EDI Gateway

Harness your data to drive value

Aging and disparate data systems drain IT resources and contribute to costly errors and mounting technical debt. Part of our Smart Interoperability Platform, the SaaS-based EDI Gateway ingests data in various formats from multiple organizations and transforms it into standardized, X12 HIPAA-compliant transactions.

With the EDI Gateway, healthcare organizations can improve the quality and completeness of information exchanged with internal and external trading partners. Our solution optimizes workflows and helps users capture key business insights and easily track performance against SLAs. The EDI Gateway’s managed-SaaS model allows for seamless updates alongside evergreen compliance enhancements to reduce your IT costs, giving you the freedom to focus on your administrative priorities.


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strengthen

  • Deliver business-friendly insights for consumption by non-EDI staff
  • Support performance management with partner/channel activity trends
  • Grow your list of potential trading partners with support for non-standard transaction exchanges

Improve trading partner relationships

Deliver higher-quality data and insights to work more effectively with trading partners.

Take action sooner

Intervene

  • Track SLAs and receive alerts when exceptions occur
  • Spot trends with in-depth reporting by partner and transaction type
  • Determine the cause of claim rejections and quickly correct transactions

Take action sooner

Monitor results for better contract performance

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customize

  • Configure workflow and escalations to correct transactions before transmission
  • Ensure consistent data quality across all systems with custom edit creation capabilities
  • Automate alerts to trigger when processing exceptions occur

Make your data work for you

Improve operational efficiency with extensive configuration options


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