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Development of EDI-Integrated EHR System for Healthcare Efficiency
  1. case
  2. Development of EDI-Integrated EHR System for Healthcare Efficiency

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Development of EDI-Integrated EHR System for Healthcare Efficiency

eluminoustechnologies.com
Medical
Health & Fitness
Information technology

Current Operational Challenges

The clinic relies on manual and paper-based systems for patient data management, with fragmented processes for billing, scheduling, and EHR. This leads to poor data integration, limited interoperability with external providers/payers, and significant risks to data security and patient privacy.

About the Client

A healthcare provider seeking to modernize clinical processes through digital transformation

Strategic Goals

  • Reduce claim processing time by 50% through EDI integration
  • Decrease claim denials by 20% to increase revenue by 10%
  • Ensure HIPAA compliance to mitigate regulatory risks
  • Improve patient information accessibility by 50% for better care coordination

Core System Capabilities

  • EDI gateway supporting standards 270/275/276
  • Centralized electronic health records repository
  • API integrations with lab/pharmacy systems
  • Automated billing and scheduling workflows
  • Role-based access control for sensitive data

Technology Stack

AWS Cloud
OpenMRS framework
Python
MySQL

System Interoperability Needs

  • Laboratory Information Systems
  • Pharmacy Management Systems
  • Insurance Payer Systems

Operational Requirements

  • HIPAA-compliant data encryption
  • 99.9% system uptime SLA
  • Scalable architecture for 500+ concurrent users
  • Response time under 2 seconds for critical transactions

Expected Business Outcomes

Implementation will reduce administrative costs by 30%, increase revenue through faster claims processing, eliminate 80% of manual data entry errors, and establish a foundation for future telehealth expansion while maintaining full regulatory compliance.

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