1. Healthcare Data Exchange
Phil DeNucci
DeNucci Enterprises and UpNet Technologies
phil@denucci.com
952-856-4181
Introduction to the
Next Generation of EDI
2. Who / What is UpNet?
UpNet is a Minnesota based company. Also
located in California.
UpNet was founded in 90s as EDI consulting
firm.
UpNet “Creates a World of Connections”
website www.upnettec.com
www.upnettec.com
3. Who / What is DeNucci Enterprises?
DeNucci Enterprises is a Minnesota based
consulting organization, led by Phil DeNucci.
DeNucci Enterprises supports companies in
the Consumer-Directed Healthcare (CDH)
business, and related health areas.
DeNucci Enterprises helps companies
“Navigate through CDH”
website www.denuccienterprises.com
www.upnettec.com
4. What does UpNet do?
UpNet is a company providing data
translation and integration services for
hundreds of clients, and manages millions of
transactions each month.
UpNet provides a platform for your company
to easily connect, share data, and manage
integrations with vendors/partners, that use
different layouts and disparate systems.
www.upnettec.com
6. UpNet’s Exchange Technology
Universal Data
Dictionary
A complete real-time transfer and translation of
even-based data as a secure, scalable service –
with no client-side middleware.
www.upnettec.com
7. UpNet – Source of Truth
Multiple initiating systems
send data in current format
to receiving systems via
Bank National
UpNet. UpNet can act as Health
central exchange
repository.
Truth
PBM CAREPOINT
FSA Multiple receiving systems
Administrator receive data in desired Employer
format. Vendor
www.upnettec.com
8. On-demand Services
• Healthcare Exchange
• A transaction exchange connection. A single connection point using your layout/format/data rules,
in which UPNET establishes the many external connections you require. Allows integration with
plan accumulators and balances for deductibles, benefit limits, out of pocket amounts and
spending accounts.
• Healthcare Resolution
• A web-based transaction comparison tool allowing you and your vendor to share the same view of
detailed exchanged transactions, in the same format. This would be data fed through the HC
Exchange, or a parallel set of existing transactions. This a web-enabled tool.
• Healthcare Source
• A source of truth repository, allowing real time or batch inquiries on various balances, from
multiple vendors for support of various accumulators or savings accounts, FSAs, etc.
• Healthcare Aggregator
• A central source for data aggregation (similar to HC Exchange) allowing multiple parties to provide
data to your organization, and allowing you to provide data to multiple parties for future needs (ala
RevolutionHealth, RedBrick, On line medical records).
www.upnettec.com