Regulatory mandates require health plans to comply with certain operating rules for administrative simplification—and plans can incur significant financial penalties for noncompliance.
Edifecs Operating Rules is the comprehensive solution health plans need to meet and stay compliant with regulatory requirements and manage transaction workflows across all phases. And as a designated CAQH Vendor of Choice for Operating Rules certification, our comprehensive framework is the only solution authorized for CAQH CORE certification.
Enable and Maintain Compliance With Edifecs
Learn how Edifecs can support all your healthcare data needs.
Identify and remediate gaps before and during implementation of Operating Rules.
Minimize errors by simulating real trading partner interactions before implementation.
Monitor, document, and report on operating rule compliance for timely reviews and peace of mind.
