Clinical and EDI Clearinghouse

Improve operational efficiency with HIPAA-compliant EDI transaction sets and clinical outcome data exchange

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Lower costs, increase provider connectivity and improve clinical outcomes

As the industry continues to move forward with initiatives such as population health management and value-based reimbursement, access to quality data becomes even more critical. TransUnion’s EDI and clinical data solutions enable health plans to better understand and manage the health of their member population. We leverage our data connections to source both clinical and supplemental administrative data from laboratories, physician offices and various clinical databases, and then deliver the clinical outcome data to your ‘doorstep” in an actionable format.

As a national EDI clearinghouse, TransUnion has more than 20 years’ experience in EDI services that support all types of healthcare transactions.

  • High volume processing of HIPAA compliant ASC X12 transactions (270/271, 274, 276/277, 278, 835, 837P, 837I, 977/277U)

  • EDI 274 healthcare provider file processing

  • Health plan membership file hosting

  • One platform for processing encounters and claims data

  • A low cost solution—more cost-effective than doing it internally

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