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Healthcare

Healthcare EDI Services

From patient records to medication information and insurance claims, the healthcare industry is inundated with vast amounts of data. Processing this information is a monumental task for healthcare professionals, especially since it comes from a range of sources and in different formats.

Optimize the transmission of vital documents among patient care partners with innovative healthcare-specific, HIPPA-compliant EDI solutions from Effective Data. We are EDI consulting and data integration specialists dedicated to providing a flexible, secure environment for quickly building connected healthcare ecosystems geared for multi-party collaboration and modern channels of patient collaboration.

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Management of data such as patient history records, emergency services reports, and medication information is of critical importance to healthcare professionals. Key applications of healthcare EDI systems include the management of medical and dental patient databases, insurance reimbursements, clinical trials, and regulatory data.

Effective Data specializes in helping any healthcare industry businesses automate and improve processes as well as become compliant with trading partner and regulatory requirements. Our products and services make it easy and affordable to collaborate, transfer data, and integrate internal business processes.

  • Cloud EDI
  • On-premise EDI
  • Off-premise EDI
  • Hosted EDI
  • HIPAA Level 7 integration
  • VAN services
  • Strategy consulting
  • EDI assessment
  • Process automation
  • Full service, one-on-one support

Using EDI for healthcare transactions improves productivity by enabling high-level accuracy, efficiency, and speed. EDI doesn’t just benefit healthcare professionals and institutions, though. One crucial result of HIPAA was the right given to patients to access their healthcare information.

Effective Data offers a cloud-based EDI service called ED Connect, which gives hospitals and healthcare organizations a simple way to automate their entire supply chain and improve operational efficiencies while lowering costs. It provides a flexible, secure environment for quickly building connected healthcare ecosystems geared for multi-party collaboration and new patient collaboration channels.

With ED Connect, your healthcare operation can obtain:

  • HIPAA Level 7 compliance
  • Standardization
  • Higher productivity
  • Greater security
  • Improved accuracy
  • Heightened efficiency
  • Lower costs

EDI Documents & Transactions for Healthcare

Healthcare institutions must communicate regularly with an array of partners, from internal databases and insurance companies to outside specialists and service providers. Eliminate these tedious and error-prone processes with automated communication from Effective Data.

We support all major EDI communications methods and have extensive knowledge of industry trends and requirements. When partnering with us, EDI documents are readily available, easy to process, and hassle-free to manage. Common EDI transactions that healthcare industry professionals use daily include:

270: Health care eligibility/Benefit inquiry

271: Heath care eligibility/Benefit response

276: Health care claim status request

277: Health care claim status response

278: Health care service review

820: Payroll Deducted and other group premium payment for insurance products

834: Benefit enrollment and maintenance set

835: Health care claim payment/Advice transaction set

837: Health care claim transaction set

997: Functional acknowledgment transaction set

Improve patient care by maximizing security and productivity with HIPPA compliant, healthcare-driven EDI services from Effective Data. We’re on your side. Contact us for more information.

We owe a debt of gratitude to Earle and Peggy at Effective Data. They took a last-minute call before the weekend and a few days later, our EDI software was upgraded and ready for our go-live date. Earle was knowledgeable, thorough and timely. Effective Data will get our business from now on. T.D., EDI Coordinator, TopRx, INC.

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