CONSULTING SERVICES

Today’s claims administrators are faced with difficult choices as it relates to “EDI Triggers and Sequencing” automation. Develop in-house or contract with a third-party vendor?  For many, the answer isn’t so simple.  

Vendor solutions create some unique challenges including but not limited to higher recurring costs, increased risks revolving around data quality and security, and the internal development resources and time required to integrate with a vendor’s system.  Additionally, if a vendor change is necessary, or a decision is made to develop internally, the associated costs and technical hurdles can be prohibitive.  

Internal development of automated triggers and sequencing is often challenging due to a lack of EDI specific expertise. AEG's consulting team has the in-depth knowledge and experience in EDI automation that can remove the knowledge and resource barriers for those who choose internal development. AEG can assist your team in developing a fully automated EDI system.  We specialize in analyzing, defining and delivering trigger rules and sequencing rules to reviewing data storage requirements, workflow processes and everything in-between:

•  Environment Review/Analysis: Provide analysis showing future EDI impact, gaps, considerations.  
• Event/MTC Trigger & Sequencing/Hold & Release: Recommend workflow including events that impact execution of trigger rules, sequencing/hold and release logic. Document Trigger Rules by Type (FROI/SROI) and MTC including identification of data elements required to be examined by each rule.
• Transaction Population by state, document type and MTC.
• Transaction Editing can be documented for internal development or using software solutions.
• Acknowledgment Processing – recommend and document workflows, technical considerations, error analysis, correction process, storage, and correlation with triggers and sequencing.
• Transaction Archiving - Recommend and document transaction archiving strategy and define potential usage of data.
• Internal EDI Audit Reporting - Provide data content and usage/value of each report.
• Develop, document and assist in executing an EDI test plan.

Although AEG’s focus is on automation, our consulting services includes all areas of EDI. Our consulting services will save you money, time and eliminate many of risks associated with vendor provided software solutions.