Back to Pilotfish Home

EDI X12 Case Studies

Case Studies


Benefit Enrollment & Claims Processing

Case Study - EDI 834 Integration

Strategic use of data and analytics by this leading third-party administrator (TPA) is critical to delivering value and innovation to its growing employer client base seeking new ways to manage rising healthcare costs and improve employee health. See how PilotFish’s Healthcare Integration Solutions and its eiConsole for EDI X12 provide a competitive edge. EDI 834 Integration >


Reporting & Analytics Integration

Case Study – Data Analytics & Reporting Integration

High performance delivered! With dominant position and market share in hospitals and practices throughout the United States, the client is focused on delivering a single source provider of financial, operational and quality metrics, coupled with proprietary, value-added analytical services. This massive big data integration challenge, a tough bake-off, and implementation proves the superiority of PilotFish Integration Engine Solutions. Delivering Higher-Quality Analytics in Less Time with Less Staff >


Revenue Cycle Management Solutions

Case Study – Revenue Cycle Management Solutions

The client is a well-established clinical laboratory billing and collection company serving companies nationwide. The organization offers cloud-based solutions which enable their client laboratories to maximize profitability through optimization of the revenue cycle and reimbursement process. The client has had (and continues to enjoy) significant commercial interest in its services. However, many of its critical business processes remained manual. This intense requirement on human resources threatened to put a cap on their growth, due to an inability to keep up with demand. Read on to learn how the client leveraged PilotFish to initiate automation. Achieving Claim Entry and Processing, End-to-End, in 7 minutes >


Payer Claims Clearinghouse Integration & HIE

Case Study – HIE / Claims Clearinghouse Integration

Legacy system hangover, stressed resources and impatient customers are a cry for moving to a modern architecture and integration solution. Learn how a Healthcare Claims Clearinghouse and HIE challenged its new integration solution to re-engineer and transition its claims processing architecture in record time with no disruption to existing connections or increase in resources. A small internal team armed with the new tools and PilotFish support met every challenge. With newfound agility, the organization has responded efficiently to growth and increased transaction volumes. Lean, Lightweight Healthcare Integration Leverage at Work >

This is a unique website which will require a more modern browser to work! Please upgrade today!