Empowering Intelligent Healthcare Transformation
For over 25 years, Edifecs has led the evolution of the healthcare data interchange process. Customers use our healthcare interoperability platform to unify, normalize and exchange disconnected clinical and financial data, allowing them to uncover the insights and intelligence required to drive an end-to-end alternative payment model ecosystem. This foundation enables us to provide purpose-built AI-powered solutions that accelerate value-based care adoption, optimize risk adjustment and payments, and overcome the complex, labor intensive prior authorization process.
Who We Serve
Integration. Collaboration. Interoperability.
Edifecs is the strategic partner that links payers and providers to empower collaboration and accelerate healthcare evolution.
How will Edifecs’ solutions benefit your organization?
Let’s take a look.
Proven Healthcare Leadership
Leading Health Plans, Providers, and Government Agencies
U.S. Lives Covered by Edifecs Clients
Opportunity Awaits. Are You Ready to Join the Healthcare Transformation?Connect With Us
Payers. Providers. Patients. Connected.
Edifecs’ interoperability platform and business applications help payers and providers innovate, collaborate, and ultimately deliver better care. It’s time to change the game.
News & Insights
NAACOS Fall 2023 Conference – September 20-22
Edifecs is proud to be sponsoring this year’s NAACOS Spring conference in Washington, D.C.
Edifecs Awarded for Global Sustainability
Sustainability Initiative of the Year award in Business Intelligence Group’s (BIG) 2023 Sustainability Awards
Strategies to Improve Financial Performance
In this eBook, we explore how health plans can achieve both cost reduction and revenue maximization.
3 Risk Adjustment Moves to Make Now Given Policy Changes and Compliance Scrutiny
In this webinar, hear the strategic adjustments industry experts recommend implementing now so you can be confident in your ability to sustain value-based care reimbursements compliantly and accurately as CMS continues to refine practices.
True Interoperability: The Key to Transforming Healthcare
Download this white paper from the 2023 Best in KLAS in CMS Payer Interoperability winner, Edifecs.
Webinar Recap: Healthcare Leaders Discuss Technology and Value-Based Care Acceleration
In this wide-ranging discussion, industry experts share their insights on how technology plays a pivotal role in successful VBC programming.