Why Edifecs?

Partnerships are the lifeblood of healthcare information flow. These connections are vital to enabling better care and better value. Edifecs, a trusted partner, powers these partnerships by streamlining information flow, scoring and tracking administrative and clinical interactions, and enabling near now insights to optimize care and control costs. We deliver a unified platform with the flexibility to pilot and scale initiatives using your existing enterprise system. That means despite forces that continue to change the landscape of healthcare, you can rely on Edifecs solutions and services to future-proof the value of all your initiatives.

  • Discover why hundreds of the nation’s leading healthcare organizations trust our IT solutions to help them confidently scale partnerships for improved value.

  • Information Exchange

    Initiating and scaling partnerships requires document exchange, data governance and end-to-end transparency. Tap our unified channel to meet all your exchange and integration needs. Drive down IT costs and bend the administrative cost curve as you scale partnerships and meet the demands of very large scale data interactions across your enterprise.

  • Process Automation

    Moving to value-based reimbursement requires adaption at the core of your enterprise. Initiate new care programs with confidence and operate with integrity across all your lines of business. Model and administer financial performance for shared savings program design. Identify risk and opportunity to improve scores. Manage multiple encounter reporting guidelines to support federal and state regulations.

  • Community Collaboration

    Improving the quality of care requires shared knowledge and clinical insight. Realize true partnerships with your care communities and accelerate innovation. Grow shared provider and member repositories and create actionable care plans. Drive continuous improvement and share best practices, near now insights and proactive notifications.

Our Customers

Our customers are our greatest asset. They inspire us to design and deliver solutions and services that create game-changing results for them and the millions of consumers they serve. Our focus is singular and united: Improve the value of
healthcare for everyone.

State Medicaid fee-for-service programs

Lives covered with Edifecs Solutions

Global customers

Blue Cross Blue Shield licensees