EDI and interoperability services
EDI is the least glamorous system in the estate and the one that stops the business first when it breaks. It should be monitored like production infrastructure, because that is what it is.
We build, migrate and operate EDI: trading-partner onboarding, HIPAA 5010 and X12 mapping, healthcare interoperability on HL7 and FHIR, secure transport, and the acknowledgement reconciliation that tells you a file actually arrived.
The sets we run in production
Healthcare data moves on a fixed vocabulary. These are the ones our integrations are built, tested and monitored against.
837
Claim submission — professional, institutional and dental.
835
Remittance advice and payment posting.
834
Benefit enrollment and maintenance.
270 / 271
Eligibility and benefit inquiry and response.
276 / 277
Claim status request and notification.
278
Prior authorization request and review.
999 / TA1
Functional acknowledgement, interchange ack and error handling.
820
Premium payment and payroll-deducted remittance.
And the ones that move goods
The same pipeline, the same monitoring, a different dictionary — retail, distribution and manufacturing partners.
850 / 860
Purchase order and purchase order change.
855 / 865
Order acknowledgement and change acknowledgement.
856
Advance ship notice, with pack structure and label data.
810 / 820
Invoice and payment remittance.
846 / 852
Inventory advice and product activity data.
940 / 945
Warehouse shipping order and shipping advice.
What comes with the integration
- Trading-partner and clearinghouse onboarding
- HIPAA 5010 compliant mapping and validation
- Acknowledgement reconciliation and chase-up
- Real-time eligibility and status checks
- Denial-reason and rejection analytics
- Secure AS2, SFTP and VAN transport
- HL7 v2, FHIR R4 and CCD / C-CDA interoperability
- Reprocessing and replay for failed interchanges
How a new trading partner goes live
Companion guide
Read their specification against your data, and record every deviation before writing a map.
Map and validate
Build the map, then validate at the syntax, HIPAA and business-rule levels separately.
Connectivity
Transport, certificates and credentials established and tested independently of the payload.
Parallel run
Live volume exchanged in test until acknowledgements and totals reconcile on both sides.
Production and watch
Cutover with alerting on volume, latency and acknowledgement gaps from the first interchange.
A file that left is not a file that arrived
The failure mode that costs the most is silence: a partner stops sending, or an interchange is rejected downstream, and nobody notices until a month-end number is wrong. So every flow we build reconciles what was sent against what was acknowledged, and alerts on the absence of traffic as loudly as on an error.
We also treat maps as code — versioned, reviewed and tested — because a companion guide changes, a plan year turns over, and the map that worked in January has to be provably the map running in July.
Where we have done this before
- View detailsEDI operations & partner onboardingPackaging9 min read
Keeping orders moving through EDI exception management and partner onboarding
A packaging manufacturer supplying national foodservice, packaging, facility-supply and industrial distributors through EDI
EDI automation handled most orders, but custom products, below-minimum quantities, unmapped items and integration failures left purchase orders stuck in error queues. We traced each exception to its owner, worked it through with the customer and internal teams, and brought new trading partners live on Boomi.
- Stuck purchase orders worked through to fulfillment
- Exceptions resolved with customers, not bounced back
- New trading partner certified and live on 850/855/856/810
- View detailsIntegration stabilization & recovery8 min read
Stabilizing a high-volume Boomi EDI integration and restoring ERP processing
An enterprise running business-critical EDI and ERP transaction flows on Boomi and NetSuite
Boomi executions that should have finished in minutes were running for 18–20+ hours, overlapping one another and starving the ERP of connections while invoices and bills piled up. We stabilised the platform, recovered the backlog in a controlled sequence and put monitoring in place to catch the next one early.
- Long-running and redundant executions removed
- Critical financial transactions recovered
- Proactive runtime and backlog monitoring
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