Why expEDIum

Based on our knowledge of the US Healthcare industry, client roster, and the merit of the above products, we built our flagship product, a robust PMS Medical Billing product, along with APIs for any EHR integration.

This product is specialty agnostic, supporting multiple specialties, and we had integrated with a handful of EHRs and e-PCRs for providing a robust EHR + PMS/Medical Billing solution to server-specific specialties such as Behavioural Public Health Clinics, GI/ASC, Ambulance/EMS, Podiatry, etc.

We have 100s of clinics using the integrated solution or using it as a standalone, processing several millions of claims and HIPAA X12N transactions to date through this product.

We built a secure, cloud-based claim processing and reimbursement product called the expEDIum Claims Portal with seamless, built-in “direct payer” connectivity to one or more clearinghouses and MCOs. This solution incorporated the previous expEDIum building blocks that we had built.

We had a few small clearinghouses that used this product to process and submit millions of claims electronically to 100s of payers. These claims were from across several specialties. This product was built using Java Technologies and PostgreSQL RDBMS. A customized solution derived from this product was also used for Claim Adjudication by a small OB/GYN TPA.

The idea of building a revenue cycle management, claims processing, and medical billing solution started out small, with expEDIum building an “in-memory” high-performing X12N EDI Translator called the expEDIum X12N Engine supporting the parsing and building of all 11 HIPAA transaction sets.

This product was positioned as a “HIPAA Accelerator,” and we had approached over 50 India-based IT services companies, among other prospects. We also built over 10 Transformation Adapters to convert data from early legacy formats such as NSF v3.01, NSF v3.2 (Dental), NSF ERA, HCFA Print Image, etc.

These adapters converted legacy data to standard HIPAA X12N format files. One of these adapters was customized and implemented as a seamless component in their SOA architecture for one major client.

They were called the expEDIum X12N Adapters, and we sold several of these adapters as our clients, including a dental clearinghouse, were using various legacy PMS/Medical Billing products that were not HIPAA compliant and X12N ready.