Health Insurance Exchange Integration

Custom-Designed healthcare insurance exchange solutions

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


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.

See what others
have to say

The EMS Utility Toolbox and EMS Response File Reader software greatly helped us in our transition to our new hospital system. The new hospital system can import 835 remit files for cash posting. This allowed us to remove our old cash posting software, so a need for 835 file management became apparent. In order to manage a large daily volume of 835 files and remit splitter reports, our cash department utilizes the Utility Toolbox to filter, sort and search files that require manual review or movement to other folders on the network. The Response FIle Viewer allows the user to access the detail within these files, as well as print EOBs and reports.

Tom Wagers, Systems Coordinator Revenue Cycle

UC Health (University of Cincinnati Medical Center) - Cincinnati OH

I love the EMS reader! I use it almost every day with my 835’s, 277’s and 999’s. I love the way you can sort by columns, names and even numbers.

Debi Knight

Chautauqua County Dept. of Mental Hygiene - Mayville, NY