Overview
Current state of the enrollment, pharmacy, claims and encounters pipeline.
Enrollment intake
Upload X12 834 files or CSV/text rosters. Both feed the same member record.
Drop an 834, CSV, or text file here, or choose a file
Pharmacy claims
Upload CSV or pipe/tab-delimited text extracts from PBM feeds.
Drop a pharmacy claims CSV or text file here, or choose a file
Medical claims
Upload CSV or text claim extracts (professional/institutional).
Drop a medical claims CSV or text file here, or choose a file
Encounters
Upload CSV or text encounter feeds.
Drop an encounters CSV or text file here, or choose a file
File imports
Audit trail of every file ingested, across all domains. Click a row for control-total and acknowledgment detail.
Exceptions
X12 control-total mismatches and member-level discrepancies flagged during enrollment intake.
Trading partners
Every 834 sender (by ISA06) is normalized into a partner directory; CSV/manual uploads are grouped under CSV_MANUAL.
Outbound extracts
Generate a fresh extract from current data and download it.