Future-proof your risk adjustment and claims by bringing them together.
Veradigm Solves Electronic Data Interchange (EDI) Challenges Through a Single Connected Gateway
Veradigm Payerpath’s EDI Gateway incorporates decades of experience working with payers to deliver standard ANSI transactions tailored to payer-specific rules. We simplify EDI management by:
Compiling files from disparate systems into one standard file type though one streamlined connection point.
Editing and suggesting corrections to transaction providers BEFORE they reach the payer’s adjudication system.
Identify and hone in on data elements needed for new value-driven models.
Protect yourself from RADV audits.
Reduce provider troubleshooting call time and volume.
Learn more about our solutions and services or contact us.
Pulse8 is now Veradigm Payer Analytics
Former Pulse8 solutions are now part of the Veradigm Payer Analytics portfolio. In addition to delivering complete visibility into the efficacy of your Risk Adjustment, Quality Management, and Pharmacy programs through former Pulse8 solutions like Calcul8, Qualit8, and others, Veradigm offers a broad range of solutions to help Payers meet their goals for supporting high-quality, cost-effective patient care.
Babel Health is now part of Veradigm
Babel Health solutions are now part of Veradigm Payer Analytics, with enhanced Risk Adjustment (RA) submission workflow creating an end-to-end solution for regional health plans and payers. With Veradigm, Babel clients can receive enhanced support with the ability to leverage a truly end-to-end suite of products and solutions. From RA and Quality analytics and reporting, provider engagement tools, and comprehensive submissions solutions, Veradigm is positioned to support your goals now and in the future.
Evalytica is now Veradigm Real-World Evidence Analytics Platform
Evalytica platform is now part of the Veradigm Network and is known as Veradigm Real-World Evidence (RWE) Analytics Platform , a powerful self-service analytic platform. This transition allows for the advancement of our RWE Analytics technology, expansion of the platform and improvement of its capabilities, functionality, and reach.