HealthcarePilotFish 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 Suite | Optum Claredi |
| Offers SNIP Type 1-3 Validation | |
| Yes | No |
| Automatically generate rules derived from the X12 implementation guide schema for a one-to-one match. (Enforces syntax consistency). | |
| Yes | No |
| SNIP Type 1-3 validations efficient enough to run for all inbound and outbound transactions | |
| Yes | No |
| Validation done on premise not requiring PHI to be sent to a 3rd party site for validation. | |
| Yes | No |
| SNIP Type 4 Validation | |
| PilotFish Suite | Optum Claredi |
| Validates a very robust set of semantic (situational) rules defined in the implementation guides. | |
| Yes | Partial |
| SNIP Type 5 Validation | |
| PilotFish Suite | Optum Claredi |
| Offers SNIP Type 5 Validation | |
| Yes |
Partial
(sniff test only)
|
| Has all external codes in database | |
| Yes | No |
| Checks for valid codes in database | |
| Yes | No |
| Regular code updates and maintenance | |
| Yes | No |
| Flags errors to report and address them | |
| Yes | No |
| SNIP Type 6-7 Validation | |
| PilotFish Suite | Optum 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 Suite | Optum Claredi |
| HIPAA 5010 compliant | |
| Yes | No |
| HIPAA 7030 compliant (including future versions) | |
| Under Development |
No
(product withdrawn)
|
| Testing | |
| PilotFish Suite | Optum Claredi |
| Ability to test every transaction sent or received to validate transaction compliance | |
| Yes | No |
| Allows full file testing vs sample file testing | |
| Yes | No |
| Testing integrated with transformation | |
| Yes | No |
| Integration Support | |
| PilotFish Suite | Optum Claredi |
| Integration Engine | |
| Yes | No |
| Supports X12 EDI formats as well as HL7, CDA, FHIR, NCPDP, JSON, XML, Flat Files, Delimited Files, XLS, PDF, Binary, DICOM, SQL | |
| Yes | No |
| Built-in transformation tool | |
| Yes | No |
| Inline end-to-end testing component | |
| Yes | No |
| Real-time Dashboard | |
| Yes | No |
| Architecture | |
| PilotFish Suite | Optum 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 | |
| Yes | No |
| Ability for use beyond EDI integration | |
| Yes | No |
| Deployment | |
| PilotFish Suite | Optum Claredi |
| On Premise | |
| Yes | No |
| Cloud | |
| Yes | Yes |
| On-Demand | |
| Yes | No |
| Usability | |
| PilotFish Suite | Optum Claredi |
| Graphical IDE (no coding required) | |
| Yes | No |
| Designed to allow BAs to do up to 80-90% of the work | |
| Yes | No |
| Provides ability to easily be customizable | |
| Yes | No |
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.