Healthcare Solutions | Unified Visibility

Conventional reporting tools struggle to track healthcare transactions that flow through complex environments that often include multiple input sources, information channels, vendor products, repositories and core systems for processing. As a result, troubleshooting issues is time-consuming and expensive, it is difficult to research and analyze operational trends, and challenging to support audit and policy compliance.

The Edifecs Unified Visibility solution provides a comprehensive, enterprise-wide system to find, view, analyze, monitor and report on healthcare transactions. For example, from the moment an electronic claim is received, provider-relations support staff can track its progress through front-end and back-end systems, along with any updates or messages related to the transaction.

Edifecs Unified Visibility provides real-time insight into transaction activity, from initiation to fulfillment, across all information processing channels. Edifecs Unified Visibility services claims management, provider relations, customer support and EDI users with reports, dashboards and analysis systems. The solution also supports self-service capabilities for trading partners with a portal to view the partner-specific transaction details, generate reports and troubleshoot transaction-related problems.

 
•  Improve operational efficiency by monitoring operational metrics, by generating reports to analyze operational activity and reliably storing and retrieving data for audit purposes. Operational metrics may include measures such as frequently occurring errors and the number of claims and transmissions sent and received.
• Improve delivery of customer support with a portal for internal users to search and view transaction and related information. Trading partners are provided a secure self-service portal that allows access to partner-specific information in a business-friendly format.
• Achieve performance metrics by configuring alerts that trigger upon processing exceptions, such as excessive time to process a transmission, and by running reports on performance metrics. Metrics include those in service level agreements or prompt pay targets such as turnaround time on claims.
• Improve claims first-pass rates by running scheduled and ad hoc reports to analyze root causes of claim-failure issues.
• Streamline partner management by centralizing management of provider attribute and contract data. Partner portal provides self-registration and multiple partner self-service functions.

Edifecs Unified Visibility solutions are based on the following products:

• Edifecs Transaction Management
• Edifecs XEngine
• Edifecs Trading Partner Management