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• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 30th Aug 2022

Developers are needed for onshore teams developing EDI 835 interface files for the state of Texas for a large healthcare payer. Expertise in data extraction and transformation, particularly EDI 835 electronic remittance from Amisys is beneficial. Experience in Oracle is required.

• Retrieve all paid claims from Amisys and other EDI to prepare 835, encounter data
• Enrich the retrieved data based on approved encounter, to include ICN number and plan number
• Apply business rules validation such as adjustments for more recent claims, to the enriched data
• Persist Data: Store the 835 data in the database
• Perform Data quality checks
• Capture Audit, alert, and monitoring data
• Generate 835 files in the client desired format (e.g., XML)
• Assist the client in the submission of 835 files to the State via batching and SFTP
• Receive 835 acknowledgement file and error report