SpecBuilder

Transaction Specifications

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To comply with HIPAA and Operating Rules requirements, healthcare organizations need to establish precise transaction guidelines and ensure accurate mapping of financial, administrative, and clinical data sets. These processes are complex and time-consuming—and if they’re not done correctly, they can create system-wide vulnerabilities.

Edifecs’ SpecBuilder is an integrated, easy-to-use specifications toolkit designed to simplify and accelerate these processes. With SpecBuilder, organizations can more easily author, test, and publish specifications and processing maps to protect critical systems, enhance operational efficiency, and enable ongoing compliance.

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develop

  • Reverse-engineer specifications from existing data files
  • Access and use 30,000 pre-built template
  • Build maps using standard and proprietary formats or batch files

Simplify guideline creation

Easily create and test guidelines with an intuitive editor and extensive template library.

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protect

  • Stress-test compliance capabilities using internal and partner data
  • Utilize custom business rules to enhance data governance
  • Facilitate compliance with predefined HIPAA, HL7, and NCPDP guidelines

Enable ongoing compliance

Protect patient health information and comply with HIPAA data privacy requirements.

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share

  • Keep trading partners informed via a shared information hub
  • Publish guidelines, maps, and files in multiple formats
  • Test partner data files to ensure they meet implementation guidelines

Highlight key business insights

Increase transparency and information-sharing with all trading partners.

Find out how we can support your health plan's performance.