It's time for simpler, more transparent healthcare EDI transactions.

VisibilEDI delivers real-time healthcare EDI transaction management and encounter data solutions that are simple, transparent, secure, and accurate. For 20 years, VisibilEDI has provided clients robust automation and outstanding service. We adapt workflow and processing solutions to your needs, and we do so on time, on budget, and on target.

Talk with an EDI Specialist

Trust your EDI data

Don’t miss out on valuable reimbursements due to incomplete or inaccurate data – get the information you need to take action.

Serve members, not data

Uncover actionable insights to better serve your members with simple, easy-to-understand EDI management.

Never miss an opportunity

Manage your processes to close incentive gaps to maximize your revenue.

Increase efficiency & lower costs
with VisibilEDI’s next-gen EDI solutions

With VisibilEDI, you get next-generation healthcare EDI transaction management solutions that lead the industry in simplicity, accuracy, effectiveness, and manageability. VisibilEDI makes your data work for you, so you don’t have to spend so much time working for your data. Demand more from your EDI investment, so you can focus on growing your membership and revenues.

Streamline your inbound data process.

EDI Gateway & Clearinghouse

Aggregate and visually manage all connections and incoming data with a single, intuitive EDI transaction hub.

  • Log, remediate, and report with all your trading partners, clearinghouses, and providers.
  • Trust VisibilEDI’s auto adjudication filtering engine to improve accuracy while streamlining incoming data.
  • Reduce transaction processing costs by as much as 25%.
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Simplify your claim submittals with VisibilEDI's

Encounter Data Reporting & Processing System

VisibilEDI’s Encounter Data Processing System simplifies the claim submittal process with dashboard reporting, making it easier to spot and manage incomplete data and rejected claims.

  • Integrate management of EDI encounter data for Medicare, Duals, and state Medicaid programs
  • Optimize and evaluate your encounter data submissions with risk scores, KPIs and state-specific incentive pool metrics
  • Increase revenues and save time as you improve accuracy and reduce the numbers of submission errors and exceptions
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VisibilEDI helped us craft an affordable solution for our Medicaid plan that works great, allowing us to process claims from our providers and improve the accuracy of our encounter data submissions.

I highly recommend VisibilEDI to any organization looking for a true EDI services partner.

Deborah L., Family Dental Care, Inc.
Provide 24x7 self-service access with VisibilEDI's

Provider Portal

The VisibilEDI Provider Portal is a networked self-service tool for providers that simplifies information access while reducing the numbers of support inquiries.

The portal quickly gives providers mission-critical access to eligibility verification, claim status inquiries, electronic payment and vouchers, direct claim file uploads, and direct claim data entry.

  • Enable 24x7 self-service for providers
  • Decrease provider support calls by giving them the information they need at their desktops.
  • Increase efficiency while reducing expenses
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Get more from your EDI investment

Do you feel like you’ve lost control of your encounter data workflows? If you’re spending too much time tracking down missing data or lack the data access you need--when you need it, it’s time for a better healthcare EDI transaction management solution.

Talk to a Specialist

Have you outgrown your EDI transaction software?

We built VisibilEDI with you in mind.

Requirements and compliance evolve constantly. Health plans get bogged down by in-house data solutions that are complex and inefficient.

Technical challenges and data gaps cost you money and time, and worse yet, they cost you opportunities. VisibilEDI delivers agile, scalable, and enduring solutions that enable you to grow your revenues.

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Download Your Self-Assessment:

5 Areas of Risk Management

Use the self-assessment questions to identify your continuing challenges as well as your successes.

We suggest you and your team periodically self-assess to answer:

  • How easy it is to manage your external trading partner connections?
  • How accurate and efficient is your encounter data processing?
  • How efficiently do you serve your provider network?
Free EDI Management Risk Assessment from VisibilEDI
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