Harness the power of your healthcare data

Partnership solutions to power your reform initiatives

Small & Medium
Sized Payers

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

Smart Trading
for SMB

Harness fnancial, 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.

Serenity Now! How to streamline Medicaid enrollment

Rising enrollment numbers and IT costs add to the inherent complexity with Medicaid enrollment. Yet many Medicaid health plans (MCOs) approach enrollment with disjointed processes, lots of paper and manual touchpoints. It’s time to bring serenity to your enrollment operations! It’s time to take a streamlined, automated approach to Medicaid enrollment.


Join Edifecs for a complimentary webinar series where we’ll dig into the enrollment challenges MCOs face and how to overcome them using a real-world, actionable approach. If you’re ready to reduce your IT costs and complexity and stop revenue loss from attrition, this is a must attend.


Each webinar in the series begins at 1:30 PM EDT and runs for a calendar-friendly 30 minutes!

Meet Our Speakers:

Aaron Fulner

Sr. Director, Product Marketing


Anubha Singh

Associate Director, Product Management


Join us for our next complimentary webinar


1:30PM EDT

Your 3 Step Survival Guide for the RAPS-EDPS Transition

The ongoing RAPS to EDPS transition being endured by Medicare Advantage plans will continue for the foreseeable future. Which means that MAOs will have to continue to seek ways to effectively and efficiently submit, and reconcile, their encounter submissions while maintaining revenue integrity.


For most health plans, this is far easier said than done. Separate submission system plague many plans along with issues aligning responses to submissions and the challenge of keeping up with ever-changing regulations from CMS. If this sounds familiar, what you and your plan need is a simple, 3-step guide to survive and thrive in the RAPS to EDPS transition period.


Each webinar in the series begins at 1:00 PM EDT and runs for a calendar-friendly 30 minutes!

Meet Our Speakers:

Aaron Fulner

Sr. Director, Product Marketing


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‚Äôs 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.


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


Strategic Advisory

Get connected with our industry experts to
understand what they can do for you.



Get connected with our support engineers to
understand what they can do for you.