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UiPath Healthcare EDI convertor is a bi-directional solution with below listed features

This solution converts the **EDI 270/271** transaction the eligibility and benefit information request & response files, **EDI 276/277** for Claim Status Inquiry and response, & **EDI 835/837** for electronic transaction for claims submissions and claim payment information into meaningful DataTables/DataSet for automated data validations, verification and data entries to different healthcare systems. This real time converted data can also be utilized for reporting & analysis purpose.

This solution has the capability to generate the EDI files from different data sources like **Claim Forms, excel data source, health information systems** and backend data bases like SQL bases on defines configuration files.

Use Cases

*   EDI files conversion to dataset for data analysis & Reporting
*   Benefit & eligibility data verification and validation
*   Healthcare Claim data validation & Edits (Ex. CMS 1500)
*   Payment Posting data validations & Automated data entry
*   Eligibility mismatch
*   Cash and Credit adjustments
*   Real time EDI file updates
*   Advanced Analytics/Machine Learning/ BI Extraction

UiPath SMART EDI Conversion Suite (270/271, 276/277 and 835/837) is a bi-directional EDI files conversion solution. It can un-spool the EDI files to DataTable & can spool an EDI file from claim forms

UiPath Healthcare SMART EDI Conversion Suite