Our Purpose

We’re driven … to cut healthcare costs, improve financial sustainability and increase the agility to innovate. Lofty? Yes. But so is our track record. We’ve already benefited over 250 of the nation’s leading healthcare organizations. Payers, providers and government entities say our singular approach to intelligence, process automation, and regulatory compliance produce real results they’re proud to claim.

Getting Value out of Intentions

Healthcare reform is rich with good intentions. But what good are intentions without tangible results?  The industry annually wastes $700 billion due to administrative inefficiencies, uncoordinated care and fraud & abuse. How do we reverse this calamitous trend, which all agree undermine the nation’s future?

Edifecs targets specific problems to deliver tangible solutions. We’ve created a roadmap to help customers identify where value resides across their operations. For example, these approaches can save a typical health plan over $160 million each year by:

  • Modernizing enrollment
  • Optimizing the claim processing lifecycle
  • Attaining ICD-10 compliance
  • Implementing effective shared savings programs
  • Efficiently connecting providers for electronic transactions
Personas: Enrollment Department, Claims Operations, Program Management, Government Programs

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The cost savings listed above and below are estimates based on potential savings. Cost savings estimates are calculated based upon potential savings for a health plan with 3 million members. Actual results will vary.

 

 

Floor Plan representing where the personas would be in the office

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Explore more, go to Our Approach »