About
Edifecs provides market leading technology to its payer and health system customers, which serve nearly 300 million people in the U.S. healthcare market. For over 25 years, Edifecs has enabled customers to unlock greater value by aggregating, normalizing, and unifying data with its Best in KLAS interoperability platform. The Edifecs platform serves as the foundation for the solutions that eliminate stakeholder friction to overcome healthcare’s biggest challenges, including accelerating value-based payment adoption and obtaining more complete and accurate care funding for alternative payment models. Edifecs’ solutions incorporate natural language processing, machine learning, and artificial intelligence to provide deeper insights into patients, populations, and business processes. As new standards and regulations continually emerge from government agencies, Edifecs is a proven partner to ensure its customers maintain “evergreen” compliance. Edifecs customers include 24 of the 25 top commercial health plans in the country, 27 out of 34 of the Blue Cross Blue Shield payers, 35 of the 50 Medicaid programs, and 5 out of 10 of the largest health systems.
Products and Services That You Provide
• Risk Adjustment – AI-driven prospective, concurrent, and retrospective workflow solutions with EHR integration • Value Based Payment and Population Health Management suite • Data Interoperability platform