Health plans rely on the
edisolve products and services to re-architect and reduce the cost of HIPAA transaction processing. As the health care market moves towards real time information at the point-of-care, and regulatory changes such as 5010 are looming, having a flexible and open EDI architecture becomes a key competitive advantage.
Key benefits of the edisolve MiddleSolve Health Care Integrator strategy are:
> Reduced transaction fees and paper handling costs by enabling direct connection with providers, trading partners, and value added networks. Decrease operational costs by automated handling of routine questions and documentation requests associated with eligibility, claims status and referrals. See EDI Gateway for Provider Direct Connectivity.
> Preserving investments in existing systems by offering off-the-shelf claims management applications that easily interface with adjudication, financial, and membership systems. See Enterprise Integration and Process Management.
> Limiting financial loss from fraudulent claims and mishandled payments by enabling better visibility to business systems and transactions through an Operational Data Store that can track and link transactions. See Real Time Warehousing for Revenue Cycle Auditing.
As part of a complete health care transaction solution,
edisolve delivers an enterprise level integration solution allowing health plans to offer secure electronic claims submission and correction capabilities to all their member hospitals and practices. See Provider Claims Management.
