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eMD Software Technology

Ontime

Ontime or realtime communication, is a client initiated connection that sends a message over the internet to our hosted server.

eMD intern establish a connection with the Medical Insurance Provider and awaits a response. On completion, the response is then returned to the client for review. Our hosted webservice is secured using SSL using 128 bit encryption, our clients can be assured that all transmission are safe and secure. All claim/eligibility/sms messages are saved to an audit database for future reference.

  • Web Services – Web services extend the World Wide Web infrastructure to provide the means for software to connect to other software applications. Applications access Web services via ubiquitous Web protocols and data formats such as HTTP, XML, and SOAP, with no need to worry about how each Web service is implemented. Web services combine the best aspects of component-based development and the Web, and are a cornerstone of the Microsoft .NET programming model.
  • Secure Socket Layer – Web Server Certificates secure confidential information exchanged online and confirm your site’s identity to employees, business partners, and other users.
  • Extensible Markup Language (XML) – Messages transmitted between client, eMD and Medical Insurance Providers make use of xml. Xml is simple to use over the internet and will support a wide variety of applications.

Batch Claims

If a claim does not have the ability to be processed via the Ontime server, or if you are running in offline ie. not connected to the internet; will be batch processed. Once eMD have received the latest claim through a replication, will be batched and sent to the relevant Medical Insurance Providers. Usually when a claim is batched, it is sent to the Medical Insurance Providers using various FTP protocols. Typically Medical Insurance Providers host an FTP, SFTP or FTPS server.

  • FTP – Is a standard network protocol used to transfer files from one host to another host over a TCP-based network, such as the Internet.
  • SFTP – SSH File Transfer Protocol, is not related to FTP except that it also transfers files and has a similar command set for users. SFTP, or secure FTP, is a program that uses Secure Shell (SSH) to transfer files.
  • FTPS – FTP over SSH (not SFTP) refers to the practice of tunneling a normal FTP session over an SSH connection.

Reporting

MD runs a data warehouse, which stores data from each client database for reporting purposes. The reports are used in each of our administration processes, to measure performance.. The data-warehouse makes use of SQL database technology and reports may be generated and emailed using various formats like PDF, Excel etc.

  • PostgreSQL – PostgreSQL is an object-relational database management system (ORDBMS). POSTGRES pioneered many concepts that only became available in some commercial database systems much later.

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