Enable interoperability, assure compliance, correlate clinical and administrative data and deliver real-time visibility of each partner data exchange.
All post-reform healthcare initiatives require compliant data exchange. Edifecs Smart Trading dramatically reduces infrastructure and administrative costs. The solution supports any-to-any interoperability and delivers industry leading visibility into transactions and member activity.
The compliance suite governs partner exchange to reduce costs and risk at every stage - planning, cross-walking code sets, testing and monitoring.
Edifecs simplifies data ingestion and consolidates any data source including complex clinical systems to reduce administrative costs, automate processes, and ensure compliance.
Edifecs has solutions to bridge the payer/provider collaboration gap reducing costs associate with claims (attachments) to ensure quicker and accurate reimbursements.
Edifecs is well positioned as a single data broker for both claims and clinical data that reduces an ACO’s total cost of investment in technology, while still providing visibility into the entire patient/member data history.
We provide CMS and state Medicaid agencies the ability to consume data in any format on any system removing the IT challenges of data exchange.