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 EDI Modernization for Healthcare

A uniquely modern, open and cloud-ready alternative to legacy EDI X12 integration in claim environments that offers unprecedented opportunities for healthcare payers. 

Prolifics offers exceptional “AGILITY” and “TRANSPARENCY” for EDI 27x transactions processing. AGILITY for a user to customize user interfaces per business needs and data TRANSPARENCY in each step of EDI transactions processing. M.P., Lead IT Applications Consultant, Major Healthcare Payer
The walkthrough Prolifics provided was very impressive – much better than expected. I believe your team has put tremendous effort and time into this. We greatly appreciate that. P. L., EDI Platform Technology Lead, major healthcare payer
Take EDI X12 Transaction Processing in Claims to the Next Level
Introducing Prolifics' EDI Modernization for Healthcare, a modern, drop-in alternative to existing legacy EDI X12 integration in claims environments. EDI Modernization for Healthcare delivers advanced capabilities to your EDI X12 workflow while enhancing throughput and dramatically reducing operational costs. Free yourself from the limitations of legacy platforms with a modern alternative that grows as your business grows without the burdens imposed by legacy systems. 

Why Choose Prolifics EDI Modernization for Healthcare?

We offer you the benefits of advanced capabilities and customizations, all with significantly reduced operational costs. 

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  • Replaces costly legacy X12 integration systems with a modern alternative that you own
  • An open system with an open data model that integrates with virtually any existing business system
  • Built on an off-the-shelf software stack for significant cost savings
  • Customizable, extendible, and enhanceable
  • Up to 10x increase in throughput compared to existing systems.

How It Works

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Replaces costly legacy systems for EDI X12 integration in claim environments 

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Comprehensive HL7 V2/V3 and X12 Support 270/271, 276/277, 278, 834, 835/820, 837, NDC... and more 

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100% transaction correlation and archival

 

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Why Choose Us?

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Licensed Therapists

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Write From Anywhere

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Immediate Responses

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Safe & Confidential

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Meticulously engineered by Prolifics’ healthcare EDI experts using an off-the-shelf tech stack

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Fully containerized and cloud-ready 

Case Study: Insurance Plan Payer Finds Huge Cost Savings and More with EDI Modernization for Healthcare

Our client felt boxed-in by their incumbent, legacy EDI claims processing system, which had become the “only game in town” for the vast majority of health plan providers. After looking at several different EDI claim processing system providers, they chose Prolifics EDI Modernization for Healthcare. 

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Break Free

Let’s discuss the opportunities Prolifics EDI Modernization for Healthcare can bring to your claim environment.