Offering innovative and distinctive healthcare IT solutions

Increase quality. Shorten time to market. Reduce medical and operating costs. Ensure compliance.

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Edifecs International

We’ll help you experience the same results as our US customers—through distinctive, highly configurable solutions that help you implement new standards for healthcare data interchange, automatically test your application landscape, implement mass enrollment and operationalize value-based healthcare.

Our global mission is your local mission: Improve the value of healthcare for everyone

Governments, health insurers and healthcare providers across the globe can provide better health outcomes in a more affordable way to large populations of people using the power of Edifecs’ health insurance and healthcare applications—all based on existing flows of healthcare data interchange.

Value Propositions

Edifecs solutions offer our customers the industry-unique advantage of business applications that are pre-integrated with existing flows of healthcare data interchange. This applies to administrative data—such as claims and enrollment transactions—as well as clinical and quality-related data.

Configurable healthcare data interchange

Significantly increase the quality and reduce the time needed to implement new standards for healthcare data interchange.

  • Reduce costs related to transaction-processing by configuring as opposed to coding
  • Increase visibility—such as an audit trail and the tracking and tracing of all transactions
  • Reduce administration costs due to less manual intervention on rejected healthcare transactions

Enterprise testing and compliance

Reduce your costs using Edifecs productivity tools for test data creation, test data maintenance, automated comparison of test outcomes and automated generation of test documentation.

  • Experience advanced functionality for creating large reusable test data sets covering representative individual payer-specific scenarios
  • Reduce the testing time of major application releases and patches, and annual changes in benefits and provider contracts
  • Improve quality through automated regression testing using high test coverage and automated high volume testing
  • Prove compliance using a full test execution audit trail and automated creation of test documentation

Mass enrollment

Reduce IT costs by providing an off-the-shelf architecture for enrollment across multiple channels including health insurance exchanges, websites, mobile apps, offline enrollment systems, agents and more.

  • Minimize time to market for the introduction of new, high volume enrollment channels
  • Improve auto adjudication rates for enrollment transactions and reduce the manual processing of rejected transactions
  • Configure processing for both complete and incomplete transactions and get support for a full file comparison with associated workflow
  • Provide full visibility, tracking and tracing, and an audit trail of all enrollment transactions

Value-based healthcare

Improve health outcomes while you reduce medical costs through a cloud-based collaboration application.

  • Support a program for value based healthcare by designing a clear scope in terms of type of healthcare, population, quality metrics and financial agreements
  • Share best practices with libraries of program parameters such as quality metrics (health outcomes and process indicators) and realistic goals for shared savings 
  • Allow for low cost and low risk experimentation with shared saving programs: no changes in existing financing flows and no changes in existing core applications
  • Improve healthcare provider experience with automated administrative monitoring, including full auditability and visibility

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Edifecs Netherlands BV Nevelgaarde 403436 ZZ Nieuwegein The Netherlands