9
Introduction to the Next Generation of EDI Healthcare Data Exchange Phil DeNucci DeNucci Enterprises and UpNet Technologies [email protected] 952-856-4181

PBM/TPA HSA Exchange Services

Embed Size (px)

DESCRIPTION

Share deductibles, OOP, HRA/HSAs and solve your CDH integration issues.

Citation preview

Page 1: PBM/TPA HSA Exchange Services

Introduction to the Next Generation of

EDI

Healthcare Data Exchange

Phil DeNucci

DeNucci Enterprises and UpNet Technologies

[email protected]

952-856-4181

Page 2: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

UpNet is a Minnesota based company. Also located in California.

UpNet was founded in 90s as EDI consulting firm.

UpNet “Creates a World of Connections”

website www.upnettec.com

Who / What is UpNet?

Page 3: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

DeNucci Enterprises is a Minnesota based consulting organization, led by Phil DeNucci.

DeNucci Enterprises supports companies in the Consumer-Directed Healthcare (CDH) business, and related health areas.

DeNucci Enterprises helps companies “Navigate through CDH”

website www.denuccienterprises.com

Who / What is DeNucci Enterprises?

Page 4: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

UpNet is a company providing data translation and integration services for hundreds of clients, and manages millions of transactions each month.

UpNet provides a platform for your company to easily connect, share data, and manage integrations with vendors/partners, that use different layouts and disparate systems.

What does UpNet do?

Page 5: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

First generation sharing is based on…

one-to-one mapping methodology.

Page 6: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

UpNet’s Exchange Technology

Universal Data Dictionary

A complete real-time transfer and translation of even-based data as a secure, scalable service – with no client-side middleware.

Page 7: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

UpNet – Source of Truth

Multiple receiving systems receive data in desired format.

Multiple initiating systems send data in current format to receiving systems via UpNet. UpNet can act as central exchange repository.

Bank

FSA Administrator

NationalHealth

CAREPOINT

EmployerVendor

Truth

PBM

Page 8: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

• Healthcare Exchange• A transaction exchange connection. A single connection point using your layout/format/data rules,

in which UPNET establishes the many external connections you require. Allows integration with plan accumulators and balances for deductibles, benefit limits, out of pocket amounts and spending accounts.

• Healthcare Resolution• A web-based transaction comparison tool allowing you and your vendor to share the same view of

detailed exchanged transactions, in the same format. This would be data fed through the HC Exchange, or a parallel set of existing transactions. This a web-enabled tool.

• Healthcare Source • A source of truth repository, allowing real time or batch inquiries on various balances, from

multiple vendors for support of various accumulators or savings accounts, FSAs, etc.

• Healthcare Aggregator• A central source for data aggregation (similar to HC Exchange) allowing multiple parties to provide

data to your organization, and allowing you to provide data to multiple parties for future needs (ala RevolutionHealth, RedBrick, On line medical records).

On-demand Services

Page 9: PBM/TPA HSA Exchange Services

www.upnettec.comwww.upnettec.com

Phil DeNucci

DeNucci Enterprises partnered with UpNet

p. (952) 856-4181m. (612) 839-7760

[email protected]

www.upnettec.com

Contact information: