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.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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The products, services and resources of the Edifecs5010 Migration will guide your organization step-by-step through the 5010 migration and ICD-10 upgrades. Based on NCHICA-WEDI estimated 5010 implementation timelines, you will be nearly 40% complete with your migration analysis and testing out-of-the-box with Edifecs5010 Migration.
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Built on Edifecs Healthcare Suite of Products
Edifecs5010 Migration is a powerful, comprehensive holistic approach to migrating to the 5010 version of the HIPAA standard transactions. Leveraging features from each of the Edifecs Healthcare Suite of products with some new capabilities added to support migration efforts, from guideline analysis to transaction data analytics Edifec5010 Migration products will meet all of your transaction validation and migration needs and support legacy system remediation.
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Client Services Migration Consulting Services
The Edifecs client services team is staffed with industry experts with specialized knowledge of Edifecs products, healthcare, HIPAA 5010, NCPDP and ICD-10 standard and healthcare business practices. Our client services consultants work with clients to ensure rapid and successful implementation of Edifecs solutions, products and completion of a smooth migration to version 5010.
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Compliance Online Self-Service Trading Partner Testing
Edifecs provides compliance certification testing for any of the HIPAA transactions, including version 5010 that you are using in your organization. You can be assured that this testing will be up to the standards demanded by the HIPAA transaction compliance requirements. Testing your transactions through this tool can help your clear up issues concerning the validity of your transactions and get your trading partners up and running on 5010 and using ICD-10.
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Resources - Education, Surveys, White Papers, Webinars
As a recognized thought leader in the industry, Edifecs is producing white papers, conducting readiness surveys, and will be holding free webinars on 5010 Migration challenges, issues, and providing best practice solutions and recommendations to help healthcare organizations realize the most value from their 5010 migration and ICD-10 upgrade initiatives.
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