Harness the power of your healthcare data

Partnership solutions to power your reform initiatives

Group Enrollment Optimization

Your Key to Revenue Integrity

The path to securing health plan revenue begins at the beginning…with the enrollment system. If a health plan cannot streamline the enrollment of their group / Medicaid members, then their revenue will ultimately suffer. And it’s not just current state revenue impacted. Health plans looking to scale, bring on new members or open new markets will also finds these initiatives negatively impacted.

So how do health plans overcome challenges such as multiple enrollment systems in use, non-standard formats and a lack of visibility both internally and externally? It requires a comprehensive enrollment management system to cut across internal silos, overcome current system limitations and ensure accurate plan revenue integrity. This is what Edifecs Enrollment Management has been purpose-designed to provide to both Medicaid and commercial plans.

Please join us for a complimentary webinar on Wednesday, April 25 at 1:00 PM EDT to learn more.

Meet Our Speakers:

Aaron Fulner

Sr. Director, Product Marketing


Robbi McClane

Product Architect




Join us for our next complimentary webinar

Encounter Management for SMB

Edifecs is excited to launch our SMB suite of products, including Smart Trading and Encounter Management for small and medium sized health plans. Now more than ever, growing health plans need nimble, efficient data integration and encounter management optimization.

Encounter Management for SMB enables Medicare Advantage and managed Medicaid health plans with accurate, complete and timely encounter data submissions. Delivered in a hosted, multi-tenant environment to reduce IT TCO, Edifecs Encounter Management for SMB provides enhanced SLA tracking and adherence as well as support for multiple standard formats. Exception workflows and lifecycle management enhance revenue integrity.

To learn more about Encounter Management for SMB, please join us on May 8 at 1:00 PM EDT for a complimentary webinar. .

Meet Our Speakers:

Aaron Fulner

Sr. Director, Product Marketing


Hitesh Kurani

Director, Solution Consulting




Join us for our next complimentary webinar

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.

Tsunami of Healthcare Data

Requires Smart Trading

Edifecs Trading Solutions enable healthcare organizations to trade efficiently, assure compliance, correlate clinical and administrative data and deliver real-time visibility of partner exchanges.

Healthcare data exchange is growing exponentially
Post-reform initiatives create waves of data that must be consumed and cleansed to power Value-Based programs.

XEngine Server

Live Virtual and Video Training

Edifecs University announces the XEngine Certified Associate Program. Get trained then get certified on your XEngine expertise. Test from anywhere using our web-based platform. An XEngine Virtual Class with hands-on labs is excellent preparation for the test.


XEngine Video Training refreshes your knowledge.

*We do not recommend video training to fully prepare for the larger scope of the XEngine certification examination.

Meet Our Instructors:

ken Macfarlane

Ken MacFarlane

Senior Technical Trainer

Edifecs University

Paul Jonusaitis

Paul Jonusaitis


Edifecs University

Mayank Pathak

Mayank Pathak

Training Manager

Edifecs University

  • 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.


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