Tallan's Technology Blog

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Category Archive for "Government Solutions"

All-Payer Claims Database Submission – Common Data Layout and PACDR X12

As we strike out into 2018, the implementation of All-Payer Claims Databases (APCD) across states remains variable and dynamic. Massachusetts maintains a comprehensive implementation, aggregating data feeds from over 80 public and private payers.  Massachusetts has leveraged their APCD to create a state-specific risk adjustment model to meet the ACA provision which balances funds from healthier populations to higher risk pools. Late in 2016, Minnesota concluded a feasibility study which determined their APCD could significantly improve risk adjustment vs. the federal model.
On the other hand, West Virginia and Tennessee have put APCD development on hold. California payers optionally submit claims and encounters to a public benefit corporation. Legal, fiscal and political concerns guarantee a fluid situation for insurers.
This blog post is focused on the technical obstacles that health plans face in states requiring APCD submission. Since these databases have phased in over the last decade through both voluntary and legislated…

Setting Verbose mode for a Boomi Process using Dynamic Process Property

Setting Verbose mode for a Boomi Process using a Dynamic Process Property
In most instances developers will have to accommodate certain reporting, notification and logging requirements of a given interface within the Dell Boomi AtomSphere platform.
Often times, the logging or emailing may need to be disabled for testing and/or faster iterative cycling through test cases and, of course, to not annoy the user community with email test messages.
The most straightforward way to accomplish or implement a verbose or Test Mode Boolean flag (as is very common in other platforms) is to create and enable a Dynamic Process Property and then assign its default value while allowing to reassign the same with extensions directly after deployment.