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EDI Integration Solutions

PilotFish – Raising the Bar for EDI Integration Solutions

PilotFish offers a comprehensive suite of integration solutions for healthcare, HIPAA and supply chain industries that has attracted clients from all industry areas. The solution provides an automated EDI interface configuration, validation, testing and data mapping process, making it easier for users to exchange EDI documents with trading partners. The solution supports all data formats and standards, including NCPDP, HL7, CDA, FHIR, XML and data sources outside of healthcare, making it flexible and adaptable to handle a wide range of integration requirements. The solution is fast, scalable, repeatable, affordable and enables users to better leverage the use of X12 EDI data in delivering quality healthcare and simplifying its administration.


The PilotFish eiConsole for X12 EDI solution makes exchanging EDI documents with trading partners more straightforward than ever before by utilizing a graphical automated process for interface configuration, validation, testing and data mapping. PilotFish offers a comprehensive suite of integration solutions for HIPAA X12 EDI and supply chain industries.

PilotFish clients include Data Analytics companies, Revenue Cycle and Recovery Providers, Insurance Payers, Third-Party Administrators (TPAs), Clearinghouses, Health Information Exchanges (HIEs), Pharmacies, Pharmacy and Employee Benefit Managers (PBMs) and others. PilotFish, as a licensed distribution partner of X12, offers users a comprehensive solution as it can redistribute artifacts of the X12 standard as a component of the eiConsole for X12 EDI transactions. PilotFish also offers External Code Set Maintenance on over 49 codes sets (e.g. CPT, ICD-10, MUE) a convenient option.

 

EDI 837 & EDI 835 Workflow Example for Healthcare Provider and Payer or Benefits Provider

EDI Workflow Example of Clearinghouse Utilizing PilotFish Integration Platform

 

Pilotfish offers EDI users a unique value proposition compared to other products like ECMap, Edifecs, MuleSoft and Tibco – with several key differences:

ECMap is a comprehensive EDI mapping and translation software that offers advanced features for complex EDI data integration. However, ECMap requires a great deal of technical expertise and is not as user-friendly as PilotFish’s solution. PilotFish’s Graphical Automated Interface Assembly Line and visual point, click, drag & drop Data Mapper make EDI interface configuration easy and intuitive, with up to 90% of configurations being possible by non-technical staff. ECMap is no longer supported. PilotFish offers an ideal alternative for ECMap users. See ECMap vs PilotFish for a more detailed comparison. 

EDI One Source offers a cloud-based EDI solution that is designed for small and mid-sized businesses. However, EDI One Source may not offer the same functionality as PilotFish’s solution, particularly regarding healthcare-specific requirements and the ability to handle large X12 transactions through parallelized batch processing.

Edifecs is a comprehensive healthcare-specific EDI solution offering advanced complex data integration features. PilotFish’s solution is more affordable and user-friendly, allowing for faster EDI interface creation with fewer steps. However, Edifecs is more expensive than PilotFish’s solution and may require more technical expertise.

PilotFish’s solution for EDI is specifically designed for healthcare and HIPAA, and it offers a unified and automated approach to X12 EDI transaction processing. PilotFish’s solution includes an EDI Format Builder, validation processor, data mapping tool and pre-built transformation maps for common use cases. PilotFish’s solution can also handle other data formats and standards, such as HL7, NCPDP, CDA, FHIR, XML and data sources outside of healthcare. The solution is user-friendly, affordable, and scalable, making it an ideal choice for healthcare solution providers in virtually every area of healthcare.

On the other hand, Mulesoft is a general-purpose integration platform that offers a wide range of integration tools and features, including support for EDI transactions. Mulesoft’s EDI capabilities are provided through connectors and APIs that can be used to connect to different EDI systems and exchange EDI documents. 

One key difference between the two solutions is their target audience. PilotFish’s solution for EDI is explicitly designed for healthcare and HIPAA, while Mulesoft is a general-purpose integration platform that can be used in any industry. Another difference is the approach to EDI handling. PilotFish’s solution offers a unified and automated approach to X12 EDI transaction processing, while Mulesoft provides connectors and APIs that allow users to connect to different EDI systems. See MuleSoft vs PilotFish for more detailed information.

Tibco offers a comprehensive integration platform that includes EDI capabilities. However, Tibco can be more complex and costly than PilotFish’s solution. PilotFish’s solution is more user-friendly, allowing for easier data mapping and transformation without requiring coding or scripting.

Download our Free 90-Day Trial today and perform a bake-off against any of these products to prove PilotFish’s superiority in terms of usability and productivity!

 

Streamlined Data Exchange and Integration Across the Healthcare Ecosystem

PilotFish provides a unified and automated approach to X12 EDI transaction processing that streamlines data exchange and integration across the entire healthcare delivery system. 

Healthcare solution providers in virtually every area of healthcare benefit immediately from PilotFish’s approach to X12 EDI transaction processing by utilizing these features: 

  • PilotFish includes an EDI Format Builder that loads a rich data dictionary for EDI transactions, including field-level documentation and friendly field names. This feature makes it much easier for users to understand and work with EDI data. 
  • PilotFish can parse any X12 transaction as XML and validate SNIP Types 1-7 with a built-in rules-driven EDI SNIP Validation Processor. This ensures that the data is accurate and meets the required standards. PilotFish’s base product, the eiConsole for X12 EDI includes support for SNIP Types 1-3 and the eiConsole for EDI SNIP4+ supports SNIP Types 4-7 as an optional add-on.
  • PilotFish allows users to browse and search the hierarchy of any X12 EDI message during data mapping, making it easier to map data to the specific requirements of the endpoint system. The graphical automated interface assembly line and visual point, click, drag & drop Data Mapper make EDI interface configuration easy and intuitive, with up to 90% of configurations being possible by non-technical staff.
  • PilotFish automatically converts any encountered compact-consistent code values into human-readable text, making it easier to read and understand the data.
  • PilotFish can produce any X12 transaction from a corresponding XML representation, allowing users to easily exchange EDI documents with their trading partners.
  • PilotFish can scale to interface large X12 transactions through parallelized batch processing, which speeds up the processing time and reduces the risk of errors.
  • PilotFish allows you to leverage support for handling both non-HIPAA and HIPAA 5010 transactions.

 

Faster EDI Interface Configuration with a User-Friendly IDE

PilotFish’s solution is user-friendly and offers a modern and streamlined IDE that allows for more rapid EDI interface creation with fewer steps than other solutions. The eiConsole for X12 EDI is the only solution needed to validate healthcare X12 EDI data, translate it and map it to or from any other application. 

The Graphical Automated Interface Assembly Line and visual point, click, drag & drop Data Mapper makes EDI interface configuration easy and intuitive. The most complex data mapping and data transformations can be accomplished in minutes, with no coding or scripting required. PilotFish’s reusability makes it easy to clone, tweak, test and go. Users can import vendor-specific transaction samples to create a baseline for mapping, which allows for more straightforward data mapping to the specific requirements of the endpoint system. Up to 90% of configurations can be done by non-technical staff, which saves time and allows higher-skilled resources to be deployed to other projects.

 

Support for Any Data Source, Not Just EDI Using One Methodology and Tool

PilotFish’s integration solutions are designed to be flexible and adaptable to handle a wide range of data formats and standards, not just EDI. This capability allows users to use one tool for all their integration needs, regardless of the data format or standard.

For example, PilotFish’s integration solutions support NCPDP, a data format used in the pharmacy industry. PilotFish can parse NCPDP transactions as XML, validate the data against predefined rules and transform the data to any other application or data source. PilotFish also offers pre-built transformation maps for common use cases, making it easier for users to get started with NCPDP integration.

In addition to NCPDP, PilotFish’s integration solutions support HL7, CDA, FHIR, XML, and data sources outside of healthcare. HL7 is a data format used in the healthcare industry to exchange patient information between different systems. PilotFish’s solution can parse HL7 transactions as XML, validate the data against predefined rules and transform the data to any other application or data source. CDA and FHIR are also healthcare-related data formats and PilotFish’s solution can similarly handle them.

PilotFish’s solution supports XML, a widely used data format for exchanging data between different systems. PilotFish’s solution can parse XML data, validate it against predefined rules and transform it into any other application or data source.

PilotFish’s integration solutions are designed to support any data format or standard, making it easier for users to integrate different systems and data sources. PilotFish’s solutions include pre-built transformation maps and validation rules for common use cases, making it easier for users to get started with integration.

Additionally, PilotFish’s solution is fast, scalable, repeatable and affordable, – which enables users across the industry to better leverage the use of X12 EDI data in delivering quality healthcare and simplifying its administration. The marriage of PilotFish’s best-of-breed data transformation and mapping components with X12 standards artifacts results in seamless and efficient X12 standards integration. PilotFish not only offers product licenses but also provides services for the expertise and experience to avoid healthcare EDI pitfalls and to solve integration challenges quickly.


Learn more about PilotFish’s EDI tools and resources by clicking on the following links: Building an X12 EDI Interface in 10 Easy Steps, X12 EDI Data MappingX12 EDI Healthcare and HIPAA Transactions and X12 EDI Healthcare Supply Chain Transactions.

Take advantage of PilotFish’s eiConsole for X12 EDI by downloading a full, FREE 90-Day Trial Version of our software. With the eiConsole X12 EDI Quick Start Tutorial, users can complete an end-to-end interface in less than 20 minutes and get a real sense of the ease-of-use of PilotFish’s Interface Engine solutions.

If you’re curious about the software features, free trial, or even a demo – we’re ready to answer any and all questions. Please call 813 864 8662 or click the button.

HL7 is the registered trademark of Health Level Seven International.
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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