Difference between revisions of "Data Exchange Overview"
From SmartWiki
(→Encrypted electronic transmission) |
|||
| (8 intermediate revisions by one other user not shown) | |||
| Line 1: | Line 1: | ||
The [[SmartSimple]] Data Exchange technique provides a secure method of transferring information between SmartSimple systems. This technique is mostly used to share information between an Insurer and Service Provider (or between Service Providers). | The [[SmartSimple]] Data Exchange technique provides a secure method of transferring information between SmartSimple systems. This technique is mostly used to share information between an Insurer and Service Provider (or between Service Providers). | ||
| − | |||
==What are the benefits of Data Exchange?== | ==What are the benefits of Data Exchange?== | ||
===Support intra-organizational Case Management=== | ===Support intra-organizational Case Management=== | ||
| Line 7: | Line 6: | ||
# The Data is compressed (to reduce size), encrypted (to ensure confidentiality) and transmitted between [[SmartSimple]] systems. | # The Data is compressed (to reduce size), encrypted (to ensure confidentiality) and transmitted between [[SmartSimple]] systems. | ||
# Secure transmission of medical briefs and Insurer Examination reports saves turnaround time in a regulation imposed and time lined cycle. | # Secure transmission of medical briefs and Insurer Examination reports saves turnaround time in a regulation imposed and time lined cycle. | ||
| + | [[Image:Data Exchange.png|550px|link=]]<br> | ||
| + | |||
==What type of Data is transmitted via Data Exchange?== | ==What type of Data is transmitted via Data Exchange?== | ||
* Claim Information ([[Level 1 Entity]]) | * Claim Information ([[Level 1 Entity]]) | ||
| Line 12: | Line 13: | ||
* Billing Information ([[Level 3 Entity]]) | * Billing Information ([[Level 3 Entity]]) | ||
* [[Notes]] associated with the Claim | * [[Notes]] associated with the Claim | ||
| − | * [[ | + | * [[Contact]] |
* Attached File and Documents | * Attached File and Documents | ||
==What is the Data Exchange Technical Protocol?== | ==What is the Data Exchange Technical Protocol?== | ||
| Line 21: | Line 22: | ||
* Recipient server is notified of the New Note or New Package. | * Recipient server is notified of the New Note or New Package. | ||
* User unpacks the package and new data is Added/Updated on the system. | * User unpacks the package and new data is Added/Updated on the system. | ||
| + | '''Note: The export package size limit is 250 MB'''. | ||
==What is the Data Exchange Business Protocol?== | ==What is the Data Exchange Business Protocol?== | ||
Business protocols vary and are implemented as prescribed by the Insurer. | Business protocols vary and are implemented as prescribed by the Insurer. | ||
| Line 26: | Line 28: | ||
* Sender '''must''' add a Note before Exporting the Package. | * Sender '''must''' add a Note before Exporting the Package. | ||
* Uploaded documents must follow the Insurer prescribed naming convention. | * Uploaded documents must follow the Insurer prescribed naming convention. | ||
| − | ==How can | + | ==How can I track data exchange on a Claim?== |
You can track the Claim Exchange in following ways: | You can track the Claim Exchange in following ways: | ||
* [[Exchange History]] | * [[Exchange History]] | ||
| − | * [[Notes Exchange History]] | + | * [[UTA Level One Notes Exchange|Notes Exchange History]] |
* Incoming Packages | * Incoming Packages | ||
* Exported Packages | * Exported Packages | ||
==How is Data Exchange Configured?== | ==How is Data Exchange Configured?== | ||
Data Exchange is configured in following steps: | Data Exchange is configured in following steps: | ||
| − | * [[Configuring a Sending Instance]] | + | * [[Setting Sending to Settings|Configuring a Sending Instance]] |
| − | * [[Configuring a Receiving Instance]] | + | * [[Receiving from Settings|Configuring a Receiving Instance]] |
==Troubleshooting Data Exchange Issues== | ==Troubleshooting Data Exchange Issues== | ||
'''Issue:''' Why am i not able to export the claim to an Insurer?<br> | '''Issue:''' Why am i not able to export the claim to an Insurer?<br> | ||
| Line 42: | Line 44: | ||
'''Resolution:''' See [[Notes on Unpacking]] for commonly seen data exchange errors.<br> | '''Resolution:''' See [[Notes on Unpacking]] for commonly seen data exchange errors.<br> | ||
| − | + | ==See Also== | |
| + | * [[Exchange History]] | ||
| + | * [[Data Exchange Status]] | ||
[[Category:Data Exchange]] | [[Category:Data Exchange]] | ||
Latest revision as of 09:09, 14 August 2013
The SmartSimple Data Exchange technique provides a secure method of transferring information between SmartSimple systems. This technique is mostly used to share information between an Insurer and Service Provider (or between Service Providers).
Contents
- 1 What are the benefits of Data Exchange?
- 2 What type of Data is transmitted via Data Exchange?
- 3 What is the Data Exchange Technical Protocol?
- 4 What is the Data Exchange Business Protocol?
- 5 How can I track data exchange on a Claim?
- 6 How is Data Exchange Configured?
- 7 Troubleshooting Data Exchange Issues
- 8 See Also
What are the benefits of Data Exchange?
Support intra-organizational Case Management
More than one organization can participate in the same case, and at the same time retain unique information about the case that is not shared.
Encrypted electronic transmission
- The Data is compressed (to reduce size), encrypted (to ensure confidentiality) and transmitted between SmartSimple systems.
- Secure transmission of medical briefs and Insurer Examination reports saves turnaround time in a regulation imposed and time lined cycle.
What type of Data is transmitted via Data Exchange?
- Claim Information (Level 1 Entity)
- Assessment Information (Level 2 Entity)
- Billing Information (Level 3 Entity)
- Notes associated with the Claim
- Contact
- Attached File and Documents
What is the Data Exchange Technical Protocol?
- User Clicks a button to trigger the process.
- System compresses information to a zip file.
- Encrypted with a key using DES/MD5.
- Post to ONE Target server –https (SSL).
- Recipient server is notified of the New Note or New Package.
- User unpacks the package and new data is Added/Updated on the system.
Note: The export package size limit is 250 MB.
What is the Data Exchange Business Protocol?
Business protocols vary and are implemented as prescribed by the Insurer. Commonly followed business rules include:
- Sender must add a Note before Exporting the Package.
- Uploaded documents must follow the Insurer prescribed naming convention.
How can I track data exchange on a Claim?
You can track the Claim Exchange in following ways:
- Exchange History
- Notes Exchange History
- Incoming Packages
- Exported Packages
How is Data Exchange Configured?
Data Exchange is configured in following steps:
Troubleshooting Data Exchange Issues
Issue: Why am i not able to export the claim to an Insurer?
Resolution: You can only Export a claim that was originally received from the Insurer via Data Exchange.
Issue: I get error when Unpacking a package.
Resolution: See Notes on Unpacking for commonly seen data exchange errors.
