Introduction Sumex I+ Quality assurance and electronic transfer of physician’s invoice Sumex I+; 31.10.2015 11:42; 1 © TMR AG TMR AG Boundary conditions for Sumex I+ Boundary conditions.

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Transcript Introduction Sumex I+ Quality assurance and electronic transfer of physician’s invoice Sumex I+; 31.10.2015 11:42; 1 © TMR AG TMR AG Boundary conditions for Sumex I+ Boundary conditions.

Introduction

Sumex I+

Quality assurance and electronic transfer of physician’s invoice

Sumex I+; 30.04.2020 23:37; 1 © TMR AG

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Boundary conditions for Sumex I+ Boundary conditions relevant for physicians  No increased costs  No increased time requirement  Free choice of the clearing center Boundary conditions relevant for software houses  Publication and standardization of all interfaces  Hiding of XML standard and OCR-Print layout behind functional interfaces  Automatic update of data and software  Quality and continuity guaranty of project by the healthcare insurance companies Sumex I+; 30.04.2020 23:37; 2 © TMR AG

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Sumex I+ implementation Validator modules:  Search & browsing of tariff database  Validation of services against the tariff rules (tarmedValidator, labValidator, etc.) Invoice module:  Generation and printing of standardized OCR invoice  Generation and transfer of XML invoice to insurance  Automatic usage of validator modules internally netUpdate package:  Keeping software modules and databases up-to-date Sumex I+; 30.04.2020 23:37; 3 © TMR AG

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Sumex I+; 30.04.2020 23:37; 4 © TMR AG Sumex I+ modules Validators  tarmedValidator  labValidator  migelValidator  drugValidator  physioValidator Managers  MDInvoiceManager netUpdate Package

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Sumex I+; 30.04.2020 23:37; 5 © TMR AG Technical implementation MDInvoiceManager and validation modules  ATL-DLL modules written in C++ netUpdate package  MFC-EXE modules written in C++ Database access  OleDB access on local ready-only mdb-File  All databases are password protected

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MDInvoiceManager overview

Physician software COM Invoice Manager Data Validation XML Data Modeler COM tarmed Validator

Printer Sumex I+; 30.04.2020 23:37; 6 © TMR AG OCR print

COM / XML

Secure Communication (MediPort) Server

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netUpdate package Sumex I+; 30.04.2020 23:37; 7 © TMR AG

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Hardware & Software requirements Software  Windows 98 or higher  Windows 2000 or higher recommended Note: Windows 95 is not supported by MSXML4 Hardware  Pentium III 500 MHz  100 MB free disk space  128 MB RAM Sumex I+; 30.04.2020 23:37; 8 © TMR AG

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Requested interface changes for final release tarmedValidator  TP of assistant (ISearch)  Limitation information as in html-browser (ISearch) All validators  RoleType enumeration values as in migelValidator Sumex I+; 30.04.2020 23:37; 9 © TMR AG

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Versioning scheme 1.00.001 Version number for example tarmedValidator100 001 build number (bugfixes, no interface change) 00 minor version (added features, interface change) 1 major version (heavy interface change) Implications on physician software  Build number change: no impact on software (netupdate)   Minor change: software may adapt new interface Major change: software must eventually adapt new interface Sumex I+; 30.04.2020 23:37; 10 © TMR AG

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Sumex I+; 30.04.2020 23:37; 11 © TMR AG Schedule & information Beta-Release  Available since 2.5.2002

Final-Release for all modules and languages  1.7.2002

Download & documentation area  www.tarmed.net

 www.xmldata.ch (schema files) Mailing list, Support & FAQ  www.tarmed.net

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Summary: win-win situation for all physician  can produce a correct invoice according to the rules  has a free choice of the intermediate or print locally software house  have to implement only one interface  Hiding of standards behind functional interfaces insurance  receive high quality invoices  automated data processing is possible (XML or OCR invoices) Sumex I+; 30.04.2020 23:37; 12 © TMR AG

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Excursion: XML & schema file validation XSD schema files help to improve the quality of the invoice  mandatory elements and attributes can be requested  patterns can be set to allow only specific values  the MDInvoiceManager handles the XML generation and schema validation, however you should get familiar with the mandatory fields ( www.xmldata.ch

) pdf-File or xsd-File Sumex I+; 30.04.2020 23:37; 13 © TMR AG

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