Clearinghouse-style capability for health plans.
TransShuttle is AXIOM's modular transaction exchange platform for health plans. It provides clearinghouse-style capabilities that allow health plans to support direct trading partner connections, manage secure healthcare transaction exchange, and maintain an alternative transaction path when third-party clearinghouse dependencies create operational risk.
Health plans may license the complete TransShuttle suite or procure individual modules based on their operational needs.
Three modules, licensed together or separately.
Onboard partners, exchange files, see what came back.
Onboard providers and other trading partners for secure exchange of inbound and outbound files. The module supports automated SFTP, browser-based HTTPS file transfer, or both, so you can serve organizations with automated systems and users who need a browser to submit or retrieve files.
Users can review key response transactions in human-readable formats rather than relying exclusively on raw X12 EDI files, including 999 implementation acknowledgments, 277CA claim acknowledgments and 835 remittance advice.
A browser, not an 837.
Direct Data Entry gives providers a browser-based way to submit professional, institutional and dental claims straight to the plan. Providers enter the complete data required for an 837 claim, not only the fields that appear on paper claim forms, and thousands of edits run during entry to catch incomplete, inconsistent or invalid data before submission.
It suits underserved and smaller provider organizations, including therapists, social workers, home health providers and transportation providers, who may not run a sophisticated EHR or billing system. Claim keyers need no HIPAA or EDI expertise, because the system guides them through entry without ever exposing an 837 transaction.
Where Real-Time Connectivity is also licensed, entry can validate patient information through a real-time 270 eligibility inquiry, giving one more chance to confirm coverage while the claim is being created.
Eligibility and claim status, answered in the moment.
270/271 eligibility and 276/277 claim-status exchange aligned with CAQH CORE operating rules, with the infrastructure, routing, controls and monitoring to run it across providers, portals and multiple back-end systems.
Back-end coexistence and routing
Route inbound real-time requests to different destinations based on configurable business or operational requirements, so real-time services keep running across multiple adjudication platforms, lines of business, delegated environments or a phased migration.
EDI to services, and back
Inbound HIPAA EDI real-time transactions can be transformed into XML or JSON service calls, and the XML or JSON responses converted back into HIPAA EDI real-time responses, connecting standards-based exchange to service-oriented back-end applications.
Batch to real-time
Convert batch 270 or 276 request files into real-time inquiries, then assemble the results into batch 271 or 277 response files, extending real-time data into workflows that still begin as batch exchange.
Portal integration
Integrate into plan portals so portal-based eligibility and claim-status inquiries return the same point-in-time information available through the underlying real-time exchange.
Operational visibility
Create requests, review responses and monitor activity in the browser, with timings for submission, TransShuttle processing, back-end response and total round trip, so teams can tell where a delay actually originated.
Service management and compliance
Manage throughput when a back-end system is slow or unresponsive, keeping downstream problems from spreading across the wider real-time exchange, with reporting on performance and round-trip compliance.
An extension of your team.
Let us handle all your trading partner onboarding, training and support needs.
AXIOM provides optional onboarding, training and ongoing support for TransShuttle through a dedicated team, working as an extension of your operational and technical staff.
Tell us how your partners connect today.
Whether you are building direct connections, adding a second path alongside a clearinghouse, or planning for continuity, a short conversation will establish which modules earn their place.
Talk to our team →Let's talk about your HIPAA transactions.
Thirty years in healthcare EDI, on both sides of the claim. Tell us what you're running and we'll tell you honestly whether we fit.
Software for healthcare payers and the providers who bill them, since 1996. Simplifying HIPAA eCommerce.
Frederick, MD 21701
(301) 815-5220