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Edifecs Risk Adjustment Solutions Commentary
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Subject Expert
Mac Boyter
Research Director
KLAS Research Director - Mac Boyter
 

Commentary Summary

Comment Type Breakout

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User Commentary

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VP/Other Executive

Loyalty

We have been implementing a certain Edifecs solution, but we are not happy with the vendor. We are...

Unrated
Feb 2026

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VP/Other Executive

Relationship, Operations, Product

Edifecs has really poor quality assurance. Their products have been rolled out without proper...

Unrated
Feb 2026

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VP/Other Executive

Relationship

I want Edifecs to fix their internal customer support. The issue with them is that we submit...

Unrated
Feb 2026

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Manager

Loyalty, Relationship

I think Cotiviti is delivering on their vision for what they are able to do. Because we have seen...

Unrated
Oct 2025

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Manager

Relationship

Cotiviti is pretty good about responding. Several empowered people are in our meetings. Their...

Unrated
Oct 2025

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Manager

Relationship

Cotiviti is really good right now with proactive service. It used to be not great, but recently they...

Unrated
Oct 2025

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Manager

Product, Value

We were using Talix Risk Adjustment and Analytics Solutions at the diagnosis level. There was a way...

Unrated
Oct 2025

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Manager

Relationship

I would tell those considering Talix Risk Adjustment and Analytics Solutions about the ease of the...

Unrated
Oct 2025

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Manager

Relationship, Product

Cotiviti is pretty good, but there is always room for improvement. I would like Cotiviti to have...

Unrated
Oct 2025

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VP/Other Executive

Loyalty

We want to see whether Edifecs is going to start building some new capabilities within the product....

Unrated
Sep 2025

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VP/Other Executive

Relationship

Edifecs does help us when we bring in requests for upgrades or features. They take our feedback into...

Unrated
Sep 2025

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VP/Other Executive

Product, Value

Edifecs Risk Adjustment has helped us achieve accurate and complete assessments and captures of...

Unrated
Sep 2025

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VP/Other Executive

Product

Edifecs bought Health Fidelity and Talix. They made an internal decision to use the NLP from Talix...

Unrated
Sep 2025

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VP/Other Executive

Relationship

We have had an issue for years that we have sent examples of and complained about to Edifecs, but...

Unrated
Sep 2025

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VP/Other Executive

Loyalty, Product

Lumanent does not integrate well with our EHR. It is supposed to do better with the new EHR we are...

Unrated
Sep 2025

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VP/Other Executive

Relationship, Product

The vendor has a really significant issue with dropping records. We send in records, the vendor...

Unrated
Sep 2025

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VP/Other Executive

Culture, Loyalty, Relationship

Edifecs overpromised; the Lumanent product does not work as promised. They were not transparent...

Unrated
Sep 2025

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VP/Other Executive

Relationship, Product, Value

Lumanent is helping us achieve accurate risk adjustment.

Unrated
Sep 2025

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VP/Other Executive

Relationship, Product

Edifecs needs to prioritize the stability of the Lumanent product. They haven't put any research and...

Unrated
Sep 2025

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VP/Other Executive

Relationship

Edifecs keeps their promises, but it may take longer. We may miss barriers, but they will keep their...

Unrated
Sep 2025

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VP/Other Executive

Value

We continue to have a value proposition in the suspecting codes that Edifecs serves up to our...

Unrated
Sep 2025

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VP/Other Executive

Product, Value

We don't automatically bill what Edifecs suggests. We have a workflow that allows our coders to...

Unrated
Sep 2025

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Manager

Relationship, Product

Talix Risk Adjustment and Analytics Solutions is easy to use. However, we are having some issues...

Unrated
Sep 2025

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Manager

Relationship, Product, Value

We were offline for a few days, and we weren't given any updates from Edifecs as to why things were...

Unrated
Sep 2025

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Manager

Relationship

Edifecs hasn't kept their promises with most timelines. Edifecs will push things off onto our team...

Unrated
Sep 2025

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Manager

Product

Things are challenging because Cotiviti recently took over Edifecs. Through that acquisition, there...

Unrated
Sep 2025

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Manager

Relationship

We have regular meetings with Edifecs, and in those meetings, everything sounds good. The follow-up...

Unrated
Sep 2025

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Director

Loyalty, Product

Edifecs has tried to roll out new technology, but we didn't like it, so now we are back to the old technology....

Unrated
Aug 2025

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Director

Product

It takes a long time to load charts in Lumanent. That is the only negative that we have seen from...

Unrated
Aug 2025

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Director

Relationship

Edifecs has been taken over by another company, so I am a little warier of them now.

Unrated
Aug 2025

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Director

Product, Value

One capability that Edifecs has delivered that has been especially impactful has been increased...

Unrated
Aug 2025

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Manager

Relationship, Product

Edifecs is helping us do something new. We saw some issues in the beginning, but things have gotten...

Unrated
Aug 2025

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Manager

Relationship

Edifecs has been taking a lot of feedback from us. When I have ideas, I am able to bring them to...

Unrated
Aug 2025

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Manager

Relationship

Edifecs is there for us all the time when things come up, and they are proactive. If there are...

Unrated
Aug 2025

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Manager

Loyalty, Product

Using the NLP in the system is going to help us streamline our chart retrieval and the review times...

Unrated
Aug 2025

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Manager

Product, Value

One of the biggest outcomes we have seen from Edifecs' system has been an improvement in getting...

Unrated
Aug 2025

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Manager

Product, Value

By using Talix Risk Adjustment and Analytics Solutions, we have seen a decrease in the number of...

Unrated
Jun 2025

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Manager

Loyalty, Relationship

Either Edifecs or an Edifecs-like replacement will be part of our long-term plan. We would prefer to...

Unrated
Jun 2025

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Manager

Loyalty, Operations

Due to the version of the system that we are on, whenever Edifecs does an upgrade, we have issues....

Unrated
Jun 2025

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Manager

Product

The system gives us a secure entry tool for our coding teams. Talix Risk Adjustment and Analytics...

Unrated
Jun 2025

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Manager

Value

I think we have been blessed in terms of Edifecs' charges. There have only been a few times when we...

Unrated
Jun 2025

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