Edifecs Risk Adjustment Solutions Commentary
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Paul Hess
Research Director
KLAS Research Director - Paul Hess
 
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User Commentary

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Manager

Relationship, Product

Edifecs provides a lot of data extracts to us, and they have worked with us to roll out some new...

Mar 2025
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Manager

Product

The NLP in the solution is out of order. When we first started several years ago, it was lousy...

Mar 2025
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Manager

Product, Value

The solution is very useful for us to review medical records; we do literally tens of thousands of...

Mar 2025
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VP/Other Executive

Relationship, Product

Edifecs' solution is tailored to what works for the vendor and not what works for the payer or their...

Mar 2025
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VP/Other Executive

Relationship, Product

Edifecs hasn't put a lot into updating their technology. Their NLP and AI haven't been updated for...

Mar 2025
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VP/Other Executive

Loyalty

I hear from Edifecs's senior leaders all the time. The outcomes that we get from the system are why...

Mar 2025
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Director

Product

For our post-visit review, I love to call Lumanent our compliance tool because it removes the...

Jan 2025
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Director

Loyalty, Product

I have some wishes for Lumanent's functionality. We are always rather out of the box, and we always...

Jan 2025
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Director

Relationship

Edifecs has kept all of their promises. To clarify, the promises they have kept have to do with...

Jan 2025
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Director

Loyalty

Lumanent is 100% part of our long-term plans. I would buy it again. Lumanent is the best solution...

Jan 2025
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Director

Relationship

The quality of Edifecs' support is excellent. We have an excellent project manager; they are on top...

Jan 2025
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Director

Product, Value

We have a long history with Edifecs. We have had tremendous outcomes from using the solution,...

Jan 2025
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Director

Loyalty

Lumanent isn't part of our long-term plans. We actually did an RFP and looked at systems from other...

Jan 2025
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Director

Product

I want to have more insight into Edifecs's chart retrieval about what errors occurred and how those...

Jan 2025
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Director

Relationship, Product

I don't know whether it is accurate to say that Edifecs hasn't kept their promises, but we find...

Jan 2025
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Director

Loyalty, Product

We are using Lumanent to see whether there are any Hierarchical Condition Category opportunities in...

Jan 2025
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Director

Loyalty, Product

We are not on the current version of Lumanent. We are on the previous version. We didn't like the...

Jan 2025
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VP/Other Executive

Product

Things have been going very well with Edifecs. Their engines to identify things are very, very...

Aug 2024
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VP/Other Executive

Relationship, Product

Different lines of business often use different models, and even Epic's and Cerner's systems don't...

Aug 2024
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VP/Other Executive

Operations, Value

Anyone who is going to run and develop a disease burden capture program will have to have very, very...

Aug 2024
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VP/Other Executive

Product

The system only does one thing for us, and that is that it drives our reviews. We have to look at...

Aug 2024
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VP/Other Executive

Relationship

We initially contracted the Health Fidelity product of Edifecs, since Health Fidelity was acquired...

Jun 2024
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VP/Other Executive

Relationship

Edifecs has a defensive posture of trying to prove that we, as the client, are wrong in what we are...

Jun 2024
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VP/Other Executive

Operations

When they have deployed new tools in Lumanent, Edifecs has done training, but training is really not...

Jun 2024
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VP/Other Executive

Loyalty, Product

We are not using the most current version of Lumanent because its most current version has a huge...

Jun 2024
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VP/Other Executive

Value

Lumanent is more coder facing, so it enables some of that coder workflow, but because of the...

Jun 2024
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VP/Other Executive

Product, Value

For Edifecs, AI solutions are really helping make staff more efficient. The real benefit is that the...

Jun 2024
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VP/Other Executive

Loyalty, Product

We have had challenges, especially with the Edifecs team and the tools that we have contracted to...

Jun 2024
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