HIT Administrative Simplification Header

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.

Healthcare Electronic Transactions 1
view
  • 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.

Member Encounter Submissions 2
correlate
  • 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.

monitor
  • 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

Smart Trading Solution Brief | Edifecs
Edifecs Smart Trading is a modular solution that simplifies healthcare data exchange by enabling seamless interoperability across systems and trading partners. Learn more.
Learn More  ❯
Electronic Data Interchange (EDI) Gateway
The Edifecs EDI Gateway allows healthcare organizations to manage their data from a single solution to reduce operation costs and improve service. By providing insights into key data issues, our SaaS-based solution helps organizations work more effectively with external and internal trading partners and improve the quality of the data they exchange.
Learn More  ❯
Unified Interoperability Gateway
Edifecs Unified Interoperability Gateway streamlines prior authorization workflows, automates consent management, and enables scalable EDI and FHIR-based data exchange—all within a modular platform designed to reduce administrative burden and accelerate time to value.
Learn More  ❯
View All Resources