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edifecs.com

Founded Year

1996

Stage

Private Equity | Alive

Mosaic Score

+130 points in the past 30 days

What is a Mosaic Score?
The Mosaic Score is an algorithm that measures the overall financial health and market potential of private companies.

About Edifecs

Edifecs creates a suite of software applications that streamlines administrative, clinical, financial, and pharmaceutical transactions both within and between healthcare enterprises. It has also adapted its products for other types of businesses. The company was founded in 1996 and is based in Bellevue, Washington.

Edifecs Headquarters Location

1756 114th AVE SE

Bellevue, Washington, 98004,

United States

425-435-2000

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Expert Collections containing Edifecs

Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.

Edifecs is included in 3 Expert Collections, including Value-Based Care & Population Health.

V

Value-Based Care & Population Health

1,072 items

The VBC & Population Health collection includes companies that enable and deliver care models that address the health needs for defining populations along the continuum of care, including in the community setting, through participation, engagement, and targeted interventions.

H

Health IT

2,683 items

Companies partnering with healthcare stakeholders to improve operational efficiency across payment, supply chain, data mgmt, and more.

D

Digital Health

13,114 items

Technologies, platforms, and systems that engage consumers for lifestyle, wellness, or health-related purposes; capture, store, or transmit health data; and/or support life science and clinical operations. (DiME, DTA, HealthXL, & NODE.Health)

Edifecs Patents

Edifecs has filed 3 patents.

The 3 most popular patent topics include:

  • Artificial intelligence
  • Artificial neural networks
  • Classification algorithms
patents chart

Application Date

Grant Date

Title

Related Topics

Status

5/16/2012

11/19/2013

Medical terminology, Coding theory, Health informatics, Electronic health records, Health standards

Grant

Application Date

5/16/2012

Grant Date

11/19/2013

Title

Related Topics

Medical terminology, Coding theory, Health informatics, Electronic health records, Health standards

Status

Grant

Latest Edifecs News

Edifecs Launches Solution to Automate Prior Authorization at the Point of Care

Sep 14, 2022

Share Leveraging AI and NLP from recent acquisitions and FHIR standards, Edifecs solves the prior authorization challenge for payers and providers Edifecs, Inc., a global health information technology solutions company, announced a new solution that fully automates prior authorization at the point of care, leading to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden. Edifecs’ automated prior authorization solution integrates with electronic health records (EHR) and leverages artificial intelligence (AI), natural language processing (NLP), and industry standards such as FHIR to instantly deliver authorization. “Improving Seniors’ Timely Access to Care Act” With its recent acquisition of Talix and Health Fidelity, Edifecs expanded its risk adjustment business, AI technology, and EHR integration capabilities and is uniquely positioned to transform the prior authorization process. Edifecs’ solution streamlines payer and provider collaboration with automated EHR integration and data retrieval for increased efficiencies and cost savings. Edifecs prior authorization complies with existing state, federal, and all Centers for Medicare & Medicaid Services prior authorization regulations and will automatically adhere to future regulations. “Prior authorization is one of the biggest challenges providers face today causing tension and abrasion between providers and payers,” said Venkat Kavarthapu , CEO of Edifecs. “Additionally, when patients are forced to postpone medical procedures to wait for insurance approval, the repercussions on patients’ health can be irreversible. We’re thrilled to introduce a next-generation solution that streamlines this process to ensure patients get the care they need when they need it.” The solution delivers full payer prior authorization management workflow with tracking, monitoring, and reporting and integrates with the existing utilization management systems. Edifecs prior authorization technology also connects to the payer’s clinical guideline repository. By leveraging industry standards like FHIR and over 40 payer implementations for patient access, Edifecs’ prior authorization solution significantly reduces the time to care through EHR-agnostic integration with providers. “Payers face complex challenges processing prior authorization requests. Our purpose-built solution is designed to ease provider friction and simplify the process with automated, agnostic EHR integration, data retrieval, and built-in regulatory compliance,” continued Kavarthapu.

Edifecs Web Traffic

Rank
Page Views per User (PVPU)
Page Views per Million (PVPM)
Reach per Million (RPM)
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Edifecs Rank

  • When was Edifecs founded?

    Edifecs was founded in 1996.

  • Where is Edifecs's headquarters?

    Edifecs's headquarters is located at 1756 114th AVE SE, Bellevue.

  • What is Edifecs's latest funding round?

    Edifecs's latest funding round is Private Equity.

  • Who are the investors of Edifecs?

    Investors of Edifecs include TA Associates and Francisco Partners.

  • Who are Edifecs's competitors?

    Competitors of Edifecs include Smile CDR and 1 more.

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