Custom EDI Solution

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. The current version of the EDI solution standardized messaging to enable seamless information exchange.  

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Explore Electronic Data Interchange

Electronic data interchange (EDI) streamlines the health claims process, helping the healthcare organization in the USA run smoothly and more profitably. Compliance with HIPAA regulations and ANSI standards is a key part of any enterprise’s EDI System Development structure. EDI modernization has a huge impact on the speed and efficiency of claims resolution and overall workings of a clearinghouse. Healthcare EDI System Development modernization can help in streamlining the operations by enhancing submissions onboarding, processing, and reconciliation, with an independent console for claims exception management across the USA. It improves accuracy by providing deep visibility into transactions and metadata, while allowing automatic review, flagging, and error corrections for diverse EDI formats. OSP’s custom-made healthcare EDI solutions can reconcile data transactions and provides real-time data on transaction status and HIPAA compliance.

Direct EDI facilitates seamless exchange of business documents between partners. OSP’s custom EDI solutions eliminate intermediaries like VANs to optimize efficiency and reliability. Our custom electronic data interchange solutions ensure data integrity and confidentiality, which are crucial for sensitive transactions through secure protocols like AS2 or AS4.

The experts at OSP can empower healthcare providers with direct, cost-effective communication channels, bolstering agility and reducing operational complexities. As a critical component of OSP’s custom healthcare EDI software solutions, direct EDI streamlining workflows enhance collaboration and enable businesses to confidently focus on core operations in their electronic communication infrastructure.

Mobile EDI is a pivotal offering within our custom EDI solutions, enabling the seamless exchange of business documents through mobile devices. OSPs can engineer EDI solutions to transform accessibility, allowing healthcare providers to conduct EDI transactions on the go, anytime, anywhere. With our mobile EDI-enabled solution, users can send and receive critical documents, such as orders and invoices, directly from their smartphones or tablets, enhancing agility and responsiveness.

OSP’s mobile EDI ensures data security even on mobile platforms by utilizing robust encryption and authentication measures. Our custom electronic data interchange solutions empower businesses with unparalleled flexibility, facilitating efficient collaboration and decision-making beyond the confines of traditional office environments.

Electronic data interchange (EDI) integration software solutions employ mapping to integrate clinical data to the accepted EDI standards. OSP’s custom healthcare EDI software system utilizes the application program interface (API) as an alternative method for mapping. The API is more efficient than mapping as it is directly connected to the business applications database and can help to avoid the need to import/export.

OSP’s healthcare EDI software system helps to implement EDI/X12 transactions across payers, providers as well as clearinghouses. Our team of expert EDI specialists can develop a full-proof system of EDI gateway that has the potential to implement 834, 837, 820, 835 successfully, 27x, 274 transactions. OSP’s custom EDI integration software solutions help to reconcile multiple sources of Healthcare data with CMS, Medicare, state, exchanges, and providers.

Analyzing EDI system development records effectively assessing the variances at the file and database level is the need of the hour. Many find managing bigger batches of claims data while eliminating the dependencies on the applications is highly challenging. OSP’s custom healthcare EDI solutions employ heuristic parsing algorithms to conduct the required file comparisons and automatically test the EDI files for errors.

Our experts at OSP can develop a smart reporting mechanism to mark EDI-related data comparisons and variations in the EDI file and the database. Wa can engineer next-gen EDI in healthcare with scalability in tests to add or remove additional claims of files. The advanced tools, metrics, and techniques are specifically designed for EDI to allow stakeholders to track the statuses of projects.  Being a custom EDI solution provider we can help in expedited test automation with positive ROI gains.

Electronic data exchange in healthcare is a long and complicated process where workflow management and security are of paramount importance. To capitalize on the transfer of health EDI data, an easy-to-use EDI reporting and analyzing feature makes a better difference. Customized dashboards and ‘Schema-on-Read’ technology’ can be leveraged to view data on demand and track EDI activities. OSP can program top-notch healthcare EDI solutions with inbound analytics and reporting module across the USA. It can provide a real-time monitoring console and reporting dashboard for more thorough compliance auditing. Comparative remittance analytics can be delivered through easy-to-understand EDI reporting formats. We strive to help you with customized reports that enable you to access, analyze, and track EDI data and performance.

Visualizing the EDI System Development integration and management is highly important to have a clear and complete picture of your organization’s electronic data interchange. We help you gain access to real-time web-based healthcare data visibility to detect errors and uncover market trends in the USA to enhance your decision making. OSP can engineer electronic data interchange solutions to empower the ecosystem of healthcare stakeholders in the USA by allowing them to visualize their data intuitively, supporting a high standard of self-service capability, and reducing call volume. The real-time data access enables the stakeholders with robust decision-making ability and boosts the operational workflow. With the interactive dashboard, you can track every 837 files, claim, and line item. Our custom healthcare EDI software in the USA offers flexible and advanced dashboard templates to review work in progress claims, daily rejection, examiner productivity view, denial reasons, and analysis, etc.

It is mandatory for healthcare organizations in the USA to follow HIPAA and HL78 compliance while sending or receiving X12 EDI files. The electronic exchange of valid documents between diverse healthcare partners across the USA with greater accuracy is highly essential. We can healthcare EDI software helping you to quickly establish if a message is valid or not and provides you with the correct position and reason for any errors. We engineer healthcare EDI solutions with custom validation attributes that check for mandatory items and regulatory compliance, too many or too few repetitions, data type or EDI code of a data element, and the correct length of EDI, etc. Our validation engine first assesses EDI for structural changes such as missing trailer segments or reference number matching. Then it evaluates all items in the DOM tree and executes the pre-defined validation logic for each attribute.


It is an understatement to say that healthcare in the United States is complicated. When a patient walks into a hospital for treatment, there is access to EHR, prescription of tests, submissions of claims, and so on. All of these activities entail the exchange of medical information between concerned entities. OSP can build electronic data exchange platforms to accelerate all the workflows in healthcare by enabling rapid data exchange between providers and payers.     

The safety and integrity of patients’ health information are important not only from a clinical standpoint but also from a legal one. Loss or misuse of data can result in serious legal consequences like fines and imprisonment. In light of this, the EDI tools for healthcare that we can develop to ensure that the information exchanged between stakeholders is safe. This safety is achieved through established protocols and standards that facilitate privacy and integrity.

Using an electronic data interchange solution in healthcare eliminates the need for physical documentation to be stored, transported, handled, filed, or retrieved. By minimizing the need for managing physical papers, a healthcare organization greatly accelerates the speed of operations while also minimizing human errors. By avoiding the need for physical document management, an EDI solution reduces the operating overhead and, ultimately, the cost of care.

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Healthcare EDI Software Development Services


Electronic Data Interchange Integration Services

  • Assessment of digital infrastructure to formulate integration roadmap
  • Development of customized APIs to facilitate seamless integration
  • Compliance with HIPAA and other data formats
  • Security and integrity of data communicated among endpoints
  • Comprehensive system testing to ensure smooth functionality

Development of Custom EDI Tools For Healthcare

  • Development of custom EDI tools to facilitate data transfer
  • Automation of back-office processes for greater productivity
  • Customized features to reflect existing workflows and operations
  • Standardized information exchange between all stakeholders
  • Seamless connectivity among existing systems and other applications

Design and Development of Customized Electronic Data Interchange Solution

  • Development carried out according to the needs of the organization
  • Feature for automated data transfer in standardized format between providers and healthcare plans
  • Features for transmission of details like claim status, payment data, and coordination of benefits
  • Seamless information exchange between providers, clearinghouses, insurance companies, etc.
  • Timely support in case of downtimes

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Frequently Asked Questions

Yes, Electronic Data Interchange solutions can facilitate clinical data exchange between healthcare providers, enhancing care coordination. The EDI software solution streamlines communication by standardizing data formats, expediting information sharing, and ensuring interoperability. It contributes to improved care continuity, collaboration, and overall efficiency in the healthcare ecosystem.

EDI services support real-time visibility and tracking of data exchanges by providing transaction visibility throughout the process. Monitoring services include transaction status tracking, alerts for errors or delays, and audit trails. It ensures transparency, timely issue resolution, and reliability in data exchange between trading partners.

EDI mapping software is crucial in translating and transforming data between different formats and standards. It interprets data from one system, maps it to the required format, and then converts it into the desired bar, ensuring seamless communication and interoperability between diverse systems in Electronic Data Interchange processes.

Electronic data interchange software can integrate with healthcare ERP systems relatively easily. Considerations include data mapping, ensuring compatibility with existing formats, and adherence to industry standards. Coordination with IT teams and testing for smooth integration are essential, and customization may be required to meet specific workflow and data requirements.

Healthcare EDI software solutions reduce manual data entry and paperwork by automating data exchange between systems. This streamlines business processes, minimizes errors, and accelerates information flow. Electronic data interchange in healthcare facilitates seamless electronic transactions, enhancing operational efficiency in healthcare by eliminating the need for time-consuming and error-prone manual data handling.

Electronic data interchange software handles data transformation during migration between standards by utilizing mapping capabilities. It interprets data elements in the source standard, maps them to the corresponding elements in the target standard, and transforms the format accordingly. It ensures a smooth transition and interoperability between different EDI standards.

Healthcare EDI software integrates with existing Electronic Health Record (EHR) systems through standardized data formats. Mapping and translating data between EDI standards and the EHR system’s requirements facilitates seamless information exchange. This integration enhances interoperability, reduces manual data entry, and streamlines communication across healthcare entities.

OSP’s EDI solutions excel in data mapping and translation between diverse code sets and standards. Leveraging sophisticated mapping tools, OSP ensures seamless interpretation of data from one format to another, facilitating smooth communication across systems. This capability enhances interoperability and supports efficient data exchange in Electronic Data Interchange processes.

Healthcare EDI integration software handles real-time processing by utilizing efficient communication protocols. It ensures instant verification, validation, and exchange of healthcare transactions between systems. This real-time capability supports timely information flow, reduces processing delays, and enhances the overall efficiency of healthcare transactions within the electronic data interchange system.

Cloud EDI integration software offers scalability by allowing organizations to adjust resources based on demand, ensuring optimal performance during peak periods. It enhances accessibility by providing remote access to the EDI platform, facilitating seamless collaboration. This flexibility in resource allocation and remote accessibility contributes to the overall efficiency of EDI processes.

OSP services address interoperability challenges by leveraging robust healthcare EDI solutions. They facilitate standardized data exchange, ensuring seamless communication between healthcare providers and payers. Through effective data mapping, translation, and adherence to industry standards, OSP enhances interoperability, fostering efficient information sharing and transaction processing in the healthcare ecosystem.

OSP assists healthcare organizations by providing end-to-end support in implementing and optimizing electronic data interchange services. It includes tailored implementation plans, comprehensive training, ongoing technical assistance, and system optimization. By addressing specific organizational needs, OSP ensures seamless communication and efficient data exchange within the healthcare environment, fostering improved interoperability.

OSP ensures healthcare EDI solutions comply with healthcare data security and privacy regulations, including HIPAA. They implement robust security measures like encryption and access controls, conduct regular audits, and stay updated on regulatory changes. This proactive approach safeguards patient data and ensures adherence to industry-specific regulations.

EDI contributes to healthcare claims processing efficiency by automating data exchange, reducing errors, and expediting communication between healthcare providers and payers. OSP optimizes this aspect by implementing real-time processing, efficient data mapping, and validation, streamlining the entire claims processing workflow for enhanced speed and accuracy.

OSP offers a comprehensive Electronic Data Interchange solutions suite, including implementation, training, technical assistance, and system optimization. Their services cover data mapping, translation between standards, and compliance with healthcare regulations. OSP ensures seamless communication, interoperability, and efficient data exchange for healthcare organizations using EDI.

OSP’s Electronic Data Interchange solutions are highly flexible and can be customized to meet the specific needs of healthcare organizations. They tailor implementation plans, training programs, and technical assistance to ensure that the EDI solutions align with each client’s unique requirements and workflows, maximizing effectiveness.

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