What You Should Know:
– Edifecs® and HealthEdge® today announced a new partnership that natively integrates Edifecs’ EDI Gateway offerings and HealthEdge’s HealthRules Payer claims adjudication system.
– The partnership will make it easier for payers to exchange and connect healthcare data – reducing friction, strengthening business agility, and enhancing operational efficiency. Additionally, the alliance will dramatically shorten implementation times and streamline maintenance to reduce health plan total cost of ownership typically experienced with bespoke or in-house integrations.
Strategic Partnership Enhances Healthcare Data Exchange and Automation
HealthEdge and Edifecs have partnered to advance healthcare data exchange, automation, and clinical engagement across payers, providers, and patients. This collaboration integrates two industry leaders—both recognized as multi-year Best in KLAS award winners in their respective domains—to deliver solutions that optimize interoperability, ensure regulatory compliance, and future-proof healthcare systems.
The partnership enhances visibility and ownership of end-to-end claims data for shared customers. As part of the Edifecs Interoperability Cloud, the EDI Gateway is a high-performance solution for real-time and batch X12 transaction processing, validation, and system integration. It ensures:
· Cost-effective and evergreen adherence to evolving regulations and industry standards.
· Streamlined front-end processes, including partner onboarding, transaction audits, and error reporting.
HealthRules Payer, HealthEdge’s next-generation Core Administrative Processing System, leverages advanced technology to revolutionize healthcare operations and enhance the financial performance of health plans. It empowers organizations with:
· Scalability and adaptability to expand product and service offerings seamlessly.
· Robust navigation of complex regulatory landscapes with confidence.
· A foundation for future innovations in healthcare administration.
According to Alan Stein, Chief Product and Strategy Officer at HealthEdge, “This partnership combines the strengths of two market-leading companies, ensuring that our mutual customers have solutions that optimize healthcare data exchange while remaining compatible and future-ready.”
