Resource Library

Achieving Complete, Accurate, and Compliant Documentation & Coding

Overcoming Challenges of Submitting Supplemental Benefits Encounter Data Webinar

Managing Consent in The Age of Interoperability

Optimizing Encounter Operations and Submissions

Point of Care Suspects Data Sheet | Edifecs

Supercharging Value-Based Care Growth

Supercharging Value-Based Program Growth with Edifecs

The Transformation Imperative Playbook

Overcoming the Regulatory and Technical Hurdles of Interoperability Webinar

Stoking the FHIR: Why Strategic Interoperability is the Key to Prior Authorization Compliance and Beyond

Growth Without Constraints: Reducing Risk & Improving Scalability with the Edifecs EDI Gateway

Choosing The Right AI Solution

Fueling Your FHIR: The Keys to Strategic, Complete, and Compliant Interoperability

Operational Efficiency eBook

A Working Approach to the Payer-to-Payer Provision in CMS-0057-F

Encounter Management Solution Brief

Prior Authorization, Consent, and FHIR...Oh My!

Prior Authorization: Payer, Provider, and Patient Impact

Concurrent Risk Adjustment Data Sheet

Data Exchange Gold Standard

Going Beyond Compliance with Edifecs’ FHIR® Gateway

Pragmatic, Responsible AI: Adopting Use-Case-Specific AI for Real ROI

Integrating FHIR & EDI: Creating Dual Strategies for Health Plan Success

Growing with Edifecs Enrollment Management

EDI Gateway Data Sheet

Post Visit Review Data Sheet

Behind the Scenes of a Payer Striving to Optimize Alternative Payment Arrangements

Consent Management Solution for California Plans

Consent Management Solution

CMS 0057-F Solution for States & Government Agencies

CMS 0057-F Solution

Edifecs Unified Gateway Platform

Encounter Submissions for All Managed Care Plans

Ensuring Accurate Data Submission for Supplemental Benefits

Practical Understanding of NLP in Risk Adjustment Technology Webinar | Edifecs

Elevate Value-Based Program Performance with Edifecs Value Insights

Adapting to a New Landscape with Edifecs Encounter Submissions

Risk Adjustment Clinical Suite: The Key to Value-Based Success

Flexibility and Control: Growing with Edifecs Enrollment Management

AI in Healthcare: Truth vs Hype

AI-Powered Risk Adjustment Coding Suite Explainer Video

Value-Based Care Contracting

Population Payment Management Solution Data Sheet

Blues Plan Enrollment Challenges Solution Brief

Edifecs EMR Link

Edifecs Chart Hub Data Sheet

Value-Based Care from Payers and Providers Podcast

Meaningful Applications for Healthcare AI Webinar

Improving Financial Performance Infographic

Population Payment Management for Value-Based Care Programs

Encounter Submissions for Medicare Advantage Organizations (MAOs)

Population Payment Management Solution Explainer Video

WEDI Webinar: 3 Risk Adjustment Moves to Make Now

Bridging the Gap: 3M & Edifecs Collaborating to Optimize Episode of Care Programs & Payments

Risk Adjustment for Providers Guide

Strategies to Improve Financial Performance eBook

Natural Language Processing in Healthcare: The Clinical and Financial Opportunity of Suspecting

Natural Language Processing in Healthcare: Characteristics, Strengths, and Misconceptions

Health System Risk Adjustment Data Sheet

Retrospective Review for Payers Data Sheet

Webinar Recap: Healthcare Leaders Discuss Technology and Value-Based Care Acceleration

Encounter Submissions for ACA Marketplace Health Plans

How Do You Identify High-Performing Value-Based Care Providers?

What Is Your Value-Based Care Readiness?

Webinar Recap: Key Strategies to Protect & Expand Revenue Under Value-based Care

Assess and Accelerate Your Value-Based Care Readiness

True Interoperability: The Key to Transforming Healthcare

How Payers Can Contain Costs in Today’s Economic Landscape

XEngine Server

Automated Prior Authorization

Patient Cost Transparency Solution

Payer to Payer Data Exchange

Fully Automate Prior Authorization at the Point of Care

WEDI Spotlight: "Automated Prior Authorization in Real Time for Payers & Providers"

Staying Ahead of the Curve: National Risk Trends and Their Impact on Care Funding

Pulling Both Levers: A Four-Year Analysis of Medicare Cost and Risk Adjustment

Risk Optimization Toolkit

AI/NLP for Real-Time Prior Authorization for Payers & Providers

Webinar On-Demand: Medi-Cal Encounter Submissions Made Easy

Medicare Advantage Enrollment Challenges Demolished. No Hammer Required

Overcoming Marketplace Open Enrollment Challenges

One Plan's Secret to ACA Success

A San Francisco Health Plan Story About Encounter Compliance and Provider Reimbursement Accuracy

Edifecs Encounter Management for Management Services Organizations

Enrollment Management for Medicare Advantage

Solving for Texas Encounter Compliance

Streamlining Supplier EDI Onboarding

Are you ready for NY encounter submission changes

The DNA of CMS Encounter Submission Success

Population Payment Management Accelerate and Sustain Value-Based Program Success

Enrollment Management for ACA Exchange

FAQs about the CMS Interoperability & Patient Access Final Rule

Meeting Interoperability Requirements: The Healthcare Market’s Biggest Concerns

Breaking Down CMS’ Interoperability & Patient Access Final Rule

Encounter Platform Selection Success The Definitive Guide

Optimized Medicaid ACO Enrollment in Massachusetts

Achieving Business Scalability with 99% Acceptance Rates

Medicare Advantage Encounter Management

Encounter Management for MCOs

One Enrollment Hub to Manage All Your Channels

Enrollment Management Hub

Enrollment Management for Managed Medicaid

Health Plan Enrollment Collaboration

Applying MITA Modularity Principals to EDI

A Health Plan’s Story: Optimized Operations and Improved Revenue Assurance Driven by an Enrollment

Simple Success Science: How One Health Plan Mastered Medicare Advantage Encounter Management

EDI Module for State Medicaid Agencies

Edifecs XProcess Management

SpecBuilder Data Exchange Challenge

Enrollment Management for Commercial Group

Medicaid Enrollment Management

Achieving Enrollment Excellence - A State-based Marketplace Story

Washington Health Benefit Exchange: Achieving Enrollment Excellence

5 Things You Should Know About Health Plan Member Enrollment

Payer Provider Collaboration with FHIR