Empowering Intelligent Healthcare Transformation
For over 25 years, Edifecs has led the evolution of the healthcare data interchange process. Customers use our healthcare interoperability platform to unify, normalize and exchange disconnected clinical and financial data, allowing them to uncover the insights and intelligence required to drive an end-to-end alternative payment model ecosystem. This foundation enables us to provide purpose-built AI-powered solutions that accelerate value-based care adoption, optimize risk adjustment and payments, and overcome the complex, labor intensive prior authorization process.
Who We Serve
Integration. Collaboration. Interoperability.
Edifecs is the strategic partner that links payers and providers to empower collaboration and accelerate healthcare evolution.
How will Edifecs’ solutions benefit your organization?
Let’s take a look.
Proven Healthcare Leadership
Leading Health Plans, Providers, and Government Agencies
U.S. Lives Covered by Edifecs Clients
Opportunity Awaits. Are You Ready to Join the Healthcare Transformation?
Payers. Providers. Patients. Connected.
Edifecs’ interoperability platform and business applications help payers and providers innovate, collaborate, and ultimately deliver better care. It’s time to change the game.
News & Insights
Staying Informed About Regulatory Changes, Industry Standards, and Technological Advancements to make Informed Decisions
The world of healthcare is constantly changing – both in terms of our tools and inventions and in how we approach things and where our priorities are at.
Edifecs Tops Best in KLAS for CMS Payer Interoperability Category for the Second Year in a Row
Edifecs interoperability solutions enable compliance with CMS Interoperability and Prior Authorization Final Rule
Population Payment Management for Value-Based Care Programs
In this brochure, we provide an in-depth description of our value-based payment and insight solution to enable the development, monitoring, optimization, and reporting of value-based care programs.
Mandates Continue to Drive Healthcare Technology Advancements and Adoption
While telemedicine and digital health records have helped revolutionize health equity, person-centered care, and access, it is regulations in the healthcare space that are pushing forward the next generation of technology across the industry.
The Power of Data Interchange and Interoperability Edifecs
To succeed in value-based programs, health plans and providers need to fully understand the needs, risk factors, and costs of their members and patients.
What are the Cost Implications of Implementing Cloud Technology in Healthcare?
We have talked about implementing cloud technology in healthcare a lot, but there are still a lot of gray areas, such as the cost implications. Will it increase or reduce healthcare costs? More importantly, if we are looking to switch from the traditional on-premises infrastructure, how do the costs compare? Both in where we are today and in the long run?