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Healthcare Data Exchange


                Phil DeNucci
 DeNucci Enterprises and UpNet Technologies


             phil@denucci.com


               952-856-4181

                                  Introduction to the
                                 Next Generation of EDI
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
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
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
First generation sharing is based on…




     one-to-one mapping methodology.

                www.upnettec.com
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
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
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
Contact information:
Phil DeNucci

DeNucci Enterprises partnered with UpNet

p. (952) 856-4181
m. (612) 839-7760

phil@denucci.com

www.upnettec.com
                    www.upnettec.com

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PBM/TPA HSA Exchange Services

  • 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
  • 5. First generation sharing is based on… one-to-one mapping methodology. 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
  • 9. Contact information: Phil DeNucci DeNucci Enterprises partnered with UpNet p. (952) 856-4181 m. (612) 839-7760 phil@denucci.com www.upnettec.com www.upnettec.com