Network180, acts as an EDI gateway to more than 25 local human service agencies that spe-cialize in providing individual and family care to those suffering from mental health or substance abuse problems, or living with a developmental disability. As a liaison between patient and caregiver, Network180 processes tens of thousands of various transaction formats monthly.

The Challenge

Network180 wanted a software solution that could translate the various transaction types in one common application. It needed to be durable, dependable and expedient for the many thou-sands of transactions they handle.

Specifically, Network180 wanted to accomplish the following tasks:

• Handle the following HIPAA transactions— 270, 271, 276, 277, 820, 834, 835, and 837
• Handle the following volume of transactions:
  • 271- Average 3400 files a day/58000 files a month/700,000 files a year
  • 837- Average 30 files a day/800 files a month/5800 files a year. Maximum file size: 35 MB
  • 835– Average 30 files a month/360 files a year
• Run on Microsoft Windows Server 2003— 2.8 GHz, 2GB RAM, 50 TB HD

The Solution

Network180 licensed the following Redix products:

• HIPAA package
• DataBase module
• RMAP module

Network180 uses the Redix AnyToAny Format Converter engine to validate provider-submitted data, post a 997 transaction to the website for the provider to review, and allow the user to get additional information. The claims and “encounters” data are loaded into the encounter data-base system using the Redix DataBase module, This process enabled Network180 to provide a real time solution to their providers.

The Results

Network180’s first fully functional test was achieved in two weeks from the time Redix was im-plemented. The majority of testing was completed with their trading partners within 3 months. After the system was in production, Network180 was able to meet their EDI needs and achieve the volume required for their services.

Jason Radmacher summarized their overall experience with the Redix products and support - "Excellent Product and Excellent Support!” ”Redix allows us to provide a real time solu-tion for our providers to submit HIPAA compliant, X12 transactions."