Overview

The Edifecs Healthcare Suite is a set of powerful applications, tools and technologies that reduce friction in the administrative, clinical, financial and pharmaceutical transaction workflows, both within and between healthcare enterprises.

Lifecycle Suite

Edifecs Ramp Management for Trading Partner On-Boarding

The Edifecs trading partner ramp solution helps take the headache (and expense) out of bringing up new trading partners. The Edifecs solution streamlines the process by enabling your trading partners to test directly against your companion guides and business requirements online. more...

Edifecs Transaction Management for Lifecycle Visibility

Edifecs Transaction Management ensures operational integrity and accountability in the transaction lifecycle by tracking both transactions and associated business events at each of the key processing points in your enterprise. Transaction Management provides a complete picture of the transaction lifecycle, automating error management and delivering timely information directly to the people who need to take action. more...

Edifecs Claims Correction for Claims Editing

Edifecs Claims Correction allows you and your trading partners to view Claims-related EDI transactions online through a business user-friendly interface. Its ability to identify errors and allow correction online can significantly increase first pass rates, reduce claim resubmission and improve partner relationships. more...

Edifecs Healthcare Transaction Repository (HTR)

The Edifecs Healthcare Transaction Repository (HTR) provides a centralized location to store transaction audit information, error results, and key indexes and metrics. Data is stored in a set of relational database tables that have been specifically structured for query and analysis. more...

Edifecs NPI Solution

The National Provider Identifier was defined as part of HIPAA Administrative Simplification with the goal of creating a unique provider identifier that could be used nationally across enterprises as the only identifier for all provider entities. more...

Accelerator Suite

Edifecs SpecBuilder for Guideline Authoring

Edifecs SpecBuilder is the industry standard for guideline authoring, publishing and desktop testing. Edifecs SpecBuilder allows you to define and document the business requirements for your transactions, including specifying the business edits, code sets and other requirements important to the way your business works. more...

Edifecs XEngine for Routing, Validation, and Splitting

Edifecs XEngine is the industry standard for production healthcare data validation, routing, splitting and acknowledgement generation. Edifecs XEngine tests files for WEDI SNIP error types 1-7, and ensures interoperability with trading partners by validating for syntax, semantics, 60+ code sets, and trading partner specific business rules. more...

Edifecs HL7 Accelerator

Healthcare providers are facing a daunting challenge: to provide the best clinical patient care while reducing costs. Adoption of HL7 message protocols provides a valuable resource to help overcome these challenges. more...

Edifecs Online Resources

Compliance Online

Edifecs Compliance Online is a paid service for HIPAA testing & certification. It provides services for healthcare professionals working towards implementing transaction-based interoperability solutions using healthcare transaction standards. more...

CORE Certification

Edifecs has been selected as an approved CORE testing vendor by CAQH. The Edifecs CORE testing service will allow entities interested in becoming certified by CAQH to perform the requirements necessary to show compliance with all of the CORE Rules. more...

Companion Guide Testing

The guidelines have been coded into the Edifecs SpecBuilder guideline authoring tool, currently used by hundreds of healthcare organizations. With SpecBuilder emerging as the tool of choice by healthcare organizations for documenting and testing their business edits, companion guidelines can be normalized into a common toolset and format. more...