Fully managed Electronic Data Interchange for healthcare claims, pharmacy prescriptions, and B2B supply chain — connecting you to payers, partners, and platforms without building integrations from scratch.
Service Points operates EDI in production across three regulated, document-heavy domains. The same managed platform — configured for your transaction set, your trading partners, and your compliance requirements.
ANSI X12 and EDIFACT for purchase orders, advance ship notices, invoices, and remittance — the rails that keep field-service supply chains and distributor networks moving.
HIPAA X12 5010 transaction sets for US payer exchanges, plus Canadian provincial billing and Infoway interoperability. Real-time eligibility before the patient leaves the front desk.
NCPDP SCRIPT for electronic prescription routing and NCPDP D.0 for adjudicating claims with PBMs — bridged to PharmaNet (BC) and Infoway PrescribeIT for Canadian workflows.
Electronic Data Interchange is the structured exchange of business documents — purchase orders, invoices, healthcare claims, prescriptions, shipping notices — between organizations, in formats every conforming system can parse without human intervention. EDI has moved trillions of dollars of commerce annually for six decades and remains the backbone of healthcare payer networks, pharmacy benefit systems, and B2B supply chains in 2026.
Documents follow a strict standard — ANSI X12, EDIFACT, NCPDP, or HL7 — so any conforming system can read them. No proprietary APIs, no per-partner code.
AS2, SFTP, AS4, and modern API gateways move documents securely with non-repudiation, encryption, and signed receipts — audit-grade by default.
Documents trigger downstream workflows the instant they arrive — claims posted, orders picked, prescriptions filled — with no email, no phone calls, no rekeying.
HIPAA, PIPEDA, PHIPA, PCI-DSS, and SOX evidence is generated automatically by the EDI envelope — every transaction timestamped, signed, and traceable.
The standards endure; everything around them is being reinvented. Six shifts reshaping EDI right now — and what our clients ask us about most.
Large language models now auto-generate partner maps, suggest fixes for rejected transactions, and triage exceptions that used to sit in queues for days. New-partner onboarding has compressed from weeks to hours.
Modern partners want REST or GraphQL; legacy partners still send batch X12. The winning pattern is a single integration layer that speaks both — translating in real time so neither side has to change.
Nightly batches are giving way to event streams. Claims, orders, and shipping notices flow continuously, so partners react in seconds instead of next-day — critical for prior auth and just-in-time supply chains.
France (Sept 2026), Belgium (Jan 2026), Poland (Feb 2026), and Germany (phased through 2027) join Italy, Mexico, and India in mandating structured e-invoicing. PEPPOL is becoming the default cross-border rail.
HL7 FHIR is now standard for clinical data exchange — and CMS-0057 makes payer-side FHIR APIs mandatory for prior auth in 2027. But X12 still owns claims, eligibility, and remittance. The pragmatic stack runs both.
Traditional Value-Added Networks are being replaced by cloud iPaaS providers with consumption pricing, built-in observability, and self-service partner onboarding — cutting EDI infrastructure cost by 40–70%.
Most EDI platforms hand you a console and call it a day. We run the program — partner onboarding, daily monitoring, exception resolution, compliance evidence — so your team never has to learn an EDI dialect to get paid faster.
AI-assisted mapping plus a library of pre-built partner profiles for major Canadian and US payers, PBMs, distributors, and 3PLs.
EDI traffic, dispatch jobs, prescription queues, and claim lifecycles in the same dashboard — no bouncing between five vendor portals to chase one rejection.
HIPAA, PIPEDA, PHIPA, and SOC 2 evidence generated automatically. Audit packages on demand instead of three weeks of forensic spreadsheeting.
Connect to modern partners over REST and legacy partners over AS2 or SFTP — same platform, same monitoring, same exception workflow.
Rejected claims and failed transactions surface instantly with a suggested fix — not buried in a nightly error report.
BC PharmaNet, Alberta Netcare, Infoway PrescribeIT, provincial billing rails — we run the messy parts of Canadian healthcare EDI every day.
Numbers our clients report in the first two months of a managed-EDI engagement.
Book a 30-minute EDI assessment. Bring your top three trading partners and your nastiest rejection — we'll show you how it disappears.