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Text Content

 * What We Solve
   
   Healthcare Transformation
   Starts Here
   
   The Edifecs Healthcare Cloud and Smart Platform combination enables business
   and technology users to innovate and scale faster, collaborate with
   stakeholders, comply with evolving mandates, and manage performance.
   
   Learn More
    * Healthcare Interoperability Cloud
      
      Unified solutions to connect, orchestrate, enhance, and exchange clinical
      data
      
      >
      * EDI Gateway
      * FHIR Gateway>
        * Cloud Member App
        * CMS-0057-F
        * Payer to Payer Data Exchange
      * Smart Trading Platform>
        * Bi-Directional Data Exchange
        * Electronic Transactions
        * Integration Engine
        * Transaction Specifications
    * Healthcare Operations Cloud
      
      Comprehensive solutions to transform value-based care contracting,
      administration, and delivery
      
      >
      * Encounter Submissions
      * Enrollment Management>
        * ACA Marketplace
        * Group Enrollment
        * Managed Medicaid
        * Medicare Advantage
      * Prior Authorization
      * Risk Adjustment>
        * Clinical Suite
          * Pre-Visit Prep
          * Point of Care Advisor
          * Post-Visit Review
          * Retrospective Review
        * Coding Suite
          * Concurrent Risk Adjustment
          * Retrospective Review
      * Value-Based Payment & Insight>
        * Population Payment Management

 * Who We Serve
    * Health Plans
      >
      * EDI Gateway
      * Encounter Submissions
      * Enrollment Management
      * FHIR Gateway
      * Prior Authorization
      * Risk Adjustment Coding Suite
      * Smart Trading Platform
      * Value-Based Payment & Insight
    * Healthcare Providers
      >
      * Population Payment Management
      * Prior Authorization
      * Risk Adjustment Clinical Suite
    * Government Agencies
      >
      * EDI Gateway
      * FHIR Gateway
      * Smart Trading Platform
      * Value-Based Exchange
    * Other Industries
      >
      * Smart Trading Platform

 * Healthcare Technology
    * Edifecs Healthcare Cloud
    * Edifecs SaaS
    * AI Solutions
    * Security

 * News & Insights
   
   Integrating FHIR & EDI: Creating Dual Strategies for Health
   Plan Success
   
   Our experts explore how health plans can leverage existing capital
   investments to develop a comprehensive strategy that integrates FHIR's
   flexibility for real-time data access and interoperability.
   
   Watch Now
    * Blog
    * Events
    * Newsroom
    * Knowledge Center
    * Resource Library
    * Edifecs University

 * About Edifecs
    * Who We Are
    * Awards
    * Careers
    * Contact Us
    * India
    * Leadership
    * Sustainability

 * Contact Us

info@edifecs.com(425) 435-2000


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EDIFECS BLOG

Filter posts by categoryView All CategoriesConsumer ExperienceFinancial
OptimizationHealthcare DataInnovationOperational ExcellenceRegulatory
ComplianceValue Based Care

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By Edifecs | August 14, 2024
Embracing SaaS: Why Healthcare Organizations Should Transition from On-Premise
Solutions
2 min read
Explore how SaaS solutions in healthcare offer quick updates, enhanced security
and compliance, and reduced internal resource burdens.
By Edifecs | August 01, 2024
Three Important Updates Impacting ACA Compliance
5 min read
How the recent HHS/CMS updates will impact ACA compliance for health plans.
By Edifecs | July 09, 2024
The Rise of Value-Based Specialty Care
2 min read
Overcoming the challenges of expanding into value-based specialty care.
By Mayuresh Joshi | June 25, 2024
What to Look for in an Enrollment Management Solution
4 min read
The five attributes of an effective enrollment management solution.
By Edifecs | June 03, 2024
Three Ways Provider Organizations Can Use AI Right Now
4 min read
How provider organizations can meaningfully apply AI in healthcare to support
clinicians and patients
By Edifecs | June 01, 2024
What is your value-based care readiness?
2 min read
Learn how to assess your own preparedness for VBC arrangements with an
infographic that tracks several facets of organizational readiness and shows
you.
By Edifecs | April 02, 2024
RISE National 2024: What We Learned
3 min read
Insights and lessons learned from this year’s RISE National Conference.
By Edifecs | March 28, 2024
Edifecs Enrollment Management: Delivering Flexibility and Control
1 min read
Achieving scalability and flexibility with Edifecs Enrollment Management.
By Edifecs | February 29, 2024
Separating Truth from Hype in Healthcare AI
1 min read
How healthcare leaders can meaningfully apply AI solutions.
By Edifecs | February 15, 2024
Increasing Encounter Data Efficiency with Edifecs
1 min read
Learn how Edifecs helped a large health plan increase accuracy and efficiency of
CMS encounter data submissions in this case study. 
By Edifecs | January 26, 2024
Preparing for CMS-0057-F Interoperability and Prior Authorization Rule
3 min read
CMS-0057-F, the prior authorization and interoperability rule, is now final.
Edifecs explains what it means and what you need to do to comply.
By Edifecs | January 25, 2024
HIT Deployment Strategy: Adopting SaaS and Why Adaptability is Critical
4 min read
Blockbuster, Netflix, and the importance of embracing new technology.



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