AdvancedMD provides healthcare software solutions. Client base has increased to more than 35000 providers across United States. With large client base and proven/tested technology for doing transactions with payer electronically, they are marching towards establishing themselves as clearing house.Build industrial clearing house to process more than 60 million claims annually for 35000+ AdvancedMD providers. Developed direct trading partnership with 300+ government (Medicare, Medicaid, BCBS) and commercial payers and for various transactions such as ANSI 837, 835, 999, 277CA, Real-time 270/271, 276/277, etc. It also provides software services such as claim scrubbing, electronic patient statement, patient reminder using phone, text or email as per schedule automatically.

Automation of payer/provider enrollments by creating automated enrollment center to process thousands of enrollments on behalf of 35000+ providers and 2000+ payers easily.

Gathering technical information from Payer (Insurance Companies), establish TPA/BAA agreement with the help of legal team, perform connectivity testing such as FTP/SFTP, SOPA + WSDL, HTTPS + MIME, Web portal, etc., enroll clearing house/provider, test different EDI transactions (837P, 837I, 270/271, 276/277,835, 275) with a motive of direct trading partnership, perform database setup, mapping requirements and developing scripts.

AdvancedMD provides healthcare software solutions. Client base has increased to more than 35000 providers across United States. With large client base and proven/tested technology for doing transactions with payer electronically, they are marching towards establishing themselves as clearing house.Build industrial clearing house to process more than 60 million claims annually for 35000+ AdvancedMD providers. Developed direct trading partnership with 300+ government (Medicare, Medicaid, BCBS) and commercial payers and for various transactions such as ANSI 837, 835, 999, 277CA, Real-time 270/271, 276/277, etc. It also provides software services such as claim scrubbing, electronic patient statement, patient reminder using phone, text or email as per schedule automatically.

Analyze invoices of vendors to manage revenue. Research on new vendors, review costs, establishes business/partnership with new vendors, test transactions and move to production.

Non-ANSIservices (Reminder services, Claim Scrub service) and other Projects with crucial monetary importance to the company.

Initiated and completed the project of analyzing the supported formats for attachments and additional information to be sent to get approved denied claims due to lack of clarity. (ASC X12N 275)