Edifecs’ suite of solutions address the tough challenges of gaining efficiency and value from
implementation of electronic exchange of healthcare transactions.
-
Authoring & Documentation — SpecBuilder
It has been said many times “If it isn’t documented, it didn’t happen.”
Good authoring and documentation are critical to your business’s integrity and promotion of a clear understanding
with trading partners. Edifecs can help you author and maintain the documentation you need around healthcare
transactions that assures your credibility and business integrity.
- Data Validation — XEngine
Edifecs has become the gold standard for transaction validation. You can rely on our edits and validation engine to
assure that inbound and outbound transactions are of the quality that you and your trading partner expect from
each other. Edifecs validation solution also provides a mechanism to analyze, correct and isolate the parts of a
transaction that are invalid and keep the valid components of the transaction.
- Normalized Transaction Repository — HTR
The Edifecs Healthcare Transaction Repository (HTR) provides a centralized operational and historical store of all
transactional data as well as the errors and events associated with the transaction or component elements of the
transactions. All data is stored in a fully “business normalized” relational database for easy access
for querying, reporting and data extraction. The Healthcare Transaction Repository leverage the validation and splitting
capabilities of XEngine to preprocess transmissions. TransactionManagement, ClaimsCorrection and other Edifecs business
applications set on top of the repository using the content for a variety of business solutions.
- Partner Management — Ramp Management, Transaction Management
Edifecs solutions include a sophisticated portal that positions your organization as a leader in your community
of trading partners. Self-administration, customization and imaging of this portal are straightforward and provide
you with the flexibility to accomplish your unique business goals in a diverse world of trading entities.
- Self-Service Claims Correction — Claims Correction
Edifecs Claims Correction allows you and your trading partners to view Claims-related EDI transactions online
through a business user-friendly interface. Based on your configured rules, trading partners and/or your designated
internal users are able to correct known errors in the data that would otherwise prevent claim acceptance.
This ability to identify errors and allow correction online where appropriate, can significantly increase the
first pass rate for your processing systems, reduce claim resubmission and improve relationships with your
trading partners. All correction activity is fully audited with linkages of all corrected data to the unaltered
original transaction.
- Test Data — SpecBuilder
Any system that has not been tested will fail consistently. The pathway to success requires the right
testing with the right partners at the right time. Edifecs allows you to test in a way that not only assures
compliance with HIPAA, but also assures compliance with other internal and external requirements. Industry
recognized clients trust Edifecs with testing and assuring HIPAA compliance. You can too.
- Trading Partner Ramp — Ramp Management
You understand the challenges of ramping up any operation or new process. The “prep work”
to provide an efficient implementation of the complex HIPAA transaction standards is proving to be a very tough challenge.
Edifecs solutions can help streamline this ramp-up process and position you as a respected leader in your community.
- Transaction Management — Transaction Management
Edifecs Transaction Management ensures operational integrity and accountability in the transaction
lifecycle by tracking both real-time and batch transactions and associated business or system
events at each of the key processing points in your enterprise. Transaction Management analyzes this
information, which is then stored in Edifecs Healthcare Transaction Repository (HTR) to provide a complete
picture of the transaction lifecycle, to automate error management and exception handling, and to deliver
timely information directly to the people who need to take action.
 |
