Payer to Payer Data Exchange

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Sharing member data with other payers is more than just a compliance requirement. To create a truly interoperable healthcare system, members need to be able to access their health data any time and from anywhere, even if they switch health plans. But establishing point-to-point connections with a variety of other payers requires significant time and resources.

Edifecs’ cloud-based Payer to Payer Data Exchange reduces the costs and complexity associated with data exchange. With our SaaS-based solution, health plans can establish a single, one-time connection to other payers’ FHIR®environments that seamlessly handles all future inbound and outbound member requests for the rest of the payer community.

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Clarify

  • Ensure secure and reliable data exchange
  • Leverage payer and provider analytics for better member outcomes
  • Provide a holistic view of member health data

Simplify the data exchange process

Help your members access the data they need, when they need it.

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deliver

  • Get real-time data from other payers whenever your members need it
  • Seamlessly manage bi-directional data exchange
  • Enable single-sign-on for a more seamless user experience

Improve the member experience

Spend less time getting data and more time putting that data to good use.

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perform

  • Streamline processes with FHIR®-based proxies and a web portal
  • Ensure faster time-to-market with industry implementation guides
  • Access end-to-end audit tracking and view requests and responses

Enhance your operational performance

Deliver greater value to your members by working more effectively with other payers.

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