Case Study: a leading post-acute provider achieves automated remote care management with Cybage Health Interoperability Solutions

a leading post-acute provider processes 96K+ prior authorizations annually with Cybage

The client, a leading post-acute provider, needed to streamline its integration with new health plans and automate prior authorization transactions to optimize its remote care management. Cybage was engaged to develop health interoperability solutions to onboard health plans and configure secure, HIPAA-compliant EDI connections.

Cybage implemented a multi-tenant solution to process X12 EDI 278 transactions using ediFabric libraries, establishing robust inbound and outbound data pipelines. This resulted in five health plans being onboarded and the processing of approximately 96,000 electronic prior authorizations annually. The vendor's solution delivered a 30% performance improvement and achieved 100% automation in transaction exchange.