Connect. Collaborate. Automate.
With Edifecs, health plans can more efficiently partner with providers in real time to create a more connected, efficient, and impactful experience across all markets and lines of business. Our technology makes it easier for payers to exchange and connect data, glean valuable insights that can inform operations, satisfy regulatory and member demands, and scale and grow their value-based care activity. With over a quarter century in healthcare, we understand how health plans work. Our solutions compliantly and efficiently support critical functions and activities, so our clients can focus on leading the way into the next generation of healthcare.
Solving Key Issues Together
Member Enrollment & Experience
Eligibility Claims & Account Management
Digitally Driven Collaboration
Value-Based Care Adoption
Payment Accuracy
Proven Health Plan Experience
Blues Plans
National Health Plans
State Medicaid Programs
Solutions for Health Plans
Find out how we can support your health plan’s performance.
