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 …

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 …

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 …

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, …

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, …

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

Edifecs invites you to join fellow visionary healthcare leaders for our third annual Connect Healthcare symposium. This impactful and exclusive event unites senior executives from the …

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

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.