Insights
Edifecs Unveils Solution to Automate Prior Authorization at the Point of Care
Leveraging AI and NLP from recent acquisitions, and FHIR standards, Edifecs solves the prior authorization challenge for Payers and Providers
Learn More ❯Edifecs Featured in KLAS Payer Interoperability Brief
The product's configuration capabilities can easily fit clients' needs while being seamlessly integrated into existing back-end systems and workflows.
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Edifecs Learns from 43, and counting, Patient Access Implementations
Industry expert, Maxim Abramsky, discusses challenges health plans faced during their Interoperability & Patient Access implementations during this 7-minute podcast video.
Watch Now ❯Webinar On-Demand: Medi-Cal Encounter Submissions Made Easy
Watch this webinar to learn how Edifecs partners with plans to deliver a best-in-class California MCP encounter submission solution.
Watch Now ❯Should You Invest in Payer to Payer Interoperability?
During this 10-minute discussion, John and Navin offer their recommendations on whether health plans should continue to invest in payer to payer interoperability, what to consider in moving forward, and the impacts of becoming interoperable with other payers sooner rather than later.
Watch Now ❯Harness the Power of Your Healthcare Data
Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
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Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
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Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯
Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
Learn More ❯Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
Learn More ❯Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
Learn More ❯Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
Learn More ❯Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯