For over 25 years, Edifecs has been a market leader in healthcare data interchange. Hundreds of health plans, providers, and government agencies rely on our interoperability solutions to …

Edifecs Retrospective Review leverages our market-leading NLP and machine learning (ML) to help health plans and providers more effectively identify missed or improperly coded conditions.

Edifecs’ Prior Authorization solution helps alleviate that burden by eliminating the need for a separate prior authorization portal. Our cloud-native, AI-enabled solution integrates seamlessly …

At Edifecs, we work to deliver the solutions that connect patients, providers, and payers. Every day presents new challenges and opportunities to create a more effective and efficient …

The Edifecs Healthcare Cloud and Smart Platform combination enables business and technology users to innovate and scale faster, collaborate with stakeholders, comply with evolving …

When and where AI offers the greatest value to our customers, you’ll find it in our solutions. Today, AI technology is powering multiple use cases at Edifecs, including Risk Adjustment, …

Oct 18, 2024 · How Edifecs Can Help. To help provider organizations navigate these changes, Edifecs is offering a free 60-minute consultation to evaluate your risk adjustment strategy and …

Edifecs Enrollment Management solution for health plans’ commercial group line of business makes it easier to handle these challenges. With visibility into member transaction histories, …

Edifecs Post-Visit Review leverages AI and NLP to analyze all available clinical data and quickly reconcile it with HCC codes on the claim. Learn more.

The Edifecs Healthcare Cloud and Smart Platform combination enables business and technology users to innovate and scale faster, collaborate with stakeholders, comply with evolving …