have worked on projects including CDC PHIN (where BNETAL provided secure data exchange solutions that are used nationwide for disease data surveillance over the Internet) can be leveraged by Payers, Providers, Clearinghouses, and Vendors to provide enterprise grade connectivity and security that is scalable, maintainable, and supported by top-notch connectivity and security experts in the industry.
For more information on SureDeliver® please email info@SureDeliver.com, or call 770-399-0433 or 315-391-0716.
- CAQH® and CORE® are the registered trademarks of the Council for Affordable Quality Healthcare, an independent organization.
- ACA Section 1104 already has language specifying use of CORE Phase II and III Operating Rules. At this time ACA regulations do not have language mandating the use of CORE Phase IV Rules for the 3rd set of HIPAA transactions for which CORE has developed the Phase IV operating rules. Until such language is developed, the Phase IV Rules will be available for voluntary adoption.