Nava is excited to announce the launch of the Centers for Medicare & Medicaid Services’ (CMS) Technical Consolidation of the Electronic Data Interchange (TCEDI), a new application that changes how Medicare claims reach CMS’s systems.
Previously, claims were routed through one of seven Medicare Administrative Contractors (MACs), private companies running their own systems to process Medicare claims. TCEDI replaces those separate systems with one consolidated gateway, giving CMS better visibility into claims processing, eligibility inquiries and responses, remittance advice, and more, while saving millions of dollars year-over-year.
Nava is a public benefit corporation on a mission to make government services work better for the people they’re meant to serve. Since 2015, we’ve worked closely with CMS to help modernize how the agency serves millions of people, from improving Medicare care coordination to modernizing payment systems. We’re excited to expand on that long-standing trusted partnership with the rollout of TCEDI.
“Seven systems to one. That’s the shift Nava is proud to have helped CMS make in how Medicare processes claims for the MACs, health care providers, and trading partners who depend on this system every day,” said Rohan Bhobe, Nava’s Chief Executive Officer and co-founder. “This replacement gives CMS a more standardized and streamlined way to track claims from start to finish. It’s the kind of foundational work that keeps Medicare running for the millions of people who depend on it.”
This milestone builds on Nava’s over a decade-long partnership with CMS to modernize Medicare systems. Over the past decade, Nava has helped CMS update systems into cloud environments, enabling more people to enroll in health care coverage and saving the agency time and millions of dollars per year. We also support Care Compare, CMS’s website that enables Medicare beneficiaries to find and compare providers based on quality. Our work helps nearly 70 million Medicare beneficiaries access preventive care — something 50% of adults aged 65 years and older struggle to access.
