Edifecs
Powering Intelligent Healthcare Transformation
Healthcare is evolving. So are we.
For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on our interoperability solutions to unify, normalize, and exchange clinical and financial data. As the healthcare industry has evolved, our solutions have evolved with it. Our cloud-native, AI-powered solutions are designed to help healthcare organizations thrive in value-based care.
Who We Serve
Payers. Providers. Patients. Connected.
Edifecs’ AI-infused platform and business applications help payers and providers innovate, collaborate, and ultimately deliver better care.
It's time to change the game.
Edifecs customers are creating a more connected healthcare industry using our Best in KLAS interoperability platform. We are helping them change the game by providing them the solutions to:
- Accelerate Value-based Payments
- Attain Complete, Accurate Care Funding
- Automate Prior Authorization
- Enable Interoperability and Collaboration
Learn how we can help you change the game.
Integration. Collaboration. Interoperability.
Edifecs is the strategic partner that links payer and providers to improve collaboration and accelerate healthcare evolution
How will Edifecs’ solutions benefit you?
Let’s take a look.
Proven Healthcare Leadership
Years Experience
Leading Health Plans, Providers, and Government Agencies
U.S. Lives Covered by Edifecs Clients
Opportunity awaits. Are you ready to join the healthcare transformation?
News & Insights
A Guide to Unlocking Operational Efficiency
Value-based payment models are growing in scope and complexity, demanding a greater investment of time and resources to manage processes like claims processing, performance measures, and plan configurations.
Embracing SaaS: Why Healthcare Organizations Should Transition from On-Premise Solutions
Explore how SaaS solutions in healthcare offer quick updates, enhanced security and compliance, and reduced internal resource burdens.
Integrating FHIR & EDI: Creating Dual Strategies for Health Plan Success
See how health plans can leverage existing capital investments to develop a comprehensive strategy that integrates FHIR’s flexibility for real-time data access and interoperability with existing EDI infrastructure.
Going Beyond Compliance with Edifecs’ FHIR® Gateway
See how Edifecs’ FHIR Gateway solution helped a health plan not only achieve compliance with CMS-9115-F, but allowed the plan to fully maximize the benefits of implementing FHIR APIs as well.
HEDIS® & Quality Improvement Summit
The HEDIS® & Quality Improvement Summit is the only conference dedicated to quality improvement and driving HEDIS® efforts.
A Working Approach to the Payer-to-Payer Provision in CMS-0057-F
In this WEDI presentation, Edifecs Product Manager Artem Sopin details a solution to support the Payer-to-Payer FHIR API provision of CMS-0057-F and support a more streamlined exchange of patient data between payers.