Edifecs5010™ Products

The Edifecs5010™ Migration Solution is built upon proven features from our existing Edifecs Healthcare Suite of products with the addition of several new features specifically designed for 4010A1 to 5010 migration requirements. The following highlights the features in each of the products that may be used depending on your business and IT needs. The Edifecs Healthcare Suite is an integrated set of products that when combined will support your 5010 migration and validation end-to-end with interfaces to legacy applications and your back-end adjudication system:

Edifecs SpecBuilder

• 5010 Guidelines with Types 1 - 7 syntax & semantic rules
• MapBuilder
• Data Generation
• Guideline Comparison and Migration
• 4010A1 to 5010 Changes Identified
• Incorporate Trading Partner Companion Guide Rules
• Source ICD-10 code set values

Edifecs XEngine

• 5010 Type 1 - 7 Validation, including ICD-10 validation
• Runtime bi-directional 4010A1-5010 translation
• Transaction scrubbing & enrichment
• Generate 5010 X12 Acknowledgements (997, 999, 824, 277CA)

Edifecs Ramp Management

• End-to-End Partner Self-Service Testing & Ramp-Up of Large Community of Trading Partners
• Automated Recruitment
• Connectivity Certification
• Regression Testing With Internal Systems & Applications
• 5010 Type 1 - 7 Testing
• Translate / Convert Production Data Between 4010 and 5010 (Bi-Directional)
• Manage 5010 Migration Testing & Partner Ramp Up Programs
• Manage Migration Issues (Self-Service)
• 5010 Migration On-Boarding Dashboards

Edifecs Transaction Management

• Visibility to Transaction Lifecycle
• Visibility of 5010 validation results (Error Tracking & Reporting)
• Form-Based Views of Transactions Including Ability to Correct Transactions
• Event Monitoring
• Configuration of Concurrent Version Processing of Transactions by Trading Partner
• Analytical Reporting
• Operations Statistical Analysis Reporting
• Audit Support
• ICD-10 Analysis