Healthcare Partnerships. A New Approach.

Harness healthcare data into partnership solutions to power your reform initiatives

Admin. Simplification

A unified solution for digital health interoperability and mandate compliance across claims, clinical, pharma, and IoT data to reduce costs and risks

Smart Trading

Compliance

Revenue Growth

A single solution for multiple lines of businesses that mitigates revenue leakage, improves encounter submission accuracy, and optimizes enrollment intake processes.

Enrollment

Revenue Integrity

Value-Based Care

A complete solution to collaboratively design pay-for-value programs, administer contracts, model population health, and improve care coordination.

Population Payment Mgmt

Population Health

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.

Join us at

NPAG Conference

"Shifting Sands of EDI" with Smarter Pipes

September 18 – 21, 2016

Isle of Palms, SC

Over half of the blues plans are currently utilizing Edifecs solutions to achieve compliancy, automate claims processes, and reduce costs by effectively harnessing partner data.

Health plans are being challenged from all sides to make smarter decisions when faced with modernization. Learn what “Smarter Pipes” means and how our clients can leverage current investments to handle clinical data exchange. Find out how to get more and grow any value-based program.

Health Innovation Summit

The Consumer Imperative: Transforming Healthcare From the Outside In

National Association of ACOs

Advancing the future of ACOs

California Assoc. of Health Plans

The changing landscape of healthcare

Smarter Clinical Attachments Demo

Practical Approach to Integrated Clinical Attachments

Sergiu Rata, product manager and team, explains how we have extended the capabilities of Smart Trading product line to support a cost effective, end-to-end claims attachment solution that meets the current NCVHS attachments recommendation to HHS. This discussion and demonstration will focus on the functional and technical aspects of how to move forward with a clinical attachment project “now” without fearing standards or sweating complex system integrations.

Meet Our Speakers:

Sergiu Rata

Sr. Director, Product Management

Edifecs

John Kelly

Principal Business Advisor

Edifecs

Attachment Management

Product overview, key benefits and user functionality

Smarter Attachments

Case study and industry research for prioritizing clinical attachments

A grassroots effort - Video

Industry experts explain how to leverage an multi-vender model

XEngine Server
Certification

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.

New - XEngine Video Training refreshes your knowledge.

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

Meet Our Instructors:

Ken Macfarlane

Senior Technical Trainer

Edifecs University

Paul Jonusaitis

Director

Edifecs University

Certification

Become a SpecBuilder Certified Associate

Video Training

HD streaming video training

Live Virtual Training

Expert instructor-led sessions

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.