Healthcare Interoperability Cloud
JSON twin: https://www.healthaidb.com/software/healthcare-interoperability-cloud.json
Company Name
Edifecs
Product URL
https://www.edifecs.com/healthcare-interoperability-cloud/
Company URL
https://www.edifecs.com
Categories
Summary
Edifecs' Healthcare Interoperability Cloud is a data management and integration platform that enables seamless exchange of healthcare data, supporting compliance with interoperability mandates and enhancing digital health strategies.
Description
The Healthcare Interoperability Cloud combines Edifecs' EDI, FHIR, and Smart Trading platforms to facilitate secure and flexible data exchange across the healthcare ecosystem. It supports compliance with CMS-0057-F and CMS-9115-F mandates, offering solutions like EDI Gateway, FHIR Gateway, and Smart Trading to manage complexity, maximize efficiency, and improve member experiences. The platform is recognized for its role in advancing healthcare interoperability and has been rated Best in KLAS for CMS Payer Interoperability in 2023 and 2024.
Api Available
yes
Certifications
- FDA 510(k)
- CE/MDR
- ONC
- ISO 27001
- Best in KLAS: CMS Interoperability - 2024
- Best in KLAS: CMS Payer Interoperability - 2023
- Best in KLAS: CMS Payer Interoperability - 2024
Company Founding
1996
Company Offices
Compliance
- HIPAA
- CMS Interoperability Mandates (e.g., CMS-0057-F)
- HITECH
- SOC 2
- ISO 27001
- GDPR
Customers
Data Residency
US/EU regions
Data Standards
- FHIR
- HL7 v2
- X12/EDI
- NCPDP
- Da Vinci Implementation Guides
Deployment Model
Features
- EDI Gateway
- FHIR Gateway
- Smart Trading Platform
- Integration Engine
- Bi-directional Data Exchange
- Transaction Specifications
- Encounter Submissions
- Enrollment Management
- Member Consent Management
- Prior Authorization
- Risk Adjustment Clinical Suite
- Risk Adjustment Coding Suite
- Value-Based Payment & Insight
- Population Payment Management
- Cloud Member App
- CMS-0057-F Compliance
- AI-powered Analytics
- Automatic Deployment of Updates
Id
SW1265
Integration Partners
Integrations
- HealthEdge
- MuleSoft
- CAQH
- Sequoia Project
- WEDI
- Tibco
- NCPDP
- ASC X12
- Da Vinci Implementation Guides
- FHIR APIs
- Payer-to-Payer Data Exchange
- Provider Access API
- Prior Authorization API
- Provider Directory API
- MuleSoft Anypoint Platform
- HealthEdge HealthRules Payer Claims Adjudication System
Languages Supported
- English
- Spanish
- French
- German
- Italian
- Portuguese
- Dutch
- Russian
- Chinese
- Japanese
- Korean
- Arabic
- Hindi
- Bengali
- Punjabi
- Urdu
- Turkish
- Vietnamese
- Thai
- Polish
Last Updated
2025-10-11
License
commercial
Market Segment
Optional Modules
- FHIR APIs
- Payer-to-Payer Data Exchange
- Provider Access API
- Prior Authorization API
- Provider Directory API
Os Platforms
Pricing Details
Contact vendor for pricing information.
Pricing Model
subscription
Privacy Features
- BAA Available
- Consent Management
- Anonymization
- Data Minimization
Product Code
SW1265
Product Name
Healthcare Interoperability Cloud
Ratings
Regions Available
Related Urls
Release Year
1996
Security Features
- OAuth 2.0 Authentication
- SSO Support
- Audit Logging
- Encryption (in transit and at rest)
- 2FA
- DLP
Specialties
Support Channels
System Requirements
Target Users
- healthcare payers
- healthcare providers
- healthcare administrators
- IT professionals
- compliance officers
- data analysts
- healthcare developers
- healthcare strategists
- healthcare consultants
- healthcare executives
Training Options
Type
product
User Reviews
Version
1.0
Alternatives
See related products
Canonical JSON
{
"product_name": "Healthcare Interoperability Cloud",
"company_name": "Edifecs",
"product_url": "https://www.edifecs.com/healthcare-interoperability-cloud/",
"company_url": "https://www.edifecs.com",
"related_urls": [
"https://elion.health/products/edifecs"
],
"product_code": "SW1265",
"summary": "Edifecs' Healthcare Interoperability Cloud is a data management and integration platform that enables seamless exchange of healthcare data, supporting compliance with interoperability mandates and enhancing digital health strategies.",
"description": "The Healthcare Interoperability Cloud combines Edifecs' EDI, FHIR, and Smart Trading platforms to facilitate secure and flexible data exchange across the healthcare ecosystem. It supports compliance with CMS-0057-F and CMS-9115-F mandates, offering solutions like EDI Gateway, FHIR Gateway, and Smart Trading to manage complexity, maximize efficiency, and improve member experiences. The platform is recognized for its role in advancing healthcare interoperability and has been rated Best in KLAS for CMS Payer Interoperability in 2023 and 2024.",
"categories": [
"administrative Operations",
"clinical Care",
"patient Facing",
"data Integration",
"data Management",
"compliance Management",
"digital Health",
"healthcare Operations",
"health Data Analytics",
"Administrative",
"Clinical",
"Patient-facing",
"Interoperability",
"Data Management",
"Compliance",
"Digital Health",
"Healthcare Integration",
"Healthcare Operations",
"Healthcare Analytics"
],
"market_segment": [
"enterprise",
"smb"
],
"target_users": [
"healthcare payers",
"healthcare providers",
"healthcare administrators",
"IT professionals",
"compliance officers",
"data analysts",
"healthcare developers",
"healthcare strategists",
"healthcare consultants",
"healthcare executives"
],
"specialties": [
"Healthcare Interoperability",
"Data Integration",
"Compliance Solutions",
"Digital Health Transformation",
"Healthcare Data Management",
"Healthcare Analytics",
"Healthcare Operations",
"Healthcare It Infrastructure",
"Healthcare Cloud Solutions",
"Healthcare Data Exchange",
"Healthcare Api Solutions",
"Healthcare Data Security",
"Healthcare Data Governance",
"Healthcare Data Standards",
"Healthcare Workflow Automation",
"Healthcare System Integration",
"Healthcare Data Standardization",
"Healthcare Data Interoperability",
"Healthcare Data Compliance",
"Healthcare Data Privacy"
],
"regions_available": [
"United States",
"Canada",
"Europe",
"Asia",
"Australia",
"South America",
"Africa",
"Middle East",
"North America",
"Global"
],
"languages_supported": [
"English",
"Spanish",
"French",
"German",
"Italian",
"Portuguese",
"Dutch",
"Russian",
"Chinese",
"Japanese",
"Korean",
"Arabic",
"Hindi",
"Bengali",
"Punjabi",
"Urdu",
"Turkish",
"Vietnamese",
"Thai",
"Polish"
],
"pricing_model": "subscription",
"pricing_details": "Contact vendor for pricing information.",
"license": "commercial",
"company_offices": [
"United States",
"Canada",
"United Kingdom",
"Germany",
"India",
"China",
"Australia",
"Brazil",
"South Africa",
"Japan"
],
"company_founding": "1996",
"deployment_model": [
"SaaS",
"on_prem",
"hybrid"
],
"os_platforms": [
"Web"
],
"features": [
"EDI Gateway",
"FHIR Gateway",
"Smart Trading Platform",
"Integration Engine",
"Bi-directional Data Exchange",
"Transaction Specifications",
"Encounter Submissions",
"Enrollment Management",
"Member Consent Management",
"Prior Authorization",
"Risk Adjustment Clinical Suite",
"Risk Adjustment Coding Suite",
"Value-Based Payment & Insight",
"Population Payment Management",
"Cloud Member App",
"CMS-0057-F Compliance",
"AI-powered Analytics",
"Automatic Deployment of Updates"
],
"optional_modules": [
"FHIR APIs",
"Payer-to-Payer Data Exchange",
"Provider Access API",
"Prior Authorization API",
"Provider Directory API"
],
"integrations": [
"HealthEdge",
"MuleSoft",
"CAQH",
"Sequoia Project",
"WEDI",
"Tibco",
"NCPDP",
"ASC X12",
"Da Vinci Implementation Guides",
"FHIR APIs",
"Payer-to-Payer Data Exchange",
"Provider Access API",
"Prior Authorization API",
"Provider Directory API",
"MuleSoft Anypoint Platform",
"HealthEdge HealthRules Payer Claims Adjudication System"
],
"data_standards": [
"FHIR",
"HL7 v2",
"X12/EDI",
"NCPDP",
"Da Vinci Implementation Guides"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"CMS Interoperability Mandates (e.g., CMS-0057-F)",
"HITECH",
"SOC 2",
"ISO 27001",
"GDPR"
],
"certifications": [
"FDA 510(k)",
"CE/MDR",
"ONC",
"ISO 27001",
"Best in KLAS: CMS Interoperability - 2024",
"Best in KLAS: CMS Payer Interoperability - 2023",
"Best in KLAS: CMS Payer Interoperability - 2024"
],
"security_features": [
"OAuth 2.0 Authentication",
"SSO Support",
"Audit Logging",
"Encryption (in transit and at rest)",
"2FA",
"DLP"
],
"privacy_features": [
"BAA Available",
"Consent Management",
"Anonymization",
"Data Minimization"
],
"data_residency": "US/EU regions",
"customers": [],
"user_reviews": [],
"ratings": [],
"support_channels": [],
"training_options": [],
"release_year": "1996",
"integration_partners": [],
"id": "SW1265",
"slug": "healthcare-interoperability-cloud",
"type": "product",
"version": "1.0",
"last_updated": "2025-10-11",
"links_json": {
"self": "https://www.healthaidb.com/software/healthcare-interoperability-cloud.json"
}
}