Solutions

Validate, Split, Route and Transform Your Transactions for Maximum Automation

Edifecs, the leading provider of B2B solutions for transaction-based interoperability, addresses all of these questions with Edifecs XEngine, our market-leading production validation technology. An integral part of the Edifecs Healthcare Suite, Edifecs XEngine ensures interoperability with trading partners by validating healthcare and global markets transactions for syntax, semantics and trading partner-specific business rules.

With real-time edits and filters on the data entering or leaving your enterprise, you are assured that your backend applications and data warehouses, as well as those of your trading partners, contain accurate and valid transaction data, and achieve maximum transaction automation. By moving your specific requirements in front of those backend systems, you can proactively catch and manage exceptions that will cause adjudication rates to fall.

With Edifecs XEngine you can:

• Validate production data for compliance with HIPAA, HL7, NCPDP or proprietary formats and rules, including WEDI SNIP Types 1-6 for HIPAA transactions out of the box
• Validate that data against your Companion Guide specific edits, by trading partner or service type, before it is passed through to hit your backend systems
• Relax edits for specific trading partners, to create warnings, informational responses, or simply ignore the edit
• Split and re-batch transactions in real-time: good from bad, or based on content
• Receive automated error reports in human readable and XML formats to share internally or with trading partners
• Keep abreast of the latest transaction versions, as well as over 60 code set updates through monthly executable updates, and stay up-to-date with ICD-9, CPT-4, NDC and SNFR-HIPPS codes
• Automatically create acknowledgement messages such as 997, TA1, 997 and 824 transactions
• Automatically transform EDI data into XML, for consumption by other systems or processes in your organization

Key Benefits of Edifecs XEngine

• Ensures operational integrity with clean, validated transaction data passed to and from your back-end systems, validated against existing standards such as WEDI-SNIP Types 1-6, or against your trading partner-specific requirements
• Provides rich reporting to you and your trading partners for rapid error resolution
• Delivers a complete library of healthcare standards — HIPAA, HL7, NCPDP, support for proprietary positional and delimited flat file formats and XML-based format — for true standards independence
• Automates the generation of the acknowledgement transactions — TA1, 997 and 824
• Automatic conversion to XML format for all transaction types — reduces costs associated with maintaining complex mapping
• Provides a completely integrated design-time and runtime environment with Edifecs SpecBuilder design-time tools
• Scalable to even the most high-volume environments, with the most robust cross-platform support in the market
• Rapid and flexible implementation options — install and implement in a matter of days, through either standalone server or through the use of robust Java APIs