• Receive and validate all EDI transactions, including 837 (I, P, D), 835, 834, 820, 270/271, 276/277, 278, 275, 274.

• Support L1-L7 validation, claim edits, and the reconciliation of inbound and outbound transactions. 

• Process paper claims, claims data entry, prior authorizations, and enable real-time and batch transactions.

• Ensure compliance with CORE, CMS, and HIPAA standards through an EDI gateway.

EDI Gateway for Payers and TPAs

• Enable integration of any EDI transaction with Generative AI models and platforms.

• Automate complex tasks and decision-making processes.

• Connect EDI transactions to advanced AI systems, leveraging the power of machine learning to generate insights, predictions, and recommendations in real-time.

Integrated with Generative AI

• Receive and validate all EDI transactions, including 850 (Purchase Order), 855 (Purchase Order Acknowledgment), 856 (Advance Ship Notice), 810 (Invoice), 846 (Inventory Inquiry/Advice), 852 (Product Activity Data).

• Support L1-L7 validation, order/item edits, and the reconciliation of inbound and outbound transactions.

• Process electronic orders, inventory updates, shipment notifications, and invoicing, enabling real-time and batch transactions.

• Ensure compliance with industry standards (e.g., GS1) and best practices for accuracy and timeliness in data exchange.

• item status for timely handling.

EDI for Retail

• Receive and validate all EDI transactions, including 850, 855, 856, 810, 867 (Product Transfer and Resale Report), 997 (Functional Acknowledgment), NCPDP SCRIPT (Prescription).

• Support L1-L7 validation, drug code/interaction checks, and the reconciliation of prescription, payment, and inventory transactions.

• Process electronic prescriptions, refill requests, eligibility verification, claims, and payments, enabling real-time and batch transactions.

• Ensure compliance with HIPAA and DSCSA (Drug Supply Chain Security Act) to protect patient health information and prevent counterfeit medications.

EDI for Pharmacy

• Receive and validate all EDI transactions, including 850, 855, 856, 810, 861 (Receiving Advice/Acceptance Certificate), 824 (Application Advice).

• Support L1-L7 validation, shipment/item verification, and the reconciliation of orders, shipments, and inventory transactions.

• Process electronic orders, shipment notifications, delivery confirmations, and invoices, enabling real-time and batch transactions.

• Ensure compliance with industry standards (e.g., GS1) and best practices for accurate and timely data exchange to maintain supply chain integrity.

EDI for Supply Chain

• Enable work queues to hold data for manual corrections or review.

• Easily set up multiple work queues for business users to review and manage data.

• Customize work queues to handle specific types of transactions or errors, for efficient processing and resolution.

• Prioritize tasks, assign items to specific team members, and track item status for timely handling.

Work Queues

• Customizable dashboards that allows business and technology teams to quickly identify issues or review SLA metrics. 

• Intuitive, user-friendly interface where users can access real-time data and insights.

• Generate all the reports needed to effectively manage EDI transactions, providing detailed insights and analysis.

• Key performance indicators (KPIs) and metrics are prominently displayed, enabling teams to monitor system health and compliance at a glance.

Simplified Reports and BI

• Seamless integration of your NetSuite, Microsoft Dynamics or SAP ERP with your trading partners' EDI systems, 

• Streamlined electronic data interchange for purchase orders, invoices, shipping notices, and other essential business documents.

• Mapping, translation, and communication protocols, ensuring precise and efficient data exchange.

• Minimizing manual intervention and errors.

ERP EDI Integration Services

• Benefit from expert guidance throughout your EDI journey, from assessment and planning to implementation, optimization, and ongoing support.

• Our experienced consultants provide in-depth knowledge of EDI protocols, mapping, translation, and communication protocols.

EDI Consulting