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XProcess Management
Process Management

To get from Point A to Point B, a single file travels across a variety of systems and is part of a series of events along the way. It can be difficult for users to get accurate status updates or even locate a specific file as it moves through various processes. That lack of visibility often leads to process delays, breaches of vendor service-level agreements, breakdowns in care continuity, and even unreimbursed encounters or enrollment disruptions.

XProcess Management is a business process management solution specifically designed for the healthcare industry. Our solution gives health plans greater visibility into business process so they can leverage that information to gain a competitive edge, streamline operations, and deliver for their members.


See the Whole Picture With Edifecs

We deliver end-to-end visibility to help your organization stand out.

Healthcare Electronic Transactions 1
identify
  • Connect financial penalties to specific errors for easier resolution
  • Maximize encounter reimbursement with timely error detection
  • Optimize claims-to-encounters ratio

Highlight critical business insights

Achieve optimal efficiency with end-to-end visibility into key business processes.

Member Encounter Submissions 2
specify
  • Avoid “black hole syndrome” of data being held up between two systems
  • Enable SLA compliance with closer performance monitoring
  • Receive events from any third-party system

Find the information you need

Spend less time searching for information and more time putting that information to work.

improve
  • Identify processes that can be simplified and streamlined
  • Quickly resolve errors and rule violations with real-time notifications
  • Increase your bottom line by better managing external systems

Achieve continuous improvement

Highlight and act on opportunities to enhance existing business processes.


News & Insights

Edifecs XProcess Management
Providing end-to-end insight into internal and external processes
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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.
Learn More  ❯
Overcoming Marketplace Open Enrollment Challenges
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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