834 enrollment

Parse and validate inbound X12 834 files at the interchange, group, and transaction level, then upsert member records with a complete maintenance-code audit trail.

Claims processing

Ingest medical and pharmacy claims from CSV or delimited text feeds, linked back to the member and subscriber they belong to.

Encounters

Track encounter-level detail — provider, diagnosis and procedure codes, place of service — alongside every member's coverage history.

Outbound capability

Generate outbound 834 or CSV extracts on demand, filtered by status, group, or date, ready to hand off to any downstream partner.

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