Improving service and increasing operational efficiency requires a 360 degree view of document exchange between partners. Everyday, healthcare generates more and more digitized data. This data must be collected and archived to comply with HIPAA regulations or generate performance reports. For many health plans and providers, the amount of data is staggering. Access to current and archived data is essential to adjudicate claims, resolve issues and respond to partner queries.
With Edifecs Transaction Management, you can correlate clinical and administrative data, provide real-time visibility into transactions, and enable self-service functionality to business and technical teams. Leverage industry-leading member and family views to visually explore encounters, episodes of care and claims.
Our product unlocks data to reduce operation costs, improve service, and provide medical necessity to enable better care coordination.