EDI Gateway | Edifecs

Aging and disparate data systems drain IT resources and contribute to costly errors and mounting technical debt. Part of our Smart Interoperability Platform, the SaaS-based EDI Gateway ingests data in various formats from multiple organizations and transforms it into standardized, X12 HIPAA-compliant transactions.

With the EDI Gateway, healthcare organizations can improve the quality and completeness of information exchanged with internal and external trading partners. Our solution optimizes workflows and helps users capture key business insights and easily track performance against SLAs. The EDI Gateway’s managed-SaaS model allows for seamless updates alongside evergreen compliance enhancements to reduce your IT costs, giving you the freedom to focus on your administrative priorities.

Secure, Reliable, Unified Data.

Optimize data processing, reduce interoperability workloads, and support all X12 HIPAA-compliant transactions with a single EDI solution.

strengthen

Deliver business-friendly insights for consumption by non-EDI staff
Support performance management with partner/channel activity trends
Grow your list of potential trading partners with support for non-standard transaction exchanges

Improve trading partner relationships

Deliver higher-quality data and insights to work more effectively with trading partners.

intervene

Track SLAs and receive alerts when exceptions occur
Spot trends with in-depth reporting by partner and transaction type
Determine the cause of claim rejections and quickly correct transactions

Take action sooner

Monitor results for better contract performance

customize

Configure workflow and escalations to correct transactions before transmission
Ensure consistent data quality across all systems with custom edit creation capabilities
Automate alerts to trigger when processing exceptions occur

Make your data work for you

Improve operational efficiency with extensive configuration options

News & Insights

EDI Gateway Data Sheet

In this data sheet, we outline how our SaaS-based EDI Gateway solution helps healthcare organizations more efficiently and effectively manage their data to reduce manual workflows, lower costs, and achieve more reliable and scalable data exchange.

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The Technology and Data Needed to Empower More Equitable Care

Health plans hold the key to accelerating value-based care – an Edifecs viewpoint in Chief Healthcare Executive.

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Data Exchange Gold Standard

Learn how Edifecs data interchange helps state Medicaid agencies leverage a single gateway to validate transactions, enable visibility to drive insights, and operationalize real-time MCO oversight.

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