Overview
Our customers are one of our greatest assets. They inspire us. They critique us. They lead us. Our focus on customer success has resulted in almost 100% customer retention rate over the past decade.
Edifecs customers use our software to help manage healthcare coverage for more than 200 million people in the United States. These customers represent the most important segments of the healthcare market:
- Blue Plans. 46 of the 64 Blue Plans use Edifecs software, covering 36 states
- Commercial Plans. 47 of the largest commercial plans in the US use Edifecs software to help manage over 82 million members, a 1/3 of country's population.
- Providers and IDNs. 71 provider organizations, including the largest IDN in the United States, use Edifecs software.
- Public sector. 60% of US Medicaid recipients are supported by our software, which is used by 31 of the 50 state Medicaid organizations.
“Edifecs demonstrated not just the technology, but the knowledge of our business needs that is a critical factor in selecting a technology partner.”
Julie Klapstein
CEO
Availity, LLC
“Over the past few years, we've laid the foundation for advanced data storage, expedited information processing and improved job precision. Edifecs Solutions have helped increasing speed, while actually enhancing accuracy. We have moved light years ahead in service efficiency.”
Kevin Sparks
Senior Vice President,
Internal Operations and Group Executive
BlueCross BlueShield of Kansas City
“We are very pleased with the solutions that Edifecs has provided to BCBSLA. We are experiencing improved HIPAA validation results and throughput. Edifecs is a leader in creating a pragmatic vision and delivering solutions to streamline and optimize unification of the front-end channel. We value our partnerships that continually drive innovation in the Healthcare market.”
Robert Drelick
Vice President, IT Application Services
BlueCross BlueShield of Louisiana
“As a CAQH CORE-authorized testing vendor, Edifecs continually demonstrates its commitment to understanding industry challenges and delivering multi-stakeholder solutions.”
Gwendolyn Lohse
Director
CORE
"Centene prides itself on unfailing service and flawless technology, and we expect the same of our technology partners. Edifecs has provided not only a high degree of industry expertise and superior technology, but also an amazing willingness to listen and work with us even before the contract was signed to ensure we had the optimum solution."
Keith Hibbard
VP of Information Technology
Centene Corporation
“After an extensive evaluation of three of the leading transaction validation products on the market, DDD found only Edifecs offered the flexibility and customer service necessary to meet the ever changing data reporting requirements of the managed care environment.”
Horace Clark
President
Diversified Data Design
“We are impressed with Edifecs' ability to get payers, providers, industry groups and other stakeholders together to discuss challenges facing the healthcare industry. These discussions will help Edifecs create innovative solutions that help solve the hard problems in our industry.”
Bill Swaney
Corporate EDI Manager
Emblem Health
"We have been exceptionally pleased with the performance of the Edifecs-Microsoft joint solution; it addresses our serious challenges with performance, product support, and 5010 transaction standards support in our existing systems,"
(Quote from news release)
Melvin Velez
Information Technology Director,
First Medical Health Plan
“We have been pleasantly surprised with the speed at which we were able to deploy Edifecs' XEngine and SpecBuilder at GatewayEDI. We are already seeing the benefits and look forward to broader deployment of Edifecs' solution within our organization. We are positive that this solution will help us save money and better serve the needs of our customers.”
Dave Cheli
CIO
GatewayEDI
“Edifecs knows that partnering with customers will produce great outcomes in thinking and products. They have deep knowledge of the healthcare domain and are diligent in their pursuit of great software. We are confident in Edifecs' ability to help us achieve our business objectives and are excited about our partnership.”
John Kelly
Senior Information Technology Consultant
Harvard Pilgrim
“MultiPlan has more than 300 trading partners and multiple EDI platforms as a result of merger activity. Effectively managing the testing activity and demonstrating mandate compliance across such a complex ecosystem would have been incredibly difficult, if not impossible, without Edifecs. It simplifies our partners’ workflow and provides unparalleled visibility into where each of them stand with their testing and compliance activities.”
Keith Bush,
Sr. Vice President and CIO, MultiPlan
“Edifecs XEngine gives us flexible and deep validation tools to allow for both HIPAA compliance as well as management of trading partner-specific edits. Together with MS BizTalk process orchestration, our data transformation and validation work together in a seamless and highly efficient manner.”
Sherry Rathburn
CIO
Payformance
“As a market leader, Edifecs' proven and differentiated products, technology and architecture made them a natural choice with PNC.”
Vincent Marzula
SVP, Healthcare Solutions/e-Commerce Product Group Manager
PNC
“Like most health plans, we face multiple government mandates, service level thresholds and cost containment pressures. Edifecs was a natural choice for us to not only solve near-term challenges such as HIPAA 5010 compliance and low first-pass rates, but also provide a superior solution for longer-term needs like streamlining membership and benefits administration and enhancing end-to-end visibility and reporting. With Edifecs, we have a partner that knows our business and provides the technology to support it.”
Cesar Rubert Colon
Vice President and CIO
Triple-s
“In selecting Edifecs Healthcare Accelerator Suite, we found the single solution to create value for our customers by aligning their IT and business objectives.”
Tim Skeen
CIO
Unisys Health, Information Management
“Using Edifecs products in our workflow will dramatically improve our business process around developing and managing HIPAA compliant data files. Together with our own award-winning technologies, Edifecs will help us support our objective to deliver robust workforce solutions to our customers.”
Daryl Ashley
SVP and General Manager of Outsourced Benefits Administration
Workscape, Inc.