Edifecs is the leader in scalable data exchange and interoperability solutions for payers – ensuring compliance with mandates and performance metrics. We build innovative healthcare solutions that harness data into meaningful transactions, reducing operating risks and scaling value-based initiatives, to meet the specific needs of our clients – primarily payers, including CMS and over half of all State Medicaid agencies.

Edifecs has the following offerings to solve the most pressing business challenges facing healthcare payers, providers, and business partners today:

• Administrative Simplification (EDI & Compliance)
• Encounter Management
• Enrollment Management
• Value-Based Care
• Smart Decisions (Artificial Intelligence & Machine Learning)

EDIFECS POPULATION PAYMENT MANAGEMENT (PPM) enables streamlining and optimizing value-based contracting and administration initiatives with a comprehensive platform that exceeds the demands of value-based payment programs at scale. With a portfolio of 100+ contract models covering over 20 million lives, PPM supports all APMs across all lines of business. In addition to the development of accountability measures, PPM also provides analytics and reporting to ensure transparency and insights to improve performance.

More than 350 healthcare customers today use Edifecs solutions to simplify and unify financial and clinical transactions. Edifecs is based in Bellevue, WA, with operations internationally.

Aaron Fulner

Senior Director, Product Marketing
W: 425-435-2669
C: 610-931-0224

Laine Schenkelberg
Senior Director, Product Marketing
C: 314-740-1387

1756 114th Ave SE
Bellevue, WA 98004