Demystifying EDI Processing & Management
for Healthcare

At Tallan, we understand the challenges healthcare organizations face when it comes to managing EDI data. Providers and payers are under tremendous pressure as the population continues to grow and age. Healthcare organizations are feeling the pinch from every angle. Payers must manage the funding gaps and advance the care of members while the regulatory environment is constantly in motion. Providers continue to face intense regulatory demands and are challenged with maintaining service quality and improving revenue cycle effectiveness. At the center, these companies utilize rigid and inefficient electronic health record systems.




Slow EDI processing can result in penalties, requires significant manual workforce hours and high revenue cycle management cost.



State Medicaid and Medicare rules and compliance are hard to manage. HIPAA compliance and CAQH CORE certifications can be difficult to achieve.



Drawbacks include high costs per transaction with expensive setup fees, lack of visibility and long response times for changes and transaction onboarding.


No Transparency

EDI becomes a “black box” that provides very little transparency into processing, an inability to apply rules, and lack of manageability.



3rd party solutions, inadequate internal systems and clearinghouses significantly affect the bottom line total cost of ownership.


We’ve helped our customers overcome these challenges with a combination of a revolutionary technology and our profound healthcare experience. Tallan’s T-Connect HIPAA Accelerator is a suite of products focused on EDI management and processing that can quickly and easily onboard trading partners, enrich data provided by clearinghouses and other systems, turn ANSI EDI into readable PDF documents and provide rich data visualizations.


Light Speed

Process millions of enrollments, claims and other EDI transactions faster than any system or clearinghouse.



Implement SNIP levels 1 – 7 and obtain CORE CAQH compliance that avoid regulation and compliance penalties.



Take back ownership of your EDI as well as custom or standard rules for significant cost savings, quicker change management and rapid partner onboarding.



Visualize and understand the flow of your EDI processing with our executive dashboards, databases, analytics and operation portals.



Enjoy significant cost savings, avoid transaction volume pricing and expensive ongoing charges with Tallan’s fixed, one-time cost model.

Managed EDI Services

Tallan’s Caliber Health division offers proven T-Connect EDI solutions, scalable in the cloud and backed by our EDI Services and Integration Support team.

Managed Services is the cost-effective alternative to staffing development and support teams that are required to manage trading partner integrations. We handle the day-to-day EDI requirements from compliance to trading partners. We’ll have you up in running in days, not months with a solution that scales as your organization grows.


  • Translation of EDI to and from internal systems (X12, XML, CSV, etc.)
  • Management of trading partner communications, translation, testing, and rapid onboarding.
  • Dedicated support team handles questions and issues between your systems and partners.
  • Proactive monitoring and alerts to stop potential issues before affecting processes.


  • Speed to meeting new trading partner requirements
  • Endless scalability of the cloud
  • Reduced overhead of creating integrations for every trading partner
  • Ability to remain focused on your core business

T-Connect EDI Solutions helps healthcare organizations take ownership of the EDI management process, delivering the full range of X12 EDI Healthcare transactions.

834 Enrollment

High Throughput High Volume

OCR conversion of enrollment forms to EDI

835 Payment Advice

999 Acknowledgement

837 Claim/Encounter

Institutional, Professional, Dental

Validation (SNIP 1-7)

Automatic transmittal to Government Organizations

CMS1450/CMS1500 form rendering

Provider correlation lookup

Regulatory compliance enrichment

270/271 Eligibility Request/Response

276/277 Claims Status Request/Response

277CA Claims Acknowledgement

278 Authorization


With data ownership, you now have the ability to see and analyze your EDI data, and the flexibility to customize visualizations as your needs expand.



In making the switch to T-Connect, our clients have experienced such enhancements to their EDI processing and management that it’s hard not to get excited about it. Check out their stories in their own words and learn more about the customs solutions developed to meet their needs.

National Healthcare PPO EDI Client Story

National Healthcare PPO

A National Healthcare Preferred Provider Organization (PPO) turned to Tallan for help in migrating their existing claims management system, while gaining more transparency for their overall claims intake process. With EDI experience and a suite of products available, Tallan was able to provide the PPO the necessary tools to build an effective claims intake process with end-to-end visibility.

Read the full case study

Pennsylvania Healthcare System EDI Client Story

Pennsylvania Healthcare System

With the installation of new applications and systems to support their existing platforms, a Pennsylvania Healthcare System had numerous challenges when it came to their internal operations and data analysis. By leveraging the T-Connect HL7 Accelerator, Tallan implemented a trusted, reusable, and compliant enterprise platform designed to help the organization unlock data to improve patient care and achieve their business goals.

Read the full case study

Inland Empire Health Plan EDI Client Story

Inland Empire Health Plan

“With Tallan’s architectural guidance and ability to deliver technical solutions, IEHP is able to meet regulatory requirements, throughput, and our partner SLAs are assured. We expect our EDI administrative cost to be a third of what it once was.” – Arnold Allende, EDI Manager

Read the full case study

Healthcare Insights: Tech Talks

Learn more about this groundbreaking technology and experience T-Connect for Healthcare first hand with this informative, 30min, on-demand webinar!


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