Boston Medical Center HealthNet Plan Selects Edifecs as Strategic ICD-10 Partner

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Massachusetts Insurance Provider Will Deploy Edifecs ICD-10 Solution to Increase Productivity 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 Boston Medical Center (BMC) HealthNet Plan 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.

BMC HealthNet Plan selected the Edifecs ICD-10 solution because of its functionality and offerings built into an all-inclusive solution that supports each phase of an ICD-10 project. “We are pleased that Edifecs will equip our team with a broad set of capabilities including code management and data analytics,” said Michael Schrader, Chief Operating Officer at BMC HealthNet Plan. “The user-friendly interface of the solution will enhance our productivity and mitigate the risks associated with coding medical claims from ICD-9 to ICD-10.”

“We look forward to supporting BMC HealthNet Plan with its transition to the ICD-10 code set – a requirement that will undoubtedly increase the plan’s ability to process information and improve job precision,” said Sunny Singh, CEO of Edifecs. “As a strategic partner, Edifecs is prepared to help solve the complex business and efficiency challenges associated with the transition to ICD-10.”

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. Recently, the Department of Health and Human Services issued a formal proposed rule to delay the ICD-10 compliance deadline by one year. The new compliance deadline is slated for October 1, 2014.

About BMC HealthNet Plan
BMC HealthNet Plan is a not-for-profit managed care organization serving more than 225,000 members across Massachusetts. The health plan serves members across three product lines: MassHealth, Commonwealth Care, and commercial (Employer Choice/Commonwealth Choice). BMC HealthNet Plan is committed to quality and has achieved Excellent Accreditation status four times in a row from the National Committee for Quality Assurance (NCQA). BMC HealthNet Plan is one of America’s top five Medicaid health plans, according to NCQA’s Medicaid Health Insurance Plan Rankings 2011-2012. To serve its MassHealth and Commonwealth Care members, BMC HealthNet Plan contracts with nearly 60 hospitals, 15,000 health care providers, and 1,000 pharmacies across the state (except for Martha’s Vineyard and Nantucket).

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

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