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Reduce cost and time to implement Operating Rules transactions and achieve compliance
For successful testing and implementation, Operating Rules must span a wide spectrum of technical and business centric requirements. Edifecs offers a scalable solution that includes HIPAA and CORE validation, and an orchestration engine to manage out-of-the-box transaction workflows for Operating Rules phases I, II and III transactions. Edifecs is a CORE compliant connectivity solution.
Track and Manage Operating Rules compliance
The Edifecs solution includes out-of-the-box dashboards and reports to comprehensively track compliance measures, and when needed, research the root cause of non-compliance issues. The product supports full integration with existing transaction workflows. Using this tool, health plans can confidently access and validate compliance measures across the mandate requirements and business lines.
Edifecs offers a suite of capabilities to identify gaps in implementing different phases of Operating Rules and recommend remediation steps. Our team offers services to assist you prepare:
Operating Rules requires wide range of technical and business centric capabilities for successful implementation and compliance. These capabilities include:
Edifecs Extended Testing Solution orchestrates a production-like trading partner interaction to enable you to: