The mandate for Digital Healthcare’s Enhanced Electronic Commerce business plan dates back to 1993 when the Workgroup on Electronic Data Interchange (WEDI) stated the vision:

“To achieve the ultimate goal, a central directory of enrollment information must be maintained to determine primacy… The directory would receive enrollment information from insurers, apply the standard rules of primacy of coverage and payment responsibility, and code and array the policies for each insured individual accordingly.”

In 1995, Testimony by the Office of Management and Budget (OMB) before the US Senate Finance Committee reinforced this growing idea when they testified:

“We envision an on-line, up front query system in which  the primary and secondary payers will be determined at or before the time that care is provided, thus eliminating the need for after-the-fact attempts to match data across various data bases, or the continuation of the Medicare Data Bank.”

A progression of Congressional legislation from 45CFR433 to HIPAA to the Deficit Reduction Act of 2005 has built a framework within which Digital Healthcare fulfills the vision and converts ideas to reality. 

We operate under licenses for certain intellectual property covering the automation of manually intensive business processes in health care that removes an unnecessary and costly administrative burden.  This process marks Digital Healthcare as the innovator in our industry.

To view or download our White Paper on Medicaid Waste, Fraud and Abuse, as well as other documents and reports pertinent state Medicaid and federal HIPAA and CMS issues, complete an on-line request for access click here.