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Status
Being Pursued
AUTHORING ORGANIZATION
Ovation Health
PERFORMANCE METRIC
Not Applicable
Automation Tool
UiPath
TECHNOLOGIES
RPA
Applications
Meditech
Optum Portal
HB | PB
N/A

Problem Statement

Claims have to move from the billing system to the clearinghouse to be submitted, but with no established file feed between Meditech and Change Healthcare, someone has to manually pull the daily 837 claim files and move them across. Until that transfer happens each day, the claims aren't submitted, so the manual step sits directly in the path between billing and getting claims out the door.

Automation Solution

This automation downloads the daily 837 institutional and professional claims from Meditech and uploads them to Change Healthcare for processing.

Automation Resources

PDDs, Process Flows, Presentations, and Assessments
Tarpon Health Process Map - Ovation Claim Submission Upload
Process Flow
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Tarpon Health Process Map - Ovation Claim Submission Download
Process Flow
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Tarpon Health PDD - Ovation Meditech Enabler
PDD
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Member Portal
Desktop only
Visit community.tarponhealth.com from your computer.