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Edifecs Acquires Health Fidelity

December 20, 2021 GMT

BELLEVUE, Wash.--(BUSINESS WIRE)--Dec 20, 2021--

Edifecs, Inc., a health information technology solutions company, announced today that it has finalized its acquisition of Health Fidelity, a leading provider of risk adjustment solutions.

Edifecs also recently acquired Talix, another risk adjustment solution provider recently recognized by KLAS Research as a top-of-industry leader. Edifecs will integrate Health Fidelity and Talix technology into its signature Encounter Management solution to provide customers the opportunity to operate risk adjustment processes more efficiently for Medicare Advantage, Managed Medicaid, and Affordable Care Act (ACA) products. The addition of Health Fidelity and Talix Natural Language Processing (NLP) and Artificial Intelligence (AI) technologies to Edifecs’ workflow solutions will create one of the most comprehensive Risk Adjustment offerings in the market. The two recent acquisitions demonstrate Edifecs’ major commitment to Risk Adjustment while rounding out the company’s already robust portfolio which also includes industry standard-setting data exchange and interoperability, value-based care, and enrollment services product offerings. These market moves also underscore Edifecs’ dedication to SaaS technologies tailored for adoption within legacy healthcare IT environments.


“Traditional risk adjustment solutions have rapidly outgrown their retrospective-only payer use cases,” said Venkat Kavarthapu, CEO of Edifecs. “By combining Health Fidelity and Talix solutions with our own workflow, Edifecs can now offer payers and providers clinical and coding solutions that deliver risk adjustment insights across many operational areas all while enabling the shift to value-based care.”

Health Fidelity developed its solutions to address risk adjustment-specific challenges, offering risk-bearing organizations clear visibility into and control over the process. Health Fidelity’s technology uncovers insights that enable better care planning and more complete revenue capture.


By integrating Health Fidelity solutions, Edifecs will offer customers the industry’s best NLP, workflow, and submissions solution, while rapidly expanding suspecting and financial analytics capabilities. The enhanced portfolio will provide a seamless solution without requiring customers to pay for costly integrations and multi-vendor management overhead.

“We are incredibly excited to provide our customers access to Edifecs industry-leading solutions, services, and support,” said Steve Whitehurst, CEO of Health Fidelity. “As we evaluated our future strategy, the decision to join Edifecs was an easy one. Their technology is unmatched and their passionate commitment to customer success aligns with our company values and our future goals.”

About Edifecs

Edifecs is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care payments, and analytics. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of meeting various regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in bringing new technology for B2B data exchange in healthcare streamlining business processes from “card to care,” and reducing the industry burden associated with data provisioning at the points of enrollment, care, payment, and reporting. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia, and Mohali, India, an engineering center in Moldova, and has more than 750 employees globally. For more information about Edifecs, please visit

About Health Fidelity

Health Fidelity simplifies risk adjustment, offering risk-bearing organizations clear visibility into and control over the process. Through their NLP-powered solutions and expert advisory services, they uncover insights that enable better care plans and more complete revenue capture. The Lumanent® suite gives Health Fidelity partners the confidence to pursue and ability to succeed in risk-sharing arrangements across MA, ACA, Medicaid, and ACO programs.

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CONTACT: Janet Hohmann




SOURCE: Edifecs, Inc.

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PUB: 12/20/2021 08:04 AM/DISC: 12/20/2021 08:04 AM