Optum Claredi vs PilotFish

PilotFish vs Claredi. Which One Comes Out on Top?

Take a deep dive into how PilotFish compares to Optum Claredi (Intelligent EDI). Learn how PilotFish offers a superior solution and a far better value proposition.

A highly-rated modern solution, PilotFish offers much more robust validation.  PilotFish supports SNIP Types 1-7, with more built-in features and greater accuracy at every point than Claredi.  PilotFish offers users ease-of-use, a short learning curve and outstanding performance. Our value proposition is why we have X12 EDI clients in every area of the healthcare industry – Providers, Insurance Payers, TPAs, Clearinghouses, HIEs, EMR vendors, Pharmacies and Pharmacy Benefit Managers (PBMs), Data Analytics, Revenue Cycle and Recovery Providers, Solution Providers and others. 

10-Second Summary Proves PilotFish Superiority

  • In SNIP Types 1-3, rules are automatically derived directly from the implementation guide schema for a one-to-one match, ensuring syntax and standards consistency.
  • For SNIP Type 4, Claredi only validates a partial set of semantic rules. PilotFish validates a much more complete set of semantic rules as defined in the X12 implementation guides.
  • For SNIP Type 5, PilotFish validates against all external codes in the database, flags errors for remediation as well as regularly updates and maintains codes for you.
  • For SNIP Types 6-7, PilotFish offers the ability to customize codes to your own business type and needs. Claredi doesn’t offer this feature. 
  • PilotFish provides the ability to test every transaction sent or received to validate transaction compliance. Claredi can’t and doesn’t.

In short, PilotFish is the only solution that you’ll ever need to validate healthcare X12 EDI data.

SNIP Type 1-3 Validation
PilotFish SuiteOptum Claredi
Offers SNIP Type 1-3 Validation
YesNo
Automatically generate rules derived from the X12 implementation guide schema for a one-to-one match. (Enforces syntax consistency).
YesNo
SNIP Type 1-3 validations efficient enough to run for all inbound and outbound transactions
YesNo
Validation done on premise not requiring PHI to be sent to a 3rd party site for validation.
YesNo
SNIP Type 4 Validation
PilotFish SuiteOptum Claredi
Validates a very robust set of semantic (situational) rules defined in the implementation guides.
YesPartial
SNIP Type 5 Validation
PilotFish SuiteOptum Claredi
Offers SNIP Type 5 Validation
Yes
Partial
(sniff test only)
Has all external codes in database
YesNo
Checks for valid codes in database
YesNo
Regular code updates and maintenance
YesNo
Flags errors to report and address them
YesNo
SNIP Type 6-7 Validation
PilotFish SuiteOptum Claredi
Offers SNIP Type 6-7 Validation
Yes*No
Ability to customize codes to your own business type and needs
Yes*No

* PilotFish offers professional services to facilitate SNIP Types 6-7

Compliance
PilotFish SuiteOptum Claredi
HIPAA 5010 compliant
YesNo
HIPAA 7030 compliant (including future versions)
Under Development
No
(product withdrawn)
Testing
PilotFish SuiteOptum Claredi
Ability to test every transaction sent or received to validate transaction compliance
YesNo
Allows full file testing vs sample file testing
YesNo
Testing integrated with transformation
YesNo
Integration Support
PilotFish SuiteOptum Claredi
Integration Engine
YesNo
Supports X12 EDI formats as well as HL7, CDA, FHIR, NCPDP, JSON, XML, Flat Files, Delimited Files, XLS, PDF, Binary, DICOM, SQL
YesNo
Built-in transformation tool
YesNo
Inline end-to-end testing component
YesNo
Real-time Dashboard
YesNo
Architecture
PilotFish SuiteOptum Claredi
Utilizes industry standard methodology for processing transactions
Yes
(XML used for data conversion and W3C compliant XSLT for data manipulation)
No
Designed to be extensible
YesNo
Ability for use beyond EDI integration
YesNo
Deployment
PilotFish SuiteOptum Claredi
On Premise
YesNo
Cloud
YesYes
On-Demand
YesNo
Usability
PilotFish SuiteOptum Claredi
Graphical IDE (no coding required)
YesNo
Designed to allow BAs to do up to 80-90% of the work
YesNo
Provides ability to easily be customizable
YesNo

Leverage More Built-In Components, Features and Value with PilotFish

PilotFish can go beyond validation of X12 EDI transaction data to provide your organization with the functionality to transform and map it to or from any other application. You get a comprehensive validation and data integration solution for the same price.

Give us a call at 860 632 9900 or click the button to email us. Schedule a demo so we can walk you through how we can meet your needs for any use case or scenario. PilotFish will reduce your upfront investment, deliver more value and generate a higher ROI like we have done for 100s of users.

OPTUM® is a registered trademark of Optum, Inc. (Claredi Corporation was acquired by Optum in 2006.)
HL7 is the registered trademark of Health Level Seven International. 
X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.

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