EDI for Medical and Pharmaceutical Providers

DCS Understands Healthcare EDI

We can help with:

Medical Products Manufacturing	Pharmaceutical Providers	Healthcare Providers and HIPAA Compliance

Different methods of EDI are required for pharmaceutical providers, manufacturers of medical products, and providers, such as hospitals and clinics. While the underlying concepts are similar, the EDI documents are different.

• Manufacturers use EDI for the product order-to-payment cycle. These are the familiar INbound Purchase Order, OUTbound Shipment Notice, and OUTbound Invoice; plus other documents such as Chargebacks.
• Pharmaceutical companies also use EDI for the order-to-payment cycle. Yet they must follow stringent requirements related to Lot tracing, expiration, and other controls needed for the disbursement of drugs.
• Providers use EDI for eligibility, claims, and appeals with payers such as Blue Cross. Their EDI activity is stipulated by HIPAA.

DCS EDI  Experience Counts

Integration and development must honor your time proven processes and also produce cost savings and reliability.  During the past decade, the glory of XML and Internet has dimmed due to the time intensiveness of data definition.  This intensity has resulted in standardization so the time needed to launch is less.  The best solution can be a combination of automation for high volume documents such as orders and claims and a manual Web form for low volume documents such prices or locations.

To adapt, you must integrate carefully and economically.  Experience counts.  Integration and development must honor your time proven processes and yet offer cost savings for reliability and economy.  You cannot be isolated from all the changes; DCS EDI consultants can help. Your first step is to ask about our FREE Assessment.