List of Edifecs Interoperability Cloud Customers
Edifecs, a Cotiviti business
1756 114th Avenue SE,
Bellevue, 98004, WA,
United States
Bellevue, 98004, WA,
United States
1 425-435-2000
Professional Services
1000
$225M
Since 2010, our global team of researchers has been studying Edifecs Interoperability Cloud customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Edifecs Interoperability Cloud for Electronic Data Interchange (EDI) from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Edifecs Interoperability Cloud for Electronic Data Interchange (EDI) include: HCSC (Health Care Service Corporation), a United States based Banking and Financial Services organisation with 28000 employees and revenues of $54.75 billion, Florida Blue, a United States based Insurance organisation with 8900 employees and revenues of $8.20 billion, Lifetime Healthcare, a United States based Non Profit organisation with 7000 employees and revenues of $2.46 billion, Blue Cross Blue Shield, a United States based Insurance organisation with 3161 employees and revenues of $960.0 million and many others.
Contact us if you need a completed and verified list of companies using Edifecs Interoperability Cloud, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Edifecs Interoperability Cloud customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Blue Cross Blue Shield | Insurance | 3161 | $960M | United States | Edifecs | Edifecs Interoperability Cloud | Electronic Data Interchange (EDI) | 2018 | n/a |
In 2018, Blue Cross Blue Shield Association selected Edifecs Interoperability Cloud to provide XEngine and FHIR capabilities into the BCBSA technical sandbox, a move explicitly intended to drive rapid FHIR adoption and support payer interoperability use cases across the BCBS network in the United States. The engagement placed Edifecs Interoperability Cloud at the center of sandbox validation activities to exercise payer-to-payer and payer-to-sandbox data exchange scenarios.
Edifecs Interoperability Cloud deployment emphasized the Edifecs XEngine runtime and Interoperability Cloud components for FHIR and EDI, aligning message transformation, validation, and conformance testing with Electronic Data Interchange (EDI) and FHIR messaging flows. Configuration work included mapping and translation pipelines to reconcile legacy EDI transaction sets with FHIR resource models, and test harnesses to validate API based FHIR endpoints and EDI interchange processing.
Integration activity occurred within the BCBSA sandbox and targeted interoperability across BCBS network payer systems, enabling structured conformance testing and sandbox based scenario rehearsal for payer interoperability use cases. Governance and rollout were scoped to sandbox test plans and technical conformance criteria, placing interoperability engineering and payer integration teams at the center of execution to accelerate standardized FHIR consumption across the Blue Cross Blue Shield network.
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Florida Blue | Insurance | 8900 | $8.2B | United States | Edifecs | Edifecs Interoperability Cloud | Electronic Data Interchange (EDI) | 2022 | n/a |
In 2022 Florida Blue implemented Edifecs Interoperability Cloud to advance FHIR and payer to payer interoperability across its United States operations. The engagement emphasized Electronic Data Interchange (EDI) capabilities and API enablement for prior authorization and member facing services, as showcased in joint HIMSS sessions and interoperability demonstrations.
Deployment centered on Edifecs Interoperability Cloud with adoption of a FHIR Gateway module for API and administrative transaction support, an implementation signal drawn from joint session descriptions and Edifecs product materials. Functional configuration focused on API orchestration for prior authorization, FHIR based data exchange for payer to payer messaging, and administrative transaction processing consistent with Electronic Data Interchange (EDI) workflows.
Integrations prioritized standardized API endpoints to payer networks and interoperability across payer systems to surface member facing capabilities and administrative transaction flows. Operational coverage targeted payer administrative functions and member facing services in the United States, with scope aligned to prior authorization and other administrative transactions handled through the Edifecs Interoperability Cloud.
Governance and rollout leveraged collaborative HIMSS showcases to validate FHIR based APIs and align payer engineering and interoperability teams on implementation plans. The engagement was reported to accelerate FHIR deployment and API enablement for member facing services, reflecting a concerted effort to operationalize FHIR and EDI capabilities using Edifecs Interoperability Cloud.
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HCSC (Health Care Service Corporation) | Banking and Financial Services | 28000 | $54.7B | United States | Edifecs | Edifecs Interoperability Cloud | Electronic Data Interchange (EDI) | 2023 | n/a |
In 2023, HCSC implemented Edifecs Interoperability Cloud to address CMS prior authorization and interoperability mandates and to strengthen consent-management capabilities. The deployment targeted Electronic Data Interchange (EDI) use cases, focusing on payer prior authorization workflows and provider access APIs across HCSC operations in the United States.
The implementation configured Edifecs Interoperability Cloud with FHIR Gateway and EDI Gateway capabilities, enabling EDI to FHIR translation, API orchestration, and consent-management functions. Functional modules used included prior authorization workflow orchestration, API mediation for provider access, and transaction translation services consistent with Electronic Data Interchange (EDI) expectations for payer processing.
Integration work centered on aligning the Edifecs Interoperability Cloud with provider access APIs and payer prior authorization processing, creating an API-driven interoperability layer that mediates provider requests and payer authorization workflows. Operational coverage included payer authorization and provider engagement functions, with clinical and provider relations workflow touchpoints reoriented to consume FHIR-based APIs and translated EDI transactions.
Governance activity established consent-management workflows and API governance to support CMS interoperability requirements, and rollout emphasized readiness for mandated prior authorization and access rules. The program was reported as accelerating HCSC readiness for CMS interoperability requirements, reflecting a shift toward API-first interoperability and centralized EDI to FHIR translation within HCSC.
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Lifetime Healthcare | Non Profit | 7000 | $2.5B | United States | Edifecs | Edifecs Interoperability Cloud | Electronic Data Interchange (EDI) | 2021 | n/a |
In 2021 Lifetime Healthcare deployed Edifecs Interoperability Cloud to centralize Electronic Data Interchange (EDI) and clearinghouse responsibilities across its payer operations. The implementation positioned Edifecs Interoperability Cloud as the enterprise EDI hub supporting enrollment, claims, and provider transaction flows for Lifetime Healthcare.
The Edifecs Interoperability Cloud rollout was configured to operate as a transaction orchestration and translation layer, using Edifecs ENR for membership enrollment and Edifecs Transaction Manager for routing and transaction state management. Core functional capabilities implemented include EDI mapping and validation, acknowledgement handling, transaction normalization, and automated routing into downstream claims and billing processes, consistent with Electronic Data Interchange (EDI) operational patterns.
Integrations were executed with the broader application estate to support end to end processing, including direct interfaces into the Facets claims adjudication platform, ClaimsXten clinical editing, Networx Pricer for provider reimbursement, Clinical CareAdvance for medical management, and Visual Cactus for provider credentialing. The Edifecs Interoperability Cloud also fed downstream robotics process automation and workforce systems, enabling programmatic handoffs to RPA and customer care applications, and supported lines of business such as Blue Card, the Federal Employee Program, Commercial, Medicare and Medicaid.
Operational governance emphasized production stability and compliance, with the IT Business Enablement and Operational Excellence teams managing incident resolution, production job monitoring, and adherence to uptime and availability SLAs. Technical stewardship included interface development and customization guidance for internal developers using SQL, Informatica, Java, C++, and .NET, and ongoing vendor release management to maintain compliance with state and federal mandates and Blue Cross and Blue Shield Association requirements.
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Buyer Intent: Companies Evaluating Edifecs Interoperability Cloud
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FAQ - APPS RUN THE WORLD Edifecs Interoperability Cloud Coverage
Edifecs Interoperability Cloud is a Electronic Data Interchange (EDI) solution from Edifecs.
Companies worldwide use Edifecs Interoperability Cloud, from small firms to large enterprises across 21+ industries.
Organizations such as HCSC (Health Care Service Corporation), Florida Blue, Lifetime Healthcare and Blue Cross Blue Shield are recorded users of
Edifecs Interoperability Cloud for Electronic Data Interchange (EDI).
Companies using Edifecs Interoperability Cloud are most concentrated in Banking and Financial Services, Insurance and Non Profit, with adoption spanning over 21 industries.
Companies using Edifecs Interoperability Cloud are most concentrated in United States, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Edifecs Interoperability Cloud across Americas, EMEA, and APAC.
Companies using Edifecs Interoperability Cloud range from small businesses with 0-100 employees - 0%, to mid-sized firms with 101-1,000 employees - 0%, large organizations with 1,001-10,000 employees - 75%, and global enterprises with 10,000+ employees - 25%.
Customers of Edifecs Interoperability Cloud include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.
Contact APPS RUN THE WORLD to access the full verified Edifecs Interoperability Cloud customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Electronic Data Interchange (EDI).