Smart Trading Cloud

Your security guardian that stands above all services and controls access to systems and resources. It is your primary entry point when creating a new user profile or organization account.

Structured Data Capture

A cloud-based, secure way to capture structured data in a scheduled manner using intuitive data forms and file uploads from partners.

Trading Partner Management

A cloud application that allows you to manage your partners and establish agreements with them.

Onboarding and Testing Cloud Service

An easy way to onboard new trading partners and collaborate with them for different business initiatives.

Managed File Transfer

A unified mechanism for creating a partnership, data exchange, and monitoring your data transfer.

Cloud Repository

The cornerstone of the Smart Trading Cloud infrastructure that provides an easy and convenient way for storing your artifacts, personal files, business projects, and for sharing them to facilitate teamwork.

Cloud Payer To Payer Service

A mechanism that automates member data transfers from former to current payers to help ensure the continuity of patient treatment.

Member Consent Service

A one-stop solution for members to manage their consents given to any authorized representatives, applications, and organizations.

Member Account Service

A one-stop solution for storing member identity and keeping member's access information secure.

Monitoring Service

Your remote storage for logs, events, and metrics with access through a web portal.

Archival Service

A data storage that consolidates your cold data in a single cloud database and provides long-term access to it.

Compute Service

A run-time solution that provides you with infrastructure for running XEServer profiles, ensures consistent performance, management, and monitoring.

Endpoint Directory

A cloud-based, secure way to find the FHIR API and applications published by different organizations.

App Developer Portal for FHIR

The web portal that helps you publish the list of FHIR endpoints and make them publicly available on your website.

Payer Portal for FHIR

The web portal that provides full visibility into clinical, pharmacy, and administrative data stored in the FHIR server.

Member Application Cloud Service for FHIR

Member Application Cloud for FHIR provides visibility into the data of Payer/Plan members stored in the FHIR Server.

Unified Member Portal Service

The Unified Member Portal service is a comprehensive platform designed to provide a consolidated and efficient experience for members when accessing full spectrum of payer's services.

TM Visibility Cloud Service

The service that brings you real-time visibility into transaction processing and allows you to use the self-service function.

EDI Gateway

The cloud-hosted service facilitates healthcare X12 Electronic Data Interchange (EDI) transactions through secure APIs and returns real-time transaction responses.

Intelligent Router

The Intelligent Router solution streamlines prior authorization processing across the healthcare ecosystem by efficiently managing request intake, transformation, validation, routing, and response handling.

SpecBuilder

An integrated and easy-to-use design-time toolkit that simplifies and accelerates authoring, testing and publishing specifications, and processing maps for all types of transaction processing.

XEngine

A solution that performs the validation of healthcare and general industry transactions for syntax, semantics, and trading partner-specific business rules.

XEServer

An integrated interoperability solution that allows you to design, test, and execute business orchestrations for healthcare and general industry transactions.

Edifecs Application Manager

A design-time application that allows you to create business orchestrations for XEServer, as well as provide overall system configuration, run-time operations, and monitoring.

XEConnect

The real-time data interchange solution to exchange data with partners through the CORE and MLLP protocols.

XEngine Server Module for FHIR

A module designed for mapping between clinical data standards and the FHIR standard that allows you to use your current data standards in the FHIR work flow.

XESManager

A web application designed for managing and monitoring one or more servers running XEServer from a web console.

XProcess Management

A solution that allows you to create end-to-end models of your business processes and track the phases of your business flow.

XEngine Server Module for Docker

A module that helps eliminate the needs to configure environments for XEServer.

Transaction Management

A web application that ensures electronic interactions between trading partners and helps automate error management and exception handling to deliver information on time directly to the people who need to take action.

Edifecs Installation Manager

A framework that allows you to import product deployment packages, which might include several components and/or resources.

Operating Rules Foundation Edition

The business rules and guidelines for exchanging electronic information.

Operating Rules Standard Edition

The business rules and guidelines for exchanging electronic information.

Clinical Edits Module for XEServer

A fully configurable and scalable add-on module that allows you to insource the clinical edits process.

FHIR Gateway

The Edifecs FHIR Gateway is a SaaS solution that streamlines data exchange among health plans, providers, and patients, enhancing interoperability, patient experience, and regulatory compliance.

Risk Adjustment: Pre-Visit Prep

An application that identifies undiagnosed medical conditions and inserts the pre-visit recommendations into the physician workflow before the patient visit after a thorough review of patient data.

Risk Adjustment: Post Visit Review

An application that enables providers to review diagnoses with evidence to determine the validity of suggestions and close gaps in documentation and coding before the final submission.

Risk Adjustment: Retro Review

An application that allows health plans to perform retrospective chart reviews to identify missing diagnoses, validate recommended diagnosis conditions, and submit clinical gaps along with the supporting evidence.

Concurrent Risk Adjustment

The help center enables healthcare providers to improve the accuracy of coding on claims before adjudication.

Encounter Management

A web application that caters to the claim processing, encounter generation, and submission requirements for the Medicaid and Medicare markets.

Enrollment Management

A hub for processing and managing enrollments in a standardized approach across different lines of business and partners.

Enrollment Management Account Portal

A secure portal for Enrollment Accounts allowing you to self-serve, view, and participate in integrated workflows to resolve production fallouts.

Enrollment Management Cloud Datamart

Scalable, cost-efficient, and centralized solution for accessing and utilizing ENR ECF and GBD data stored on cloud-based systems, providing support for fast and reliable reporting and analytics.

Enrollment Management Backend Accelerators

Extends reach and deliverance of Member data by transforming standard EDI formats into output data structures tailored for various membership and healthcare systems (HealthEdge HRP, QNXT, other)

Enrollment Management Dashboards

Revamped ENR Dashboards with Cloud Datamart integration, robust functionalities with modern design. Streamlined user experience for global fallout, workflow operations, error trends monitoring, other.

Population Payment Management

A web application that enables you to create APM and EOC contracts, manage population, create payment streams, manage settlements, and view reports.

Edifecs Value Insights

The web portal that provides payers and other contracted entities to gain insights into the clinical data of members, contracts, attribution, and settlements.