Blue Cross and Blue Shield of North Carolina Selects Edifecs for Strategic ICD-10 Work

Share Article

Blue Plan will leverage Edifecs ICD-10 Solution to achieve and maintain compliance.

Today, Edifecs, Inc., a leading provider of healthcare software solutions specializing in regulatory compliance solutions for health plans and healthcare organizations, announced that Blue Cross and Blue Shield of North Carolina (BCBSNC) has chosen the company as one of its strategic technology solutions for ICD-10.

The Edifecs ICD-10 solution helps health plans achieve compliance by understanding and mitigating risks at each stage of the ICD-10 transition. This is accomplished by enabling health plans to leverage and analyze their own historic data in order to prioritize remediation and testing efforts.

“We find significant value in having an integrated suite of products that work together to deliver end-to-end support for our ICD-10 project life cycle,” said Ian Gordon, Chief Operations Officer of BCBSNC. “We understand the strategic importance of implementing ICD-10 the right way, and we chose Edifecs based on our history of working together successfully in other projects.”

The migration from the ICD-9 to ICD-10 code sets will likely be an extensive conversion project for the health ecosystem, affecting many IT systems and healthcare policies. ICD-10 adds tens of thousands of increasingly detailed codes, which provide meaningful information about health conditions for analysis and reporting. They will also affect nearly every aspect of a healthcare organization’s business— claim adjudication, disease management and payment processing, to name a few. The deadline for implementing ICD-10 is October 1, 2013.

“Among the community of Blue plans, Blue Cross and Blue Shield of North Carolina has a reputation for delivering excellent customer service and quality clinical care, and Edifecs is honored that BCBSNC has selected us as part of its strategic ICD-10 solution set,” said Sunny Singh, CEO of Edifecs. “We are proud of our long-standing relationship with BCBSNC to help solve their complex business challenges and look forward to continuing this close relationship through the transition to ICD-10.”

In addition to BCBSNC, several other healthcare organizations have signed with Edifecs for ICD-10 solutions, including other Blue plans, state Medicaid agencies, and large commercial payers.

Blue Cross and Blue Shield of North Carolina is a leader in delivering innovative health care products, services and information to more than 3.7 million members, including approximately 900,000 served on behalf of other Blue Plans. For more than 75 years, the company has served its customers by offering health insurance at a competitive price and has served the people of North Carolina through support of community organizations, programs and events that promote good health. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Access BCBSNC online at .

About Edifecs, Inc
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information between health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA v5010 and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management.
Edifecs is currently recognized as one of the 100 Fastest Growing Private Companies in the state of Washington, 100 Best Places to Work for in the state of Washington, an Inc. 5000 fastest-growing private company and one of the 500 Fastest Growing Companies in North America by Deloitte. Edifecs is headquartered in Bellevue, WA. For more information, please visit


Share article on social media or email:

View article via:

Pdf Print

Contact Author

Robin Rees
425-452-0630 606
Email >

Michael Thomas
Visit website