Seamlessly share clinical data to improve care

And gain valuable insight across your partner ecosystem

Collaboration Solutions

How can you integrate administrative, clinical, and financial data from disparate sources, to generate a single context of care that’s shared by payers and providers?

Capabilities

Edifecs Collaboration Solutions let you observe, validate and link incoming and historical administrative, clinical and financial data so you can interface with existing IT infrastructure and core systems.

Identifies risks

Learn from combined clinical and financial data streams—on individual customers and patients—to proactively alert payers and providers of key clinical and financial risk markers.

Minimizes costs

Enables successful data exchange with the entire payer ecosystem to minimize costs of collaboration on quality and care management initiatives.

Provides actionable data

Supports alternative payment and care models with actionable data and insights by building correlated profiles of individual customers, patients and target populations.

Results

Now you can fully leverage clinical and financial information at a lower Total Cost of Ownership (TCO).

Reduces the cost of customer care by proactively intervening on actionable administrative clinical and financial insights

Limits additional IT investments by interfacing with existing infrastructure and core systems whether claims transactions, EDI, provider portals, EHRs or health information exchanges

Enhances continuity of care within the network in near real-time and favorably impacts your network utilization by curbing leakage early

Automatically generates actionable data reporting to support alternative care and payment models

Resources

  • DS

    Transaction Management

    As soon as a transaction is received by a healthcare organization, it begins a complex journey, spanning multiple systems, through which it is acknowledged, processed, and modified at several points in its lifecycle – often with limited or no visibility by operations staff.

  • WP

    Value-based Care Drives Collaboration Forward

    Sweeping changes, many driven by government mandates, are rocking the healthcare industry. At the epicenter is the decision by the Centers for Medicare and Medicaid Services (CMS) to implement value-based purchasing.