RealMed has many services focused on payers. Within revenue cycle management, it is important that payers, providers and patients all receive services to help with efficiencies and productivity.
Looking for a better way to integrate your services to payers? We
RealMed’s trusted experience and knowledge of health care systems and integration projects allows
for better integration across several platforms. RealMed has performed many comprehensive back-
end system integrations facilitating real-time transactions including real-time claims adjudication.
RealMed also has an extensive list of direct ANSI-based integrations which has culminated in over 92%
of all transactions going direct to the payer.
Direct back-end administrative platform integration - RealMed has performed system integrations by
directly interfacing with back end administrative platform mainframes and database engines. RealMed
has extensive experience with industry recognized platforms and many proprietary legacy systems.
RealMed has facilitated these integrations through ODBC connections, IBM MQ Series, TN3270 screen
scraping, Enterprise Service Bus (ESB) integration, web services, various file exchanges and ANSI based
batch / real-time connections.
Proprietary Transaction Exchange – RealMed can translate existing proprietary data exchanges (flat,
delimited, XML, etc.) into ANSI compliant interfaces to facilitate provider-facing transaction services.
ANSI Based Transaction Exchange – RealMed exchanges ANSI-based transaction data directly with
many payers. By adding RealMed as a directly connected clearinghouse, our provider centric services
will bring significant savings to your plan.
Real-time claim adjudication (RTCA) at point-of-service - RealMed has been providing RTCA services
to payers since 2000. RealMed’s mix of customized and ANSI-based development capabilities can
transform overnight batch claim processing into real-time claim processing and adjudication services.
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