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Electronic data interchange in healthcare is a secure electronic medium of communicating data between healthcare organizations, payers, and patients using specific messaging standards and formats. Healthcare EDI software accelerates all the workflows that happen amongst organizations involved in healthcare by enabling a fast, paperless mode of information exchange. The concept of an electronic data interchange solution is decades old but faces problems due to hundreds of messaging standards. There was conversion, interoperability, high IT overhead, and data security problems.
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HEALTHCARE EDI SOLUTIONS FOR SECURE AND EFFICIENT DATA EXCHANGE
Benefits of EDI • Better efficiency • Improved accuracy • Standardization • Cost efficiency • Enhanced productivity • Increased security
Medical Electronic Data Interchange Facts: • An Electronic Data Interchange (EDI) platform to exchange information related to healthcare eligibility or benefits • Easy tracking of medical bill status or claims through electronic data interchange payment • Communication between care-providers and payers through electronic data interchange solutions • An overall electronic data exchange platform for automated healthcare solutions 4
Advantages of EDI • Reduced complexities through a standardized format • Set formats for transactions, claims, eligibility, status, and payments • The National Provider Identifier Number (NPI) allows unique identification for every healthcare entity • Clear and systematic transactional flow • Faster turnaround and fewer rejected/ denied claims 6