What We Solve
Enrollment Management
ACA Marketplace Enrollment
Group Enrollment
Medicaid Enrollment
Medicare Advantage Enrollment
Healthcare Data Unification
Healthcare Compliance
Healthcare Data Interoperability
HIT Administrative Simplification
Prior Authorization
Risk Adjustment
Clinical Suite
Coding Suite
Encounter Submissions
Value-Based Payment & Insight
Population Payment Management
Who We Serve
Health Plans
Enrollment Management
Healthcare Data Interoperability
Prior Authorization
Risk Adjustment
Value-Based Payment & Insight
Government Agencies
Enrollment Management
Healthcare Data Interoperability
EDI as a Service
Value-Based Exchange
Healthcare Providers
Population Payment Management
Prior Authorization
Risk Adjustment
Other Industries
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Healthcare Compliance
Operating Rules
FHIR® APIs
Member App
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Healthcare Data Interoperability
Bi-Directional Data Exchange
FHIR® APIs
Payer to Payer Data Exchange
HIT Administrative Simplification
Bi-Directional Data Exchange
Electronic Transactions
Transaction Specifications
Process Management
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Video: Population Payment Management
by Edifecs
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info@edifecs.com
(425) 435-2000
SIMPLE SUCCESS SCIENCE: HOW ONE HEALTH PLAN MASTERED MEDICARE ADVANTAGE ENCOUNTER MANAGEMENT
AN EDIFECS CASE STUDY
The ongoing RAPS to EDPS transition continues to be a major challenge for Medicare Advantage Organizations (MAOs).
Download
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