Edifecs
Empowering Intelligent Healthcare Transformation
For over 25 years, Edifecs has led the evolution of the healthcare data interchange process. Customers use our healthcare interoperability platform to unify, normalize and exchange disconnected clinical and financial data, allowing them to uncover the insights and intelligence required to drive an end-to-end alternative payment model ecosystem. This foundation enables us to provide purpose-built AI-powered solutions that accelerate value-based care adoption, optimize risk adjustment and payments, and overcome the complex, labor intensive prior authorization process.
Who We Serve
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.
Proven Healthcare Leadership
Years Experience
Leading Health Plans, Providers, and Government Agencies
U.S. Lives Covered by Edifecs Clients
Opportunity Awaits. Are You Ready to Join the Healthcare Transformation?
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
Separating Truth from Hype in Healthcare AI
Over the past year, we’ve seen a rapid expansion of potential use cases for AI, and everyone wants a piece of the action.
AI in Healthcare: Truth vs. Hype
Artificial intelligence will reshape the healthcare landscape—for better or worse, depending on how the technology is defined and applied
Risk Adjustment Clinical Suite: The Key to Value-Based Success
By delivering better satisfaction, better clinical outcomes, and better population health, value-based care can transform healthcare.
AI-Powered Risk Adjustment Coding Suite Explainer Video
To succeed in value-based care, health plans need to take advantage of every opportunity to maximize revenues and ensure complete, accurate payments.
NAACOS Spring
NAACOS conferences are the only events organized exclusively by ACOs with more than 70 percent of attendees employed by ACOs.
Cost Implications of Implementing Cloud Technology in Healthcare
We have talked about implementing cloud technology in healthcare a lot, but there are still a lot of gray areas, such as the cost implications. Will it increase or reduce healthcare costs? More importantly, if we are looking to switch from the traditional on-premises infrastructure, how do the costs compare? Both in where we are today and in the long run?