Harness the power of your healthcare data

Partnership solutions to power your reform initiatives

Interoperability & the final rules

Everything you need to know

Whether it’s understanding the nuances of the CMS and ONC final rules, developing a roadmap to meet the deadlines, or implementing a solution, we’ve got you covered. As the leader in interoperability, Edifecs has the expertise to help you achieve compliance with the new mandates and unleash the power of secure, reliable electronic health data exchange.

Small & Medium
Sized Payers

Edifecs offers best in class Smart Trading and Encounter Management tailored specifically for small and medium size health plans.

Smart Trading
for SMB

Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation.

Encounter Management
for SMB

Streamline encounter management operations and improve first pass rates for managed Medicaid and Medicare Advantage through a hosted solution model.

Insights into the SMB Payer Market

In this white paper, we provide some much-needed insights into the growth, consolidation and competitive landscape of the small and medium sized health insurance market.

Government Agencies

Edifecs offers COTS based modular solutions to maximize data quality and drive payment reform initiatives.

Smart Trading
for SMB

Overcoming State Medicaid Agencies encounter challenges requires a comprehensive, purpose-built solution.

Value Based Purchasing

Standard and configurable templates drive easy adoption of state-specific definitions for the most common value-based programs..

EDI Modernization

All post-reform healthcare initiatives require a modular, out of the box, compliant data exchange solution.

What do you run?

What We Run

Women In Healthcare

While women are involved in over 80% of healthcare decisions, women are only 14% of the HIT c-suite.

Edifecs has partnered with Ryka shoes and joined forces with industry leaders to enact this culture shift. We are on a mission to elevate the visibility of today’s female healthcare leaders to inspire young women and girls in STEM. Follow us on twitter @WhatIRun and share more about your role in leading a business, a household, a department, or a scout troop with #WhatIRun to help raise awareness for the campaign.

  • Our Customers

    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 performance, while actually enhancing accuracy. We have moved light years ahead in service efficiency.
  • One State's Story, Seizing HIX Promise, Evading Pitfalls

    A small northeastern state already leads the nation. Among the first in the U.S. to establish guaranteed issue and charging forward with its own HIX.

Get connected today

If you have any questions, require assistance, need training, or just have general inquiries, we want to hear from you.


Get connected with our sales team to
understand what they can do for you.


Strategic Advisory

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understand what they can do for you.



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understand what they can do for you.