January, 2006

Continovation Services Inc. announces the introduction of an Open Source HL7 Financial Claims and Reimbursement (FICR) .NET Adjudication Framework.

This framework allows a claims processor / payor to easily integrate HL7 messaging into existing adjudications systems or to rapidly build next generation adjudication capabilities.

Released as an Open Source project, an implementer can build claims adjudication engines secure in the knowledge they are building on an open solution that insulates them from changes in the FICR messages and processing rules but gives them complete knowledge of how the system was built and how it can be customized. As the framework is built using Microsoft .NET technologies a variety of development platforms can be incorporated to build adjudication solutions, including Java, Visual Basic, Delphi, C++ and C#. With a minimal investment in hardware and software, adjudication systems can be built to fully process eligibility requests, authorizations, treatment plans, coverage extension requests, invoice claims, SOFA queries, and payment reconciliation messages. All of the FICR Special Interest Group (SIG) message sets are supported within the framework; a uniform object model / Application Programming Interface (API) allows different SIG messages to be processed with common routines. Continovation Services will also be providing support and consulting services to help support the rapid and efficient incorporation of the framework into processor / payor adjudication systems. The Framework will be made available to HL7 or affiliate members and will be governed by any HL7 licensing requirements as well as the GNU General Public License (GPL) agreement. For further information please contact:

David Remmer
Manager, Client Technology, CSI
dremmer@continovation.com

or

Paul Knapp
Chief Technology Officer, CSI
pknapp@continovation.com
Source of article: HL7 Canada Newsletter, December 2005