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Transaction Management

Healthcare organizations must collect and securely store healthcare data to remain compliant with HIPAA requirements. But with the amount of healthcare data growing by nearly 50% every year, that’s quickly becoming easier said than done for many health plans and providers.

Edifecs Transaction Management makes it easier for healthcare organizations to effectively manage and secure their data by correlating clinical and administrative data to deliver real-time visibility across the entire transaction lifecycle.

Healthcare Data is Growing. Are You?

Edifecs delivers the real-time data visibility your organization needs.

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  • Help non-EDI users understand data with business-oriented visualization
  • Reduce IT burdens and enable self-service with user-friendly functionality
  • Set role-based user controls for more secure transactions and views

See the full picture

Manage your data with real-time visibility and streamlined archive access.

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  • Visually explore data associated with episodes of care and claims
  • Access reporting on key metrics, by type and partner
  • Organize results to best suit your needs with robust filter functionality

Get more intelligent insights

Connect financial, clinical, and administrative transactions to better understand your data.

  • Spot abnormal processing and data patterns with audit and research tools
  • Leverage data quality monitoring and analysis for effective automation
  • Facilitate compliance with CAQH CORE response requirements

Protect the quality of your data

Continuous tracking and reporting helps ensure high-quality data and insights.

News & Insights

Are you ready for NY encounter submission changes
New York is implementing sweeping changes in how it collects encounter data from managed care plans (MCOs) and Medicare Advantage Plus (MAP) plans. In this webinar, Edifecs details how we ensure continuous New York managed care encounter submission compliance now and in the future.
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Is your health plan too bogged down dealing with legacy enrollment platforms to pursue strategic initiatives? We unearthed common challenges plans face while participating in public exchanges
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