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 * Careers
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 * Contact Us
 * Client Login

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 * PRODUCTS & SOLUTIONS
 * PRODUCTS & SOLUTIONS
   * Administrative Simplification
   * Smart Trading
   * Compliance
   * Revenue Growth
   * Value‑Based Care
   * Data Science

 * Admin. Simplification
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 * Adminstrative Simplifications
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 * Revenue Growth
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 * Encounter Management
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 * Value‑Based Care
 * Population Dimensions
 * Intervention Gateway
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 * Data Science
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 * SERVICES
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We build IT partnership solutions for a dynamic
healthcare ecosystem.
Privacy Policy Terms of Use



HARNESS THE POWER OF YOUR HEALTHCARE DATA


PARTNERSHIP SOLUTIONS TO POWER YOUR REFORM INITIATIVES




TALIX

Talix is now an Edifecs Company! Find out how a new Edifecs + Talix Risk
Adjustment solution with critical workflows and insight improves your efficiency
and collaboration with providers.

Learn More


ADMINISTRATIVE
SIMPLIFICATION

Enable interoperability, assure compliance, correlate clinical and
administrative data and deliver real-time visibility of each partner data
exchange.

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REVENUE GROWTH

Breakdown operational barriers to scale and drive strategic growth while
securing revenue streams.

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VALUE-BASED CARE

Unify your clinical and financial data to deliver better care at a lower cost.

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DATA SCIENCE

Edifecs Smart Decisions combines the fundamental building blocks required to
derive quantifiable value from healthcare data into a single solution approach

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INTEROPERABILITY & THE FINAL RULES


EVERYTHING YOU NEED TO KNOW


Whether it’s understanding the nuances of the CMS and ONC final rules,
developing a roadmap to meet the deadlines, or implementing a solution, we’ve
got you covered. As the leader in interoperability, Edifecs has the expertise to
help you achieve compliance with the new mandates and unleash the power of
secure, reliable electronic health data exchange.

Learn More




SMALL & MEDIUM
SIZED PAYERS


EDIFECS OFFERS BEST IN CLASS SMART TRADING AND ENCOUNTER MANAGEMENT TAILORED
SPECIFICALLY FOR SMALL AND MEDIUM SIZE HEALTH PLANS.

Learn More


SMART TRADING
FOR SMB

Harness financial, clinical, and administrative data to drive business
initiatives and enable administrative automation.

Learn More ›


ENCOUNTER MANAGEMENT
FOR SMB

Streamline encounter management operations and improve first pass rates for
managed Medicaid and Medicare Advantage through a hosted solution model.

Learn More ›


INSIGHTS INTO THE SMB PAYER MARKET

In this white paper, we provide some much-needed insights into the growth,
consolidation and competitive landscape of the small and medium sized health
insurance market.

Learn More ›


GOVERNMENT AGENCIES


EDIFECS OFFERS COTS BASED MODULAR SOLUTIONS TO MAXIMIZE DATA QUALITY AND DRIVE
PAYMENT REFORM INITIATIVES.

Learn More


SMART TRADING
FOR SMB

Overcoming State Medicaid Agencies encounter challenges requires a
comprehensive, purpose-built solution.

Learn More ›


VALUE BASED PURCHASING

Standard and configurable templates drive easy adoption of state-specific
definitions for the most common value-based programs..

Learn More ›


EDI MODERNIZATION

All post-reform healthcare initiatives require a modular, out of the box,
compliant data exchange solution.

Learn More ›

What do you run?


WHAT WE RUN


WOMEN IN HEALTHCARE

While women are involved in over 80% of healthcare decisions, women are only 14%
of the HIT c-suite.

Edifecs has partnered with Ryka shoes and joined forces with industry leaders to
enact this culture shift. We are on a mission to elevate the visibility of
today’s female healthcare leaders to inspire young women and girls in STEM.
Follow us on twitter @WhatIRun and share more about your role in leading a
business, a household, a department, or a scout troop with #WhatIRun to help
raise awareness for the campaign.

Learn More


 * OUR CUSTOMERS
   
   > Over the past few years, we've laid the foundation for advanced data
   > storage, expedited information processing and improved job precision.
   > Edifecs Solutions have helped increasing performance, while actually
   > enhancing accuracy. We have moved light years ahead in service efficiency.
   
   Case Study


 * ONE STATE'S STORY, SEIZING HIX PROMISE, EVADING PITFALLS
   
   > A small northeastern state already leads the nation. Among the first in the
   > U.S. to establish guaranteed issue and charging forward with its own HIX.
   
   Case Study

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   National Health Plans
 * 
   BCBS Licensees
 * 
   Providers
 * 
   Lives Impacted

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GET CONNECTED TODAY

If you have any questions, require assistance, need training, or just have
general inquiries, we want to hear from you.

Contact Us


SALES

Get connected with our sales team to
understand what they can do for you.


sales@edifecs.com


STRATEGIC ADVISORY

Get connected with our industry experts to
understand what they can do for you.


consulting@edifecs.com


SUPPORT

Get connected with our support engineers to
understand what they can do for you.
1-855-333-4462

support@edifecs.com