EDI - The Physician Network Solution

Allow your practice to dramatically improve productivity with secure real-time claims management solutions.

• Total Claims Management
  • More than just a pipeline for claims
  • Claims 'scrubbing' for clean submission
  • Real-Time or batch claim status with messaging
  • Real-Time or batch eligibility
• Claims Follow-Up
  • End lengthy and costly phone follow-ups tracking the status of your outstanding claims.
  • Real-Time status inquiry to multiple claims instead of one at a time.
  • Track claims by status – pending, rejected, paid….
  • Filter claims by subscriber, physician, payer, status, batch and date
  • View all claims status messages and edits per claim
  • Total paperless administration
• Rules Based Claim Management
  • Reduce rejected claims with the power and flexibility of the EDI rules based claim management.
  • Table driven rules
  • Testing rules by payer or practice
  • Response rules for claim status
  • Substitution rules by practice
• Electronic Statements and Letters
  • Give your patients a more informative view of their payment responsibility using the EDI electronic 'patient due letter'. These letters are automatically generated when a claim status is due from the patient. Electronic statements will provide a view of all open encounters due from the patient.
  • Automatically generate 'patient due letters' the day the claim balance is due from the patient
  • Informative patient statements
  • View statements online
  • Add a message online to a statement
  • Send recall and collection letters electronically