Cloud Payer to Payer Data Exchange

Streamline compliance and payer to payer patient data exchange in real-time with a SaaS-based solution.

As part of the Interoperability and Patient Access mandate, payers are required to share member data with other payers at the member’s request. Yet, establishing point-to-point connections with each endpoint can be challenging and time consuming. Edifecs Cloud Payer-to-Payer data exchange service establishes a one-time single connection with the payer’s FHIR® environment and then seamlessly handles all inbound and outbound connections with the rest of the payer community.

Cloud Member P2P Data Exchange


SaaS Offering with Minimal IT Footprint

  • Support member-initiated requests (with future plans for bulk processing as regulations are further clarified)
  • Ensure secure and reliable data exchange with a SaaS-based solution
  • Streamline processes with FHIR-based proxies and a web portal

Reduce your IT footprint, costs, and complexity.

Automated Data Transfer

  • Deliver real-time data exchange from one plan to another at the member’s request
  • Streamline ease of use with a single-sign-on
  • Improve intervention planning and member outcomes with payer and provider analytics

Improve the member experience and their care journey.

Flexible Integration Options

  • Leverage out-of-the-box industry implementation guides and Da Vinci profiles
  • Manage bi-directional data exchange
  • View and understand end-to-end audit tracking and visibility of requests and responses

Enhance operational performance.