BELLEVUE, Wash. – April 29, 2020 – Edifecs, Inc., a global health information technology solutions company, announced that it has been selected by the Department of Human Services of the Commonwealth of Pennsylvania to implement its purpose-built electronic data interchange (EDI) solution. Edifecs’ EDI Module for State Medicaid Agencies will help the Commonwealth modernize and achieve the Medicaid Management Information Systems (MMIS) 2020 Platform vision of Timely, Accurate, Complete, Outcomes (TACO).
As part of a larger effort to streamline the EDI format – away from the traditional approach to MMIS modularity, which assumes multiple, disjointed EDI processing capabilities are embedded in separate systems - the partnership will allow the Commonwealth of Pennsylvania to leverage an EDI exchange layer that is independent from the MMIS value chain - increasing the state’s ability to rapidly adopt new operating models while reducing administrative burden and operational risk.
The cloud-based Edifecs EDI Module for State Medicaid Agencies provides the connectivity, trading partner management and compliance with data quality standards, including HIPAA and Committee on Operating Rules for Information Exchange (CAQH CORE), required for MMIS Platform certification. Together, this enables timely EDI processes, increases overall accuracy and completeness of data and continuous improvement of outcomes
“As the Commonwealth of Pennsylvania and states across the country work to achieve certification with the next generation MMIS platforms, Edifecs is committed to helping Medicaid agencies streamline their electronic data interface formats,” said Sunny Singh, president and CEO, Edifecs. “As the leader in Medicaid EDI and interoperability, Edifecs’ agile platform brings together the necessary stakeholders, systems and data to ensure the state health plans can navigate healthcare’s evolving data standards and address data quality improvement goals.”
This implementation will support business outcomes for the Department of Human Services of the Commonwealth of Pennsylvania including:
For more than 20 years, Edifecs’ suite of data exchange technology has equipped health plans, providers, government agencies and ACOs with solutions that enable scalable interoperability, assuring compliance, correlating clinical and administrative data and delivering real-time visibility of each partner data exchange.
For more information about Edifecs and its work with small and medium sized health plans, visit: https://www.edifecs.com/special-markets/edifecs-for-smb/edifecs-for-smb-overview/