۞  Batch Clearinghouse (EDI)

۞  Real-Time Claims Clearinghouse

۞  Electronic Attachments

۞  Non-EDI Compliance for HIPAA  (TesiaPrint™)

۞  Custom EDI Conversion / Processing

۞  Provider Recruitment

Tesia-PCI corporation offers a comprehensive and flexible EDI service that address HIPAA transaction requirements for a client along with robust tools that are promoted to the provider community to actively increase a Payor customer's EDI rate.  Let our seasoned staff help your firm avoid the "pit-falls" of implementing an EDI service.

> Address their HIPAA Transaction requirements under the Health Information Portability and Accountability Act of 1996 (HIPAA) rules and regulations (45 CFR Part 162; 1176(b) of the Social Security Act; 45 CFR Part II: CFR 160.103) as required by Federal and State governments in a flexible, cost effective manner;

> Simplified contracting and service vendor access by allowing the collection of utilization, claims and other administrative transactions from multiple sources (providers, other clearinghouses, PMS Vendors, third parties, etc.) by Tesia-PCI rather than from multiple vendors in multiple formats/connectivity methods and capabilities;

> Implement varying levels of complex edits, validation processes and routing to enhance EDI delivery/processing, including but not limited to: pre-adjudication (eligibility and benefit validation); code-specific conversions (bundling); repricing of claims; multi-system rules processing and more;

> Allow providers to electronically verify member eligibility, benefits, submit prior authorizations, utilization and claims, verify claims status, and review EOB’s electronically using Tesia-PCI provider tools (software; PMS interfaces; hardware);

> Gain access to numerous other Clearinghouse and Software / Service vendors throughout the EDI industry through Mutual Gateway partnerships held by Tesia-PCI helping reduce your needed connections to other vendors.

> Implement expeditiously with minimal intrusion upon existing administrative work processes.

Tesia-PCI allows a client to contract at different levels of connectivity, sophistication and flexibility for interaction within the industry, including REAL-TIME processing to enhance the EDI experience.

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Business Process Outsource (BPO solutions provide complimentary services to EDI customers focused on aligning to your corporate goals and initiatives of lowering costs and increasing efficiencies through the use of EDI.

۞ OCR / Paper-to-EDI Conversion Services

۞ Printing Services

۞ Document Management Services

۞ OnBase Consulting / Deployment

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