Customer Context
Compassus manages high-volume remittance files across multiple business lines and systems — primarily HCHB (Homecare Homebase) and EPIC — covering both Home Health and Hospice operations.
Challenges
The traditional process involved:
The Traditional Process
- Manual downloading of 835 EDI files from SFTP
- Manual conversion or interpretation of raw EDI
- Sorting remits by system (HCHB vs EPIC)
- Separating Home Health vs Hospice remits
- Manually validating payment summaries
- Cross-checking posting totals before final ledger updates
This Created
- Significant manual effort
- Posting delays
- Risk of summary mismatches
- Increased reconciliation time
- Dependency on experienced resources
With rising remittance volumes, the process was becoming unsustainable.
The IRIE Solution
IRIE deployed EDI Craft, an automated EDI intelligence engine that:
1.Automated File Pickup & Conversion
- 24/7 scheduler monitors SFTP
- Automatically detects new 835 files
- Converts raw EDI into structured, readable PDF
- Saves output back to source path without human intervention
- No manual file handling.
- No download dependency.
- No processing delays.
2.Intelligent Categorization
EDI Craft automatically classifies remits by:
- HCHB vs EPIC
- Home Health vs Hospice
3.Summary Line Intelligence Layer
Each converted PDF includes a structured summary header line displaying:
- Total Paid Amount
- Total Adjustments
- Total Denied Amount
- Claim Count
Quantified Impact
After implementation:
- 100% automated EDI-to-PDF conversion
- 24/7 real-time processing
- 100% reduction in manual file handling effort
- 100% reduction in remittance preparation time
- Same-day posting enabled for majority of remits
- Near-zero summary mismatch errors
- Improved audit traceability
Operationally:
- Increased posting throughput per FTE
- Reduced dependency on senior posting staff
- Eliminated file backlog accumulation
Strategic Value Delivered
Compassus now processes remittances in near real-time with structured validation built into the workflow. EDI Craft transformed remittance processing from a manual dependency into an automated control system.
- Faster cash visibility
- Improved financial accuracy
- Reduced posting cycle delays
- Strengthened internal controls
- Scalable without additional headcount
Ready for similar results? Let's discuss how IRIE Global's intelligent automation can transform your operations.