This presentation summarizes the Texas EDI Corp's Off-The-Shelf Adjudication system called CATT. CATT can intake 837 claims, perform adjudication, and generate EDI responses. It allows setup of trading partner profiles, enrollment of new populations via 834 or 837, and adjudication of claims while being HIPAA compliant. CATT can read, validate, and convert 837 claim data and either adjudicate claims itself or receive adjudication files. It offers quick setup and centralized screens to help expedite claim processing.

1. This brief presentation covers some of the possibilities available
with the Texas EDI Corp’s Off-The-Shelf Adjudication system,
from 837 claim intake, to Adjudication, to EDI Responses.
System, CATT:
Claim Adjudication Transaction Tech
Presentation, OTS solution: Claims Adjudication System
Presented by: The Texas EDI Corp.
© 2017, Texas EDI Corp., all rights reserved.

2. CATT can perform the following functions:
 Setup Trading Partner Profiles
 Enroll new populations, via 834 or 837
 CATT works with 1, 2 or 3 monitors
 Claims-Process Improvement
 OTS Adjudication (We can customize)
 Claim-Process Improvement: Hook up
. multiple Payers
 HIPAA Transactions ready
 Fast setup, let us show you!

3. CATT, out-of-the-box, can do the following:
 Read 837i,p,d (claim data)
 Validate Provider Info
 Validate Member Info
 Convert 837 data to XML
 Optional Adjudication:
CATT can Adjudicate or it can
Receive Adjudication XML file
(as per CATT XML File layouts)
 TA1 File-Level Rejection
 Pivotal Architecture: use
out-of-the-box and/or
customize to suite your specific
needs.
 Texas EDI Resources are
available.

4. Lets look at a possible implementation with CATT...

5. CATT overview and possible scenarios
CATT may be used for the following:
• Scenarios:
- New Inst., Prof., or Dental System
- New Re-Pricing System
- Centralize a Multi-Payer System
- Take PART of the strain off of your
. current Adjudication System by
. letting CATT Authenticate
. Providers and Members
• Features:
- Centralized screens for Data Techs
- HIPAA EDI Transactions, ready
- Quick set up, Faster Go-Live

6. CATT Play Book Scenario

7. Thanks for Viewing
There are many more possibilities to explore in Texas EDI CATT
Implementation. Start a dialog today or ask for a call:
• EDI_Trainer@Yahoo.com