Health Insurance Exchange Integration

Integration Solutions for the Health Insurance Exchange (HIX) market

Custom-Designed Integration Applications

Interacting and exchanging data with the various exchanges is often difficult and complex for a health plan, particularly when resources are stretched.  EMS can help you navigate through the enrollments, payments, and reconciliations with expertise in the process and the transactions.  We design solutions with you and deliver custom-fit applications that work to your requirements and solve your unique issues.

Agile, responsive, and comprehensive software applications, developed with your exact purposes and needs in mind.

  • Manage member enrollment, termination, plan changes, demographic changes, etc.
  • 834 enrollment files and 834 effectuation files
  • 820 payment files
  • APTC and CSR components
  • Member reconciliation and reporting
  • Interoperability

 

Testimonial

Complete Integration System Between State Health Exchange and Claims Adjudication System.

BHPPlan-Color-Horizontal

Preston Review

 

Plus, Ready-to-Deploy Software Utilities:

We have a suite of end-user, canned software utilities for file management.  Take a look at our products, and take a moment to contact us and see how we can customize a solution to your unique issues.

Click the boxes below for more information on each:

 

Hospice and Home Care HIPAA File Reader - 835, 277, 837 271, etc.     Power Toolbox     Power Generator    Export Engine

Contact us to set up  a quick phone call or demo.