VisibilEDI Inc. is a cloud based solution provider of an integrated EDI management system for Health Plans, Clearinghouses, Third Party Administrators, and Managed Care Organizations. The VisibilEDI transaction management system helps organizations efficiently manage the flow of information to/from their trading partners and electronic data consumers.   The VisibilEDI system can help regulate inbound transactions and be utilized to report information in HIPAA mandated X12 formats to providers, members, and encounter destinations for Medicare & Medicaid contracted plans.

How much money have you saved since HIPAA?
Is your organization looking for opportunities to save money with HIPAA or are you are ignoring the #1 way to reduce operational costs and administrative overhead?

Our innovative EDI Gateway solution provides the path for you to begin capitalizing on the administrative savings promised by HIPAA. The tiered system easily scales to handle millions of transactions per month. Our system requires little upfront investment and can help you cut your EDI administrative overhead by as much as 50% by streamling your EDI processes for :

• 834 -- Enrollment (change, audit)
• 837 -- Claims
• 835 -- Claim Payment
• 277/277CA -- Claim Status Error and exception handling
• 820 -- Premium Payment

Our Portal Solution is also a mechanism for you to electromically service your Providers and Members.

For Service Providers our portal provides:

• Member Eligibility Information
• Claim Status Information
• Claim Payment Information
• Online Vouchers with corresponding 835 - Claim Payment Files

For your members our portal provides:

• Member Eligibility Information
• Claim Status Information
• Online EOB's for members
• Online Benefit Accumulators

There is a competitive advantage for the payer who turns to technology quickly for claims processing. The low-cost Internet infrastructure provides near real-time access to information and facilitates rapid information exchange in many industries. By leveraging the Internet for HIPAA-compliant process automation, you can reduce the cost of Healthcare administrative and financial transactions.