VisibilEDI

SOLUTIONS

EDI Gateway

Seamlessly aggregate and visually manage all your external trading partner connections without disruption

The VisibilEDI EDI Gateway simplifies transaction processing for healthcare payers by aggregating connections to all trading partners, clearinghouses and providers. Our solution ensures HIPAA X12 compliance and delivers enhanced reconciliation through a visible, searchable transaction repository, which improves data quality resulting in the shortest cycle-time from claim submission to payment.

Primary Drivers

  • Reduce EDI processing costs by 25% annually
  • Improve EDI management and focus to filtering and rejecting claims before they reach your CAPS system
  • Eliminate effort to manage and handle duplicate claims
  • Increase control and reduce platform dependence with best-of-class EDI solutions and expertise
  • Streamline EDI transaction management through a visible transaction repository with logging, remediation, and reporting
  • Simplify EDI management effort, and support
  • Reduce the cost for achieving compliance while keeping up with regulatory changes

EDI Gateway Capabilities

  • Cloud-based EDI services enabling increased collaboration and simplified administration for health plans and providers
  • Automated data processing allows benefit administrators and healthcare claim processors to funnel transactions through a robust translation and rules engine to route, validate, fill, audit, reject/drop, integrate, and report individual or batch level transactions
  • Unparalleled administration providing transparency into EDI transactions as well as intuitive reporting interfaces for all your business partners and customers
  • Business Rules Engine incorporating over 15 years of EDI processing expertise offering advanced file optimization, configurable rules, with exception logging and reporting
  • Admin Management Portal for editing, error reporting and management of all EDI transactions
  • EDI workflows designed to enable business analysts to manage, remediate, and report on incomplete data and rejected transactions
  • Extensible file processing to import and convert any proprietary file format into an EDI X12 HIPAA compliant transactions, addressing EDI/HIPAA regulatory requirements
  • Expedient system implementation that supports trading partners and outsourced business processes (i.e. claims re-pricing and claim scanning)
  • Eliminates need for in-house development and application support by Healthcare EDI professionals responsible for managing proprietary transactions with trading partners
  • Significantly more flexible and less expensive than product based solutions