Business Value
Automating the Transaction Enablement Process
Payers and clearinghouses today spend hundreds of person-days and countless resources working with their submitters to
set up and test each online process before any production transactions ever take place. Whether creating and/or agreeing
on standards for claims, eligibility inquiries, or claims attachments, IT departments must perform the same series of manual
functions — often done by e-mail, telephone or fax — for each transaction with every partner. As companies trade many different
document types, often each with their own varying requirements, this significant cost and time investment limits the achievement
of significant and timely ROI.
Manual enablement creates a huge bottleneck preventing many companies from realizing the potential gains in productivity and
lowered costs that healthcare B2B transactions and going direct with your trading partner community can deliver. Automation of
this process is a critical success factor for healthcare organizations to achieve a cost and service competitive advantage in
their marketplace.
Edifecs Ramp Management solves the problem that this bottleneck creates with a combination of a powerful community-centric
portal, tools and standards support. Designed to leverage all the benefits of Web-based commerce and community management,
Edifecs Ramp Management reduces the time and costs for working through the enablement process with each and every trading partner,
using a task-driven, self-service testing model and community and user profiles.
Take the Headache (and expense) Out of Testing
Trading partner testing should not be time-consuming, tedious or expensive. Streamline the process by enabling your
trading partners to test directly against your companion guide edits and business requirements, online. Automated
testing helps eliminate many routine chores, freeing your staff to focus on more strategic priorities. And detailed,
instantaneous feedback to your trading partners can dramatically reduce the time it takes to resolve issues,
allowing a quicker transition to production.
Ensure Healthcare EDI Transaction Compliance
Enable your partners to verify compliance with all WEDI SNIP error types 1-7 for HIPAA files. Also test HL7, NCPDP,
XML, X12, EDIFACT, as well as proprietary formats. Configure error severity by trading partner or by error type, and
implement more complex edits specific to your business. Check for over 60 industry code tables and databases required.
Speed Adoption Through Effective Scenario Management
Improve the success rate of data flowing through your production systems by testing against a tailored set of well
defined scenarios that mirror your production processes, up front. Define unique testing criteria for different trading
partners such as physicians, hospitals, and ambulance companies. Then verify compliance with those conditions using
automated testing tools that provide the industry’s most intuitive reports and scorecards to indicate which files
passed, which failed, and why.
Achieve Scalability Through Integrated Program Management
Scale your community to include new trading partners and document types by creating self-service programs for your
partners to complete. Quickly setup your programs by starting from predefined task templates. Use batch update and
notification wizards to simplify program enrollment, use surveys to discover readiness, and then actively manage
participation and completion using automated alerts, dashboards, and detailed reporting.
Test Your Systems End-to-End
Testing doesn’t stop when a file has been validated against your EDI rules. You also need to test that your
partner can successfully transmit files, that your translator creates the required formats for your backend-systems,
and that the required responses are generated and routed back to your trading partners. Use Edifecs Ramp Management to
test the entire process, using programs to define specific testing workflows that go beyond initial format and data
compliance checks.
Accelerate the Enablement Process for a Better ROI
Leverage a complete solution of technologies and best practices to reduce the time and cost for partner ramp-up by
as much as 65 percent. Start exchanging electronic transactions sooner to improve the overall ROI of your complete B2B
implementation. Enable more trading partners faster, without significant additional costs, thus driving more transactions
and greater efficiencies. Most trading partner communities can be up in a matter of weeks, getting to ROI sooner.
Lower the Cost of Changes to Your Requirements
Ongoing change is a fact of life. Your specific business requirements as well as the base standards will continue
to evolve and and change to meet legal or market requirements. Mitigate the costs and risks associated with this change
by using our framework and related tools to deal with it in a systematic way. Take advantage of tools to help you ramp
up trading partners to new transactions as they are rolled out or to migrate them to new versions, generate test data,
regression test your systems, and manage the entire rollout process to your trading partner community.
Provide At-a-Glance Access to Key Ramp Metrics
Manage information from one central database to realize deep visibility into all aspects of the enablement process.
Centralize program materials, partner information, test records, issues, and notifications in one system. Then use
predefined reports and scorecards to understand high level trends and benchmarks, and drill down into fine resolution
tracking details to diagnose specific problem areas.
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