Tamamie

Vendor stackEHR/PM: athenahealth (athenaOne) Clearinghouse: Availity Lab: Quest Diagnostics Fax: eFax Corporate Medicaid: Georgia Medicaid (GAMMIS/Gainwell) Commercial: Aetna Intake: Phreesia HIE/Direct: GaHIN GeorgiaDirect Current workflow1. Front desk: patient completes Phreesia intake on arrival; insurance card captured. 2. Front desk checks Medicaid eligibility manually on the GAMMIS portal (not via 270/271). 3. Provider orders labs in athenaOne; Quest results arrive via HL7 interface, but some come by fax. 4. Referrals to specialists are sent by eFax from a PDF printout. 5. Biller exports claims from athenaOne; Aetna claims go via Availity; Georgia Medicaid claims are keyed/uploaded on the GAMMIS portal. 6. Aetna ERAs come via Availity; Medicaid remittances are reviewed manually and posted by hand; 824/277U rejections checked weekly. Generate flow map

Output generated once by an off-the-shelf AI model from public, sourced vendor facts, then cached for a deterministic demo. No API keys in this app.

Peachtree Family Medicine (fictional) – data flow

Red = workflow gap. Fixes are configuration or vendor options, citing public sources.