EmblemHealth Selects Edifecs as Strategic ICD-10 Partner

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New York State Health Insurance Provider Will Leverage Edifecs ICD-10 Solution to Mitigate Risks and Manage the Code Transition

Today, Edifecs, Inc., a leading provider of healthcare software solutions specializing in regulatory compliance tools for health plans and healthcare organizations, announced that EmblemHealth has chosen the company as its strategic technology partner for ICD-10.

The Edifecs ICD-10 solution helps health plans achieve financial neutrality 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.

“Edifecs’ unique code management capabilities played a large role in our selection process,” said Dr. William A. Gillespie, Chief Medical Officer at EmblemHealth. “We haven’t seen other solutions break ICD-9 and ICD-10 coding systems down into medical concepts like this. Being able to use this information to accurately review and select codes for remediation through the transition is invaluable.”

EmblemHealth selected Edifecs ICD-10 solution because of its code management capabilities and its robust impact analytics facilities, used for modeling, measuring and mitigating risk during the transition.

The migration from the ICD-9 to ICD-10 code sets will likely be one of the most extensive conversion projects the health ecosystem will undertake. The vast majority of IT systems and many healthcare policies will be affected. The deadline for implementing the ICD0-10 coding system is October 1, 2013.

“We are proud to call EmblemHealth one of our strategic partners and we are extremely pleased to be able to support them in their ICD-10 migration process,” said Sunny Singh, CEO of Edifecs. “We look forward to strengthening our existing partnership with the organization and continuing to help solve complex business challenges throughout the transition to ICD-10.”

About EmblemHealth
EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides quality health care coverage and administrative services to approximately 2.9 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO plans, as well as coverage for prescription drugs and dental and vision care. We offer a choice of networks, including quality doctors and other health care professionals throughout the region, leading acute care hospitals across the tristate area, and physicians and hospitals across all 50 states. For more information, visit http://www.emblemhealth.com.

About Edifecs, Inc.
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA 5010 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 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 http://www.edifecs.com.


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Jamie Gier
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