VisibilEDI
VisibilEDI is a privately-held US healthcare technology company providing EDI transaction management, encounter data reporting, clearinghouse, and processing system services to healthcare payers. Founded in 2002 and based in Lake Oswego, Oregon, the company operates with 11-50 employees as a long-tenured niche clearinghouse provider.
- Company typePrivate
- Founded2002
- HeadquartersLake Oswego, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
VisibilEDI firmographics
Firmographics- Name
- VisibilEDI
- Website
- https://visibiledi.com
- Company type
- Private
- Founded year
- 2002
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- VisibilEDI is a privately-held US healthcare technology company providing EDI transaction management, encounter data reporting, clearinghouse, and processing system services to healthcare payers. Founded in 2002 and based in Lake Oswego, Oregon, the company operates with 11-50 employees as a long-tenured niche clearinghouse provider.
- Ownership category
- akta.pro rank
VisibilEDI industry classification
Industry- Product category
- Healthcare EDI / Claims Processing
- NAICS
- Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)
- SIC
- Hospital & Medical Service Plans (6324), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
- akta.pro secondary industries
- Healthcare Billing & Patient Payments Presentment (FSAMAJAH), Healthcare Payouts (Payers-to-Providers, Patient Refunds) (FSAMAKAK)
Keywords
Where VisibilEDI is headquartered
LocationHeadquarters
- HQ city
- Lake Oswego
- HQ country
- United States
- HQ region
- North America
Markets served
VisibilEDI business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Operations
VisibilEDI product offering
Product offeringCore offering
VisibilEDI provides healthcare Electronic Data Interchange (EDI) transaction management solutions, including encounter data reporting, clearinghouse services, and processing system services for healthcare payer organizations. The company's homepage is titled "Payer Connection," signaling its focus on connectivity and data exchange between healthcare payers and trading partners.
Differentiator
Problem solved
Functional benefit
Products and services
- Payer Connection
Companies that use VisibilEDI
Customer profileIdeal customer profiles1 record
VisibilEDI technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
VisibilEDI competitors and assessment
Company assessmentBroad incumbents
- Change Healthcare (Optum): Now part of Optum/UnitedHealth Group, Change Healthcare operates one of the largest healthcare clearinghouse and EDI networks. Comparable to VisibilEDI in core EDI and claim processing, but operates at vastly greater scale and with a broader RCM portfolio.
- Cotiviti: Payer-facing analytics and payment-integrity vendor that ingests and processes healthcare claims and encounter data at scale. Comparable to VisibilEDI in encounter data processing and payer-side data workflows, but with a much larger analytics footprint.
- Inovalon: Healthcare data and analytics platform serving payers and providers, with deep encounter data and quality reporting capabilities. Comparable to VisibilEDI in encounter data reporting and payer-side processing.
Direct peers
- Availity: Large healthcare clearinghouse and payer-provider data exchange platform. Directly comparable to VisibilEDI in EDI transaction management, encounter data reporting, and payer connectivity services.
- Waystar: Healthcare revenue cycle management platform that includes clearinghouse, claims, and payer connectivity functionality. Direct overlap with VisibilEDI's EDI/clearinghouse and claim processing services.
- Edifecs: Healthcare data interoperability and EDI management vendor serving payers and providers. Closely comparable to VisibilEDI on payer-provider data exchange, X12 transaction management, and compliance-driven EDI use cases.
- Trizetto (Cognizant): Cognizant's Trizetto division provides healthcare EDI transaction management, clearinghouse, and payer-side processing. Direct overlap with VisibilEDI in EDI infrastructure and encounter data workflows.
Emerging players
- HealthEdge: Payer-focused technology provider for claims processing, payment integrity, and member management. Overlaps with VisibilEDI in payer-side processing and encounter data workflows, though HealthEdge is more software-suite focused.
Others
- Experian Health: Broad healthcare data and RCM vendor offering clearinghouse and eligibility/claim services. Overlaps with VisibilEDI in EDI and payer connectivity, but is part of a much larger data and analytics portfolio.
- Epic: Dominant EHR vendor whose payer connectivity and claims-related functions are often a buyer of or competitor to payer-side EDI vendors. Relevant to VisibilEDI's payer-connection positioning, but operates primarily on the provider EHR side.
Market position
Customer concentration
VisibilEDI social profiles
Digital presenceVisibilEDI financial estimates
Financial estimateRevenue estimate
Valuation estimate
VisibilEDI leadership team
Management profileNumber of profiles
VisibilEDI funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
VisibilEDI M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about VisibilEDI
What does VisibilEDI do?
VisibilEDI provides healthcare Electronic Data Interchange (EDI) transaction management solutions, including encounter data reporting, clearinghouse services, and processing system services for healthcare payer organizations. The company's homepage is titled "Payer Connection," signaling its focus on connectivity and data exchange between healthcare payers and trading partners.
When was VisibilEDI founded?
VisibilEDI was founded in 2002. It employs 11 to 50 people.
Where is VisibilEDI based?
VisibilEDI is headquartered in Lake Oswego, United States, in the North America region.
Who are VisibilEDI's main competitors?
Broad incumbents on record are Change Healthcare (Optum), Cotiviti and Inovalon. Direct peers are Availity, Waystar, Edifecs and Trizetto (Cognizant). HealthEdge is listed as an emerging player. Others are Experian Health and Epic.
Does VisibilEDI have an API?
No public API is recorded for VisibilEDI.
What industry is VisibilEDI in?
VisibilEDI's product category is Healthcare EDI / Claims Processing. Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment), with a secondary code of FSAMAJAH, Healthcare Billing & Patient Payments Presentment. Its NAICS code is 522320 and its SIC code is 6324.