eMD use tried and tested methodologies before implementing solutions to our clients. Our developers are constantly striving for excellence; and hungry to learn. We set a very high standard for ourselves, trying to keep 99% up-time for our clients.

We make use of industry leaders to supply bandwidth and hardware. Our software solutions are based on IBM Lotus and Microsoft .net technologies. eMD have found these technologies flexible enough to produce an industry leading solution.


One of the essential characteristics of the Lotus platform is its ability to share information, regardless of time or location. Replication allows our clients to keep their information synchronized across geographically dispersed sites. Notes replication is unmatched in its functionality and granularity. Attributes of Notes replication include:

  • Bi-directional - Notes bi-directional replication synchronizes all changes made at all sites, not just changes made at a central site, to be propagated to remote servers.
  • Efficient - When synchronizing databases, only those fields within documents that are new or which have been changed on either side of the replication process need to be replicated. This field-level replication ensures the optimal use of resources and the shortest synchronization cycles.
  • Client replication - Occasionally connected clients, such as mobile users working at a remote site or home office, need the same level of access to information as connected users. Notes replication is not limited to server-to-server connectivity, but also includes client-to-server connectivity.
  • Selective replication - With only a few mouse clicks, a Notes user can replicate a subset of information contained in a Notes database. Notes allows users to define the profile of documents that they need to replicate to their client workstations. Using selective replication, users can replicate only those documents that have changed in, say, the last 30 days, or those authored by a particular workgroup member.
  • Background replication - For a mobile user, conducting the replication process should not mean that all other work on a laptop or home computer must cease. Notes replication can run in background mode, allowing the user to continue to work on other tasks.

OnTime ®

Ontime or realtime communication, is a client initiated connection that sends a message over the internet to our hosted server. eMD in turn establish a connection with the Medical Insurance Provider and awaits a response. On completion, the response is then returned to the client for review. Our hosted webservice is secured using SSL using 128 bit encryption, our clients can by assured that all transmission are safe and secure. All claim/eligibility/sms messages are saved to an audit database for future reference.

  • Web Services - Web services extend the World Wide Web infrastructure to provide the means for software to connect to other software applications. Applications access Web services via ubiquitous Web protocols and data formats such as HTTP, XML, and SOAP, with no need to worry about how each Web service is implemented. Web services combine the best aspects of component-based development and the Web, and are a cornerstone of the Microsoft .NET programming model.
  • Secure Socket Layer (SSL) - Web Server Certificates secure confidential information exchanged online and confirm your site’s identity to employees, business partners, and other users.
  • Extensible Markup Language (XML) - Messages transmitted between client, eMD and Medical Insurance Providers make use of xml. Xml is simple to use over the internet and will support a wide variety of applications.

Batch Claims

If a claim does not have the ability to be processed via the Ontime server, or if you are running in offline ie. not connected to the internet; will be batch processed. Once eMD have received the latest claim through a replication, will be batched and sent to the relavent Medical Insurance Providers. Usually when a claim is batched, it is sent to the Medical Insurance Providers using various FTP protocols. Typically Medical Insurance Providers host an FTP, SFTP or FTPS server.

  • FTP - Is a standard network protocol used to transfer files from one host to another host over a TCP-based network, such as the Internet.
  • SFTP - SSH File Transfer Protocol, is not related to FTP except that it also transfers files and has a similar command set for users. SFTP, or secure FTP, is a program that uses Secure Shell (SSH) to transfer files.
  • FTPS - FTPS (also known as FTPES, FTP-SSL, S-FTP and FTP Secure) is an extension to the commonly used File Transfer Protocol (FTP) that adds support for the Transport Layer Security (TLS) and the Secure Sockets Layer (SSL) cryptographic protocols with X.509 certificates.


eMD runs a data warehouse, which stores data from each client database for reporting purposes. The reports are used in each of our administration processes, to measure performace. A client signed up for the full-house service can be ensured, that all Medical Insurance Providers Remittances or claim queries are being processed efficiently. The datawarehouse makes use of SQL database technology and reports may be generated and emailed using various formats like PDF, Excel etc.

  • PostgreSQL - PostgreSQL is an object-relational database management system (ORDBMS). POSTGRES pioneered many concepts that only became available in some commercial database systems much later.
  • Jasper - JasperReports Server is a stand-alone and embeddable reporting server. It provides reporting and analytics that can be embedded into a web or mobile application as well as operate as a central information hub for the enterprise by delivering mission critical information on a real-time or scheduled basis to the browser, mobile device, printer, or email inbox in a variety of file formats. JasperReports Server is optimized to share, secure, and centrally manage your Jaspersoft reports and analytic views.

Internet Solutions Jasper Reports Lotus Notes
PostgreSQL Microsoft SQL Server