UCare Selects Edifecs as Strategic Partner for ICD-10 Migration

Today Edifecs announced a new ICD-10 customer partnership with non-profit Minnesota health plan, UCare. Edifecs will support the healthcare system’s transition to ICD-10 through its solution which will ensure operational and financial neutrality. Edifecs’ ICD-10 Solution will prepare the health system’s technical team and clinical staff with the risk associated with the transition and provide a clear picture of how the technology will help them manage the migration without disrupting service to our members.

Nonprofit Health Plan Deploys Edifecs ICD-10 Solution to Mitigate Risk and Achieve Mandate Compliance 

Bellevue, Wash. — December 17, 2012  Edifecs, Inc., a leading healthcare software provider specializing in regulatory compliance solutions for healthcare providers and health plans, today announced that Minnesota-based UCare health plan (UCare) has chosen Edifecs as its strategic partner for ICD-10.

UCare will deploy the Edifecs ICD-10 solution, which is designed to help health plans achieve operational and financial neutrality after the ICD-10 transition by providing greater ability to understand and mitigate risks during each transition stage. UCare will use the Edifecs ICD-10 solution for impact analysis to prioritize remediation and testing efforts, and then use its code-mapping capabilities to speed up the process and improve accuracy.

UCare is the fourth largest health plan in Minnesota, serving nearly 300,000 members in Minnesota and western Wisconsin. Its Medicare health plans cover nearly 100,000 Medicare-eligible individuals.

“UCare is known for its high-touch approach to serving its members, and Edifecs brought that same level of customer care and expertise to solving our ICD-10 transition challenges,” said Rob Beauchamp, CIO at UCare. “After our initial training sessions, our technical team and even our clinical staff were enthusiastic about the Edifecs ICD-10 solution. The mapping and analytics capabilities provide a clear picture of how the technology will help us manage the transition without disrupting service to our members.”

The team at UCare was not only impressed with the Edifecs ICD-10 solution, but also the level of support and ICD-10 education provided by Edifecs. In helping UCare develop its overall ICD-10 transition strategy, the Edifecs team has shared best practices and lessons learned from previous deployments—particularly those that help smaller health plans manage risks and resource constraints that wouldn’t faze larger plans.

“UCare is taking a leadership role among regional health plans by effectively managing its transition from ICD-9 to ICD-10 in a thoughtful, business-neutral way, and Edifecs is committed to ensuring UCare has the tools and expertise it needs to succeed,” said Sunny Singh, CEO of Edifecs. “Our partnership will help UCare manage the complexities of ICD-10 and quickly achieve compliance, while still maintaining the customer service focus the organization is known for.”

The conversion from ICD-9 coding standards to ICD-10 is one of the most comprehensive migration projects the country’s healthcare system will undergo. Because the vast majority of IT systems and many healthcare policies will be affected, the Edifecs’ ICD-10 solution is designed to help healthcare organizations understand where the impact will be greatest and then mitigate the financial and operational risks. The deadline for implementing the ICD-10 system is Oct. 1, 2014.

About UCare

UCare is an independent, nonprofit health plan providing health coverage and services to nearly 300,000 members in Minnesota and western Wisconsin. UCare serves more people from diverse cultures and more people with disabilities enrolled in Medical Assistance than any other health plan in Minnesota. Working in partnership with health care providers and community organizations, UCare serves Medicare-eligible individuals, families and individuals enrolled in Minnesota Health Care Programs such as MinnesotaCare and Medical Assistance, and adults with disabilities.

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 www.edifecs.com.