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X12 EDI Automation

PilotFish Automates EDI 834, EDI 837 and EDI 835 Integration and Cuts Costs

Today, the PilotFish X12 EDI Interface Engine Solution is being leveraged for HIPAA EDI data integration and automation across healthcare. PilotFish’s eiConsole for X12 EDI delivers administrative savings, higher data quality and faster processing of claims, authorizations, benefit enrollments, eligibility requirements, acknowledgments, payment remittances, analytics, reporting and more.

Automation of X12 EDI HIPAA transactions presents spending and savings opportunities for the entire range of administrative transactions. 

But, even though the healthcare industry has moved more quickly toward automation, vast numbers of processes remain partially electronic. That means many unnecessary manual processes still exist. 

According to the 2019 CAQH Index®, the greatest opportunity to reduce administrative costs is to focus on eligibility and benefit verification, claim status and remittance advice. Another priority target is prior authorizations. 

X12 EDI Claim & Benefit Automation with PilotFish

X12 EDI Interface Quick Tour

Leverage PilotFish to Target EDI 834, EDI 837 and EDI 835 (and any other X12 transaction)

As EDI 834 Benefit Enrollment, EDI 837 Claims Submission and EDI 835 Remittance Advice are ubiquitous in healthcare data exchange, our clients find they are the natural initial targets for improvement. These are transaction processes that our clients, in virtually all areas of the EDI Value Chain, are automating. These include Claims Clearinghouses, Third Party Administrators, Pharmacy Benefits Managers, Revenue Cycle Solution Providers, Benefit Administrators, HIEs and more.

With PilotFish’s X12 EDI Interface Engine Solution, our clients have moved forward rapidly to modernize transaction interfaces and integrations, thereby:

  • increasing data quality immediately
  • minimizing manual processes and interventions
  • phasing out legacy systems with little or no pain
  • moving to fully electronic processes
  • reducing administration costs dramatically

PilotFish’s X12 EDI Interface Engine Solution offers fully-featured integrated components built into each stage of the eiConsole’s graphical Automated Interface Assembly Line process.  PilotFish’s eiConsole for X12 EDI with its exclusive 3-pane drag & drop Data Mapper is intuitive, visual and understandable with no coding required.  And, from end to end, it’s so easy that the majority of interface management and maintenance can be done by business users.

PilotFish Client Product QuoteOur company is building out all of our healthcare data transactions with the Pilotfish. This includes healthcare X12, NCPDP and various other health care files. The software is easy to learn and allows our team of analysts to implement ETL jobs. The software is very versatile allowing for any file type or connection to data. Unlike some ETL tools, you can build complete platforms to manage your data acquisition and delivery methods


Director of EDI

Out-of-the-box, PilotFish’s eiConsole for X12 EDI has the capability to read in, parse, validate and transform X12 EDI from any source or trading partner to XML and route the data to any target in any desired format. With PilotFish, you don’t “discover” burdensome extra charges for additional components. 

Single Solution for All of Your EDI Processes and Transactions

Currently, healthcare is experiencing increases in transaction volume in line with the increasing number, types and complexity of health insurance benefit plans. This complexity could very well result in increased manual interventions. In the face of these and future developments, the demand for interoperable administrative and clinical systems only becomes more acute. 

Best-of-Breed PilotFish’s Integration Engine Solution is your EDI integration answer now and for the future. It is architected to be infinitely flexible and extensible. It performs and beats competitors over any use case.

We invite you to take advantage of PilotFish’s eiConsole for X12 EDI by downloading a full, FREE 90-Day Trial Version of our software. Users can try out our EDI Transformation Module and Format Builder.

For more information please call us at 813 864 8662 or click the link below to email us.

X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.

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