Health data standards

Health data standards

Health data standards, expertise that gets results

The standardized exchange of data across clinical systems, plans, providers, and health agencies is key to enhancing quality of care, improving efficiency, and reducing overall costs.

Cognosante applies a deep understanding of data and transaction standards to high-volume data reconciliation and remediation programs, utilizing expert analysis of Electronic Data Interchange (EDI) transactions, secure data exchange, case management, and workflow analytics to correct errors. Our data standards expertise also allows us to architect and deliver Health Information Exchange (HIE) solutions that are built to standards and offer maximum efficacy, security, and scalability..

Health data standards, expertise that gets results

Cognosante’s team includes “industry-best” EDI experts with former chairs and co-chairs from X12, as well as former state, provider, and insurer employees with extensive experience navigating Marketplace and Medicaid data. We hold leadership roles in groups including the Workgroup for Electronic Data Interchange (WEDI), the Accredited Standards Committee X12, and Health Level Seven (HL7). Members of our team have been recognized for their volunteer contributions with honors such as the WEDI Distinguished Service Award and the WEDI Award of Merit.

Cognosante delivers:

  • EDI data reconciliation experience with Marketplace and 834 data
  • Architecture and modification of systems to use EDI standards more effectively
  • Development of case management system and business process outsourcing (BPO) procedures, standard operating procedures (SOP), training, consumer and plan outreach center for 834 enrollment, 820 payment, and 1095 form data analysis correction

Resolution of more than a million health insurance marketplace consumer inquiries

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