Edifecs platform
XEngine configuration and tuning, Specbuilder guidelines, Transaction Management setup, routes and maps, and environment promotion.
Healthcare EDI consulting
Edifecs and HIPAA transaction expertise for teams that can’t afford rejected files.
EDIBench helps payers, TPAs, clearinghouses, and Medicaid systems vendors design, fix, and scale their EDI platforms, from Edifecs configuration and maps to SNIP validation, companion guides, and trading partner onboarding.
Backed by more than 20 years of hands-on healthcare integration experience.
Services
Practical help across the EDI lifecycle
Focused engagements delivered by senior practitioners who have built and supported production healthcare EDI.
Validation and compliance
SNIP Type 1–4 validation design, rejection analysis, and companion guide authoring and review aligned to your business rules.
Trading partner onboarding
Partner setup, test plans, certification testing, and cutover support that shortens time to production.
Acknowledgments and reconciliation
999, 277CA, and TA1 workflows that make failures visible quickly and route them to the right team.
8060 readiness
Gap assessment from 5010 to 8060 guides, impact on maps and validation, and a sequenced plan for testing and migration.
Assessments and remediation
Independent reviews of existing EDI implementations, with prioritized findings and hands-on fixes.
Transactions covered
HIPAA X12 5010 transactions, end to end
Inbound and outbound, batch and real time, with the acknowledgments that keep partners informed.
- 837P / 837I / 837D
- Professional, institutional, and dental claims
- 835
- Claim payment and remittance advice
- 834
- Benefit enrollment and maintenance
- 270 / 271
- Eligibility inquiry and response
- 276 / 277
- Claim status inquiry and response
- 278
- Prior authorization and referral review
- 999 / 277CA / TA1
- Implementation, claim, and interchange acknowledgments
How engagements work
Clear scope, senior hands, measurable outcomes
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01
Consultation
A short call to understand your platform, transactions, partners, and deadlines.
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02
Assessment
We review configuration, maps, validation, and error patterns, then recommend a scoped plan.
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03
Delivery
Hands-on build, remediation, and testing alongside your team, with regular status and clear acceptance criteria.
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04
Handoff
Documentation and knowledge transfer so your team can run and extend the work confidently.
Who we help
Organizations that move healthcare transactions at scale
- Health plans and payers modernizing intake, adjudication feeds, and remittance.
- Third-party administrators onboarding employer groups and provider networks.
- Clearinghouses improving validation, routing, and partner throughput.
- Medicaid and MMIS vendors meeting state companion guide and certification requirements.
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