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.

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. .