ELLKAY Live Mapping
ELLKAY has built a web based ASP application and Software As a Service (SaaS) infrastructure
for laboratories to manage and maintain their cross-reference mapping for all their
physician accounts. The system also allows laboratories to maintain their master
insurance listing. Below is the list of most common modules available in Live Mapping:
New insurance records are constantly added in a physician office PMS/EMR system
as new patients visit the physician offices while insurance records of patients
also keep changing. ELLKAY has developed a solution that monitors these insurances
across 450 different PMS/EMR systems. This solution synchronizes these changed records
at the physician offices on their SaaS infrastructure making them available to laboratories
for cross-reference mapping. The synchronization interval is configurable by each
laboratory and can be different for each physician office depending on the volume
of patient turnover.
Laboratories typically keep their master listing in excel files and manage them
by writing notes in additional columns. The problem is escalated when laboratories
grow and they have multiple people working on managing and coordinating the changes
in this master listing. Using Live Mapping's web based infrastructure, laboratories
can have several personnel working from various locations to manage their master
listings. Every change in the master listing is kept in an audit-log for tracking
and resolving any problems for an accidental change.
Insurance Mapping is the actual process of cross-referencing and matching an insurance
record from the physician PMS/EMR system to a laboratory master insurance record.
Live Mapping's web based application allows laboratories to see the entire record
in the physician's PMS/EMR system and then allows laboratories to search and match
an appropriate laboratory insurance master record.
ELLKAY has broken down each aspect of the insurance record from identification,
to uploading, mapping and then publishing to the physician office. At any given
point in time every insurance record in a physician office's PMS/EMR insurance record
is tracked and can be in one of these modes: • Insurance record received (unmapped
and unpublished) • Insurance record mapped but not published yet • Insurance record
mapped and published • Mapped and Published Insurance record but the mapping is
to a currently inactive code • Audit-Trail (Each insurance record in each office)
The applications maintains a complete audit-trail for any change in the insurance
record. It captures the date/time the record was created, tracks the individual
who mapped it, any changes in mapping, when the record was published to the physician
office, etc. Audit-Trail is available at two levels: 1) For each insurance record
in each physician office and 2) For each master laboratory master insurance record.
Laboratories are constantly changing and updating their master insurance records.
For a growing laboratory, signing a new contract with an insurance company will
trigger several additional new insurance records in their master listing. Managing
the master listing is one-thing but if a laboratory wishes to update all their existing
clients and now notify these offices that the laboratory now accepts this new insurance
company is a enormous task. With the ASP application, laboratories can simply signin
into the web site and add the new master insurances in the system. They can they
search across all their physician accounts and update the mapping code across all
selected insurances via one click.
When users sign-into the application, the dashboard view allows users to see a complete
picture of insurance cross-reference mapping across all their physician office in
one snap-shot. If there are any records which are mapped to discontinued records,
users can make the decisions to change them a single view across multiple offices.
It also provides an overall picture of new records that came in, how many insurances
were mapped and which users mapped them etc.
Often times, laboratories might have a need to query a mapping code for an insurance
record. Live Mapping exposes secure Web Services that allow outside applications
to send request for mapping codes per physician office. This allows the mapping
to be managed from one centralized location for a laboratory and have all their
internal applications as well as their interface engine query for mapping codes.
Apart of making it a breeze for laboratories to manage and maintain cross-reference
mapping, Live Mapping allows laboratories to increase the efficiency for billing
and reduce bad-debts for laboratories.