EDI for Healthcare
Simplify your EDI processes with inbound and outbound claims, enrollments, and payment data with HIPAA-compliant solutions
More than any other industry, the healthcare industry demands extreme levels of security and compliance while exchanging large amounts of data with trading partners carrying unique SLA requirements.
Focused E-Commerce has developed a comprehensive EDI for Healthcare solution for insurance providers. Optimize first-pass payment rates while reducing costs and expedite processing new enrollments accurately and with unprecedented speed.
Our solutions ensure full compliance with WEDI SNIP levels 1-7, always keeping you compliant with HIPAA requirements. Validation, testing, and compliance are built into every step of the process.
We support all seven levels of WEDI SNIP HIPAA validation, ensuring full compliance for healthcare EDI transactions from syntax checking through claim-level validation.
Yes. Our healthcare EDI solutions handle both inbound and outbound transactions including claims, remittance advice, eligibility inquiries, enrollment, and authorization requests.
We offer real-time and batch processing options depending on your needs. Our Etracks monitoring platform provides comprehensive visibility into all healthcare transactions.
We cover all major healthcare EDI transactions: 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status), 834 (enrollment), and 278 (authorization).
Whether you need EDI for healthcare, supply chain, or ERP integration — our experts are here to guide you through every step of the implementation process