Healthcare Data Services

Multiple Vendors, Multiple Systems, Multiple Problems

Healthcare claims and payments leverage “standard” EDI formats (837, 835, 820, etc.), but there are often different variations of each format. From there, each variation can often make use of available data in a different way. On top of that, patient payment data is often found outside of the EDI system. This payment data comes with its own set of formats.

This means that when it comes time to consolidate all of this information into one place, such as the patient’s bill, many healthcare systems have a difficult challenge on their hands. And this is what happens in a “typical” situation. If a healthcare system has experienced mergers along the way (which is the more common than not) and now manages multiple EHRs, the situation can quickly become untenable.