Develop AI agents to automate your workflows
Our AI Lab has developed 25+ AI Agents that help to automate various business workflows.
We integrate with various LLM models and our AI Lab services team can build AI Agents for your business needs in short time.
Hire Our EDI AI agents
Empower your healthcare operations with AI-driven EDI agents that validate, monitor, and auto-correct transactions in real time. Reduce manual effort, accelerate compliance, and gain instant insights into your EDI workflows.
Our AI Agent supports the full spectrum of SNIP levels from L1 (basic syntax and format checks) through L7 (business rule validations), ensuring your healthcare EDI transactions are compliant, accurate, and ready for seamless processing across all healthcare partners.
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EDI AI Agents
4. AI Agent for Claims validations
5. AI Agent for Claims Payments generation
6. AI Agent for Claims Status
7. AI Agent for Enrollments compare and posting
8. AI Agent for Prior Auth Approval Prediction
9. AI Agent for Eligibility and Benefits
10. AI Agent for EDI Trading partner setup
11. AI Agent for Claims File Operations
13. AI Agent for EDI Transactions Operations
14. AI Agent for File Management
15. AI Agent for EDI to FHIR Conversion
16. AI Agent for Outbound claims generation
17. AI Agent for Outbound enrollments generation
18. AI Agent for EOB Documentation generation
19. AI Agent for Claims Payment reconciliation
20. AI Agent for Provider support and chat
21. AI Agent for Validation rules management
22. AI Agent for Production EDI Management
What is EDIVal?
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Healthcare EDI platform for insurance companies
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Supports real-time & batch transactions (270/271, 276/277,837, 835, 834, 820, 278, 999, TA1, 277CA)
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Compatible with Medicare, Medicaid, State, Marketplace & commercial plans
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Offers SNIP L1–L7 validations, custom rules, audits, and AI corrections
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Integrates with QNXT, HealthEdge, Trizetto & EPIC
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AI-powered edits & operations – request our AI Agent demo
One Solution, Infinite Possibilities!
Claims Management
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837 I, P, D Inbound and outbound
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277CA, 999, TA
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Claims Validations L1-L7
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Claims Edits
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Claims ICD Codes
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Claims Status
CORE Eligibility
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270/271 CORE transaction
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Core Rules
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Eligibility API
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Utilization
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Integrated with QNXT, Facets, HealthRules
Membership Management
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834 Inbound and outbound
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Flat file to 834
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Enrollment reconcile
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Member check, PCP check
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Medicare, Medicaid
CORE Claims Status
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276/277 CORE transaction
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Integrated with CMS
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Core Rules
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Claims Status API
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Integrated with CMS FHIR
Prior Authorization
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278 Prior Auth real time and batch
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Manage prior auth queue
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Approve and Deny Prior auth
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Manage Attachments
Attachments
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837 I, P, D Inbound and outbound
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277CA, 999, TA
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Claims Validations L1-L7
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Claims Edits
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Claims ICD Codes
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Claims Status
Enable CMS Interoperability
Built on a Modern, Enterprise-Grade Stack
EDIVal leverages best-in-class technology to support real-time, high-volume EDI processing. With Boomi powering rapid integration into platform like Facets, HealthEdge, and Availity, and Neo4j enabling advanced graph-based validation for member, provider, and claims data, EDIVal deivers performance, scalability, and flexibility modern payers require.
What You Get!
EDI SNIP Validation
SNIP Level Validation L1-L7 and Custom Edits, L8-L9Rules Engine AI Smart Corrections
EDI Data Mapping
EDI solutions with API support and pre-built JSON mappings for QNXT, HealthEdge, TriZetto, and Epic.
EDI Data Repository
Store, manage, and access healthcare data with compliance using Nodes, Graph, and enabling easy retrieval of any data element or relationship.
Input Data Connectors
Connect and Convert Any Data. 50+ Connectors from API, SFTP, MLLP, XML, SOAP, EHRs, Epic, Salesforce and more.
EDI API Server
Enables seamless healthcare data exchange and interoperability.
EDI Data Security
Uses latest Oauth 2.0 authentication and follows the HIPAA compliance.
Healthcare EDI Platform with AI Agents
HiPaaS EDI AI Agents integrates with your existing EDI Platform - Custom or Edifecs
Simple Operations
Ask simple questions
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How many files loaded ?
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How many members?
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How many claims?
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What are errors? and more..
Less Analysis Needed
Triage with simple questions
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What are top errors?
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Triage error based on knowledge base
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Ask questions about data issues?
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Request to automatically create ticket
Insights in
Data
Ask simple questions
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How many adds, cancels, changes?
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Give me data about member?
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What is plan coverage ?
Case Studies
Ready to Help Your Company to Scale Faster?
Let's chat about how we can help.
Call us
Email us
Tel: +1 408-372-4313