Mediaphotos / iStock
EDI Partners has teamed up with Noridian Healthcare Solutions (Noridian) for EDI outsourcing services in a move that it says will support a more cost effective electronic data interchange (EDI) model for healthcare payers.
The services supported by the partnership will include data collection and communication between the healthcare provider and payer in support of all business functions including eligibility verification, claims collection, claims status, claims remittance, and clinical information exchange.
EDI Partners will support the core X12 transactions established by the Health Insurance Portability and Accountability Act (HIPAA) and will be charged with supporting new versions of the transactions as required by the US Department of Health and Human Services (HHS) as well as a focus on working with a payer’s trading partners to ensure controls are in place to resolve issues based on a payer’s service-level agreements (SLAs).
“EDI Partners chose to partner with Noridian Healthcare Solutions because of their experience, expertise and ability to deliver cost effective quality solutions for their government and commercial healthcare clients,” said Kent Benton, CEO of EDI Partners.
Operations supported by Noridian will include receiving, editing and validating the transactions, and reformatting and delivering the transactions to their appropriate destination.
Tom McGraw, President and CEO of Noridian, added: “We are excited to be teaming with EDI Partners with their pioneering history, expertise and leadership in this space and leveraging our government and commercial EDI scale and experience to reach new customers together.”
EDI Partners, Noridian Healthcare Solutions, Electronic data interchange, US