Empowering Customers to Transform Healthcare

For over 25 years, we have worked to perfect the patient data interchange process. Our interoperability platform unites your clinical and financial worlds in an end-to-end alternative payment model ecosystem, pulling together disconnected data to uncover valuable insights. The result is easier and more effective collaboration between payers and providers—and a more cohesive, efficient, and impactful experience for individuals and populations.

Who We Serve

Health Plans
Easily collaborate with providers, automate manual processes, lower costs, and drive incremental revenue with our interoperability platform and workflow solutions.
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Healthcare Providers
Easily embrace alternative payment models and reduce friction while supporting care delivery and patient outcomes with our interoperability platform and workflow solutions.
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Government Agencies
Apply innovative, modern technology to eliminate excessive administrative, maintenance, and compliance challenges while creating a more equitable care framework.
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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.

Explore Our Platform

Proven Healthcare Leadership

26+ Years Experience

Years Experience

Trusted By 300 Healthcare Companies

Leading Health Plans, Providers, and Government Agencies

292M Lives Covered

U.S. Lives Covered by Edifecs Clients

Opportunity Awaits. Are You Ready to Join the Healthcare Transformation?

Connect With Us

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

Video conference on laptop

WEDI Spring Conference

May 22-25, 2023

WEDI is proud to host “innovators and implementers” at its annual spring conference taking place virtually on Zoom for 2023.

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Miami, Florida skyline

RISE Value-Based Care Summit

June 21-22, 2023

We’re proud to be a bronze sponsor for this year’s RISE Value-Based Care Summit.

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Stevie Awards - 2023

Edifecs: The foundation of healthcare interoperability

Proud to be recognized for the value we add on top of our award-winning interoperability platform including helping our customers successfully adopt alternative payment models, confidently accept more risk, and catalyze value-based care collaboration across both payers and health systems.

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Edifecs Tops 2023 BEST IN KLAS for New CMS Payer Interoperability Category

Edifecs is the only vendor that provides a unified interoperability solution enabling the exchange of any kind of data between partners

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How Payers Can Thrive in a Post-Pandemic Economy, an Edifecs eBook

Learn how health plans are bracing to see the effects of growing inflation, rising interest rates, staffing shortages, and concerns of a looming recession on their financial performance

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Filing wall of medical records

Leveraging FHIR as Medicaid Public Health Emergency Unwinding Commences

Read our latest blog on how to capitalize on your interoperability investments to thrive during PHE unwinding

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