Electronic Data Interchange (EDI)
Improve your health system’s bottom line by connecting directly to payers instead of sending transactions to a clearinghouse. With HIPAA-mandated EDI transaction sets fully embedded into the core patient accounting and patient access functions, our solutions fully support EDI versions 4010a1 and 5010. You can even test your 5010 transactions during the migration period, enabling you to implement version 5010 on your timeline by payer and transaction set.
Using HIPAA-mandated transaction sets, you can ensure patient payment information is gathered up front. Additionally, EDI helps to automate activities such as checking on claim status, which improves efficiency and reduces costs.
Benefits:
- Expedites information exchange with payers and clearinghouses
- Ensures continued timely billing and payment processing during the transition to version 5010 transaction sets
- Improves efficiency using workflow driven by the transaction sets