Noridian replaces their EDI front-end application

Noridian needed to replace its EDI processing engine with a more robust, configurable, and scalable application. Because the X12 transactions were being processed for BCBSND, BCBSWY, Iowa Medicaid, and CMS, extra care was taken to ensure that those X12 transactions were processed accurately, efficiently, and within the SLA’s dictated by CMS and the Blues Association. Noridian Healthcare Solutions was awarded the contract to process CMS Medicare claims for Jurisdiction E, in addition to Jurisdiction F, and the anticipated increase in transaction volume required a more robust and more economical solution.  As Senior Project Manager for this effort, Bill needed to coordinate the activities of multiple departments within not only NHS, but also coordinate those activities with a number of other external organizations, like BCBSND, BCBSWY, IAMCD, CoreLink, and the 3rd party software vendor.

Noridian Healthcare Solutions