Edifecs Solutions
Edifecs solutions streamline the processing and exchange of administrative, financial and clinical transactions at the edge-of-the-enterprise, thereby helping healthcare organizations drive down administrative costs and achieve regulatory compliance with HIPAA 5010 and ICD-10.
The Edifecs ICD-10 solution provides a Code Translation (or crosswalking) and Translation Accountability solution for ICD-10. The Code Translation solution enables healthcare organizations to achieve ICD-10 compliance by crosswalking between ICD-9 and ICD-10 codes while minimizing costs and impacts on core processing systems. The Translation Accountability solution facilitates visibility and auditability through the entire translation process thereby reducing risk and ensuring data integrity.
The Edifecs5010 solution provides products, services and other resources to help healthcare organizations achieve HIPAA 5010 compliance while preserving current investments in IT infrastructure and minimizing migration costs.
Payer Solutions
Edifecs Healthcare Solutions help healthcare organizations address some of the most urgent technical and business problems in healthcare.
Edifecs provides complete front-end processing capabilities, framework components, visibility and reporting tools for healthcare business operations such as enrollment, claim and payment processing.
The Edifecs solution provides real-time insight into transaction activity across all front-end information processing channels with reports, dashboards and analysis systems that cover the end-to-end transaction lifecycle.
Edifecs provides a single, channel-agnostic, centralized front-end to improve transaction workflow and ensure on-going compliance of production information exchanged with business partners and between business systems.
Edifecs provides a centralized, comprehensive, collaborative and uniform solution to test transactions, business rules and scenarios in a pre-production environment, both internally and with trading partner.
Edifecs Services
Edifecs provides the deep experience and technical skills needed to plan and implement solutions based on our products, and to then support our customers in the ongoing use of these products through consulting services and customer support.
Additionally, Edifecs offers online testing, certification and compliance tools for HIPAA 4010 and 5010. Edifecs is designated by CAQH to provide CORE Phase I and II certification testing services, and we offer these services to the industry at no cost.
Edifecs Consulting Services helps analyze business and technical operations, guides on overall enterprise architecture, conducts training and delivers customized solutions to meet customer needs.
Edifecs Customer Support is tailored to customer-specific needs in order to maximize the value of using Edifecs products.
Edifecs Compliance Online Services includes hosted testing and certification services for HIPAA 4010A1 and HIPAA 5010, and CORE Phase I and II testing and certification which helps healthcare organizations achieve and self-certify compliance without the need to deploy on-premise software.