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Disease and Coding Gap Closure
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Insights
Edifecs and VirtualHealth Partner to Automate Prior Authorization for Payers and Providers
Leveraging AI and NLP from recent acquisitions and FHIR® standards, Edifecs and VirtualHealth provide automated prior authorization in real-time
Read More ❯Edifecs and 3M Collaborate to Provide an Integrated Solution for Value-based Payment
Joint solution enables payer and provider collaboration to accelerate adoption of alternative payment models
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Edifecs Introduces Episodes of Care with Precision Risk Intelligence Capabilities
Within its value-based payment platform, offering supports modeling and contracting as well as the administration of bundled payment programs.
Read More ❯Harness the Power of Your Healthcare Data
Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
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Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
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Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯
Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
Learn More ❯Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
Learn More ❯Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯Healthcare Data Interoperability
The effective exchange of administrative and clinical data is foundational to core healthcare information processes, compliance, and value-based payment models. Easier said than done, unless you’ve been doing it for more than 25 years.
Learn More ❯Risk Adjustment
Costly. Complex. Manual. These are the descriptors for most risk adjustment solutions in the market today. And these are the problems Edifecs is addressing with a smarter, more comprehensive, and holistic approach.
Learn More ❯Value-Based Payment & Insight
Value-based payment initiatives have moved beyond isolated pilots for micro-segments of members and patients. It’s time for enterprise-wide, standardized and automated programs that unlock the full potential of alternative payment models.
Learn More ❯Enrollment Management
Variable file type ingestion, manual member data validation, and strict intake specifications line up against enrollment programs trying to modernize and centralize onboarding. Enrollment management excellence is achieved with established, proven transaction processing and intelligent enrollment data orchestration by Edifecs.
Learn More ❯