Professional Services & Expert Consultation
Expert guidance for healthcare EDI, FHIR transformation, and CMS compliance. Our consultation services empower your organization through complex data transformation projects with end-to-end support.
🎯 CMS 2026 Compliance Deadline Approaching
Our FHIR consultation services help you meet the January 1, 2026 CMS-0057-F mandate for FHIR-based prior authorization. From assessment to go-live, we guide you through every step of compliance.
FHIR Transformation & CMS Compliance Services
Comprehensive consulting for healthcare organizations transitioning to FHIR R4 and meeting CMS regulatory requirements.
CMS 0057-F Compliance Consulting
- Assessment of current 278 Prior Authorization infrastructure
- Gap analysis for CMS mandate compliance
- Roadmap development for Jan 1, 2026 deadline
- Da Vinci PAS v2.1 implementation guidance
- Testing and validation support
- Go-live assistance and monitoring
FHIR Conversion Implementation
- HIPAA X12 to FHIR deployment and configuration
- HL7 v2.x to FHIR migration planning
- CDA to FHIR transformation setup
- Custom field mapping for organization-specific requirements
- REST API integration assistance
- Performance tuning and optimization
Custom FHIR Mapping Services
- Beyond the 85-90% foundation to 100% coverage
- Organization-specific business rules implementation
- Custom FHIR resource extensions
- Proprietary data element mapping
- Complex clinical workflow support
- Validation rule customization
FHIR Training & Education
- FHIR R4 fundamentals for technical teams
- Da Vinci Implementation Guide training
- Prior Authorization workflow training
- API integration best practices
- Testing and validation techniques
- Troubleshooting and debugging workshops
RMap to FHIR Bridge Solutions
- Assessment for organizations without HIPAA 278 infrastructure
- RMap CSV schema design for Prior Authorization
- Migration planning: RMap → 278 X12 → FHIR
- Training on RMap format usage
- Interim solution deployment
- Transition roadmap to full 278 compliance
Ongoing Support & Maintenance
- Production support for FHIR converters
- Updates for new FHIR versions and profiles
- Updates for new Da Vinci IG versions
- Regulatory compliance updates
- Performance monitoring and optimization
- 24/7 enterprise support options available
Our Approach to Project Success
We take a structured approach to every project, combining deep industry expertise with meticulous planning and execution:
Identify Project Goals
Collaboratively identify every task required to meet your specific project objectives
Detailed Technical Planning
Deliver a comprehensive plan outlining resources, effort estimates, and timelines
Resource Management
Expertly assemble and manage resources from Redix, your team, and partners
Dedicated Support
Handle every data translation and regulatory challenge with immediate compliance
Traditional EDI Consultation Services
Expert consultation for HIPAA X12, HL7 v2.x, and other healthcare EDI standards.
Custom Mapping and Translation
Our highly skilled technical team excels in EDI mapping and translation. We design, build, and rigorously test each map—whether onsite or remotely—to meet your strictest deadlines.
Supported Standards:
- HIPAA 5010
- ANSI X12
- UN/EDIFACT
- HL7 v2.x
- FHIR R4 NEW
- NCPDP
- UB-04
- CMS-1500
- XML
- Custom flat files
HIPAA Infrastructure Design
Achieve robust HIPAA compliance with our expert infrastructure design services. We build complete systems, including secure database schemas tailored for critical HIPAA EDI transaction sets.
Transaction Sets:
- 837: Claims (Institutional, Professional, Dental)
- 835: Claim Payment/Remittance Advice
- 834: Benefit Enrollment & Maintenance
- 270/271: Eligibility Inquiry/Response
- 276/277: Claim Status Request/Response
- 278: Prior Authorization (with FHIR support) NEW
System Integration
Our expertise extends to seamless system integration. We develop robust frameworks and adapters that effortlessly embed E-Commerce, EDI, and FHIR data into your existing applications. This ensures your organization fully realizes the benefits of automation and achieves efficient data exchange across all healthcare standards.
Service Packages
| Package | FHIR Services Included | Traditional EDI Services | Best For |
|---|---|---|---|
| DIY Foundation | • Documentation • Sample FHIR files • Community support • Getting started guides |
• Mapping documentation • Sample EDI files • Configuration guides • Email support |
Organizations with in-house FHIR/EDI expertise |
| Professional Services | • Implementation support • Custom FHIR mapping (to 100%) • Testing assistance • Da Vinci PAS setup • 5 days onsite/remote consulting |
• Custom EDI mapping • Database schema design • Integration assistance • 5 days consulting |
Standard FHIR/EDI deployments with customization |
| CMS Compliance Package | • Full 278 implementation • Da Vinci PAS v2.1 setup • Gap analysis & roadmap • Testing & validation • Go-live support • 10 days consulting |
• HIPAA 278 infrastructure • X12 mapping • Database design • Integration services |
Organizations preparing for CMS Jan 1, 2026 mandate |
| Enterprise Package | • Turnkey FHIR solution • 100% custom mapping • Complete Da Vinci implementation • Training (3 sessions) • 24/7 support (1 year) • Unlimited consulting hours |
• Complete EDI infrastructure • Custom development • Full integration • Training programs • Ongoing support |
Complex FHIR/EDI environments requiring comprehensive solutions |
Why Choose Redix Professional Services?
30 Years of Expertise
Three decades of proven success in healthcare EDI and data transformation
CMS Compliance Ready
Proven experience with CMS mandates and regulatory requirements
Complete Solutions
From FHIR to traditional EDI—we cover all healthcare data standards
Flexible Engagement
Onsite, remote, or hybrid consulting—whatever works for your team
Rapid Implementation
Get to production faster with our proven methodologies and frameworks
Partnership Approach
We work as an extension of your team, not just a vendor
Ready to Streamline Your Healthcare Data Operations?
Contact Redix for a personalized consultation. Whether you're preparing for CMS compliance or modernizing your EDI infrastructure, our experts are here to help.