Electronic data interchange solutions can help you manage your revenue cycle and provide greater financial stability to your medical practice by maximizing your business processing efficiency and improving data accuracy.

• Insurance Eligibility
  Get a head start on clean insurance claims by verifying a patient’s eligibility and coverage even before they step into your office. EDI solutions can perform eligibility verification by the individual as well as by the batch (e.g. all of the next day’s patients). In addition to automating previously time-consuming manual processes, an EDI solution will also alert you about potential problems with patient insurance information – preventing later processing delays and claim denials.
• Payment Services
  An EDI solution can help you collect co-payments, co-insurance, and deductibles from your patients with the greatest ease and convenience for both parties. Options include: credit card, cash, checks, and debit card acceptance, automatic payment scheduling with patient checking accounts, and extensive transaction reporting abilities.
• Claims Management
  Simplify and streamline your insurance claim process with an EDI solution’s helpful claims management tools. During the preparation stage, an EDI service offers helpful reviewing abilities that serve to minimize claim errors, delays, and rejections – expediting claims submission and payment. Healthcare providers can also keep track of their outstanding claims and receive notifications when claims reach different processing stages (e.g. received, processed, accepted, etc.).
• Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)
  Instead of filing and organizing stacks of paper explanation of payments (EOPs) and manually processing paper checks, insurance payers can send both electronic remittance advices (ERAs) and electronic payments to you through an EDI clearinghouse which deposits the funds electronically into your account and posts the transaction into your practice management system – eliminating the time-consuming processing needs of paper claims.

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• Analysis & Reporting
  A range of analysis tools lets you uncover areas in which your business operations could be improved by allowing you to compare your performance with others in your area, highlight frequent reasons for claim denials, and identify various process improvements.

To learn more about the electronic data interchange solutions that we sell and service, please click on a link below:

• ZirMed
• Capario