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Edifecs XES Module for Salesforce

Add EDI to Complete your Member 360

Overview

  • Improve Consumer Experience: A visual dashboard with 360-degree view of the member claim history. Cleaned and adjudicated claim data can be presented in Health Cloud’s Timeline view to better assist member support.

  • Quicker Resolution to Questions: Rather than toggling between multiple systems, a support team can resolve member issues directly from the console with easy-to-use search and built-in narrowing capabilities to browse for claim and enrollment data.

  • Accelerate Real-Time Data Load: Leveraging existing Edifecs Smart Trading investment to load member data in real-time and get to real-time processing by reducing costly customizations to Salesforce Cloud.

Connecting the Edifecs Smart Trading platform with the Salesforce Health Cloud—a cloud-based patient relationship management solution—will enable health plans to gain a complete view of the member with integrated data from electronic medical records (EMRs) and backend adjudication and membership systems. Use cases include EOBs, Eligibility, Member Support, Care Plan Coordination.

Categories

Business Needs
Productivity
Industries
Healthcare & Life Sciences
Features
No Limits
This product's apps, tabs, and objects don't count against your Salesforce org limits. Learn More in Help
Lightning Ready
Optimized for Salesforce orgs that use Lightning Ready.
Managed Package
This product is installed in your Salesforce org as a managed package and receives automatic upgrades.
No Limits
Lightning Ready
Managed Package