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Enterprise Testing

How can you create a flexible, robust and re-usable test bed that manages your constant software, hardware and workflow changes—and is more cost effective than in-house testing?

Edifecs Enterprise Testing solution encompasses both internal and external payer and provider end-to-end testing. Enterprise Testing allows for large scale automation, volume data generation, and the de-identification of large data sets since it builds upon the internal Test Management platform. No competitor can match Edifecs pre-built approach that includes 3,000+ proven clinical scenarios designed specifically to help you interpret and manage ICD-10 transition risk.

Product Spotlight

  • Enterprise Testing Solution

    Edifecs has provided testing solutions to over 100 clients. Six of the top ten health plans depend on us for their testing needs. And the federal government has selected our Collaborative Testing product to support the State Medicaid Associations’ external testing of ICD-10 claims. 

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  • Collaborative Testing – External Testing Solution

    Neutral platform where end-to-end testing of ICD-10 claims from payer to provider and back occurs. The Edifecs solution has 3,000 clinical test scenarios out of the box to jump start the testing process. An intuitive user experience and streamlined workflow increase the likelihood providers will participate, engage and respond

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  • Test Management – Internal Testing Solution

    Test Management reduces the overall cost of testing, increases test coverage, and enhances visibility to results using production workflow. Large scale automation, volume data generation, and the de-identification of data sets are key features of the Test Management platform. By leveraging de-identified test data, a test bed is created that lays the foundation for external testing.

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Capabilities

No competitor can match Edifecs pre-built approach that includes 3,000+ proven clinical scenarios designed specifically to help you interpret and manage ICD-10 transition risk.

Enterprise Testing reduces cost, increases coverage and provides visibility to results

With solutions for both internal and external testing, Edifecs simplifies the testing process by reusing transactions as well as seed data as well as clinical scenarios to decrease the overall organizational cost of testing compared to home grown solutions.

  • The internal testing solution leverages the organization’s data and enables participation of both IT and business users in testing to create a reusable test bed that lays the foundation for external testing
  • The external testing component uses member and clinical ICD-10 data to enable collaboration between the payer and the provider community
  • By covering all aspects of transactional changes – from annual benefit changes, provider contracting, systems migrations, mandate implementation, and system changes, the Enterprise Testing solution increases testing coverage

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Collaborative Testing

Payers and providers jointly test ICD claims and payments in this secure, Web-based testing portal to build mutual confidence in financial and coding outcomes.

  • Payers and providers collaborate using this confidential framework and methodology to understand and mitigate payment variances for coding scenarios in ICD-10
  • The portal enables payers and providers to test and analyze results jointly using natively coded ICD-10 claims that reflect actual coding behavior
  • Cloud-based model accommodates all provider types and stages of testing. Any testing partner is welcome

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Test Management

Test Management integrates with Edifecs Impact Analytics for risk-based assessments that transform data into a strategic asset.

  • Test Management drives down IT costs and enables high-quality, enterprise-wide testing for mandates, conversions, new lines of business, changes in contracts and system migrations
  • The solution provides a scalable, reusable testing platform that leverages the organization’s own de-identified test data as a corporate asset
  • Test Management enables IT and business users to fully participate in testing, and provides tools for project oversight

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