Electronic Data Interchange

Advanced Medical utilization of electronic data interchange ("EDI") services enable you to realize significant cost savings by replacing paper-based transactions with electronic processing. Consider the following:

• Paper claims take 45 to 90 days to process, assuming they are presented without errors. Errors can double processing time. (Error rates run as high as 30%.)
• Electronic data interchange can provide a 97% to 100% error free acceptance rates and provide payment to the physician within 14 to 21 days.
• The average physician spends between $10 to $12 processing paper claims. With our clearinghouse options, you can reduce this cost to $0.25 per claim.
• Both the physician and the payor eliminate mundane tasks, such as printing, stamping, mailing, etc.
• Transmit Medicare and Medicaid claims and receive on-line information directly from insurance carriers, with no transaction fees!
• After processing the claim, the payor will remit an electronic file, detailing what was paid, what was not, and why. You can then bill secondary payers, or resubmit any denied claims, immediately.

EDI Medical Include:

• Electronic Claims Submission
• Electronic Remittance Advice - (NSF 2.0 format)
• Authorization / Eligibility
• Credit Card Medical
• Check Authorizations
• Patient Statements
• Direct Deposit

Our Preferred Clearinghouses:

Electronic Network Systems (ENS)
(formerly Electronic Data Submission Systems (EDSS))

This module allows you to send claims and receive claim status, eligibility, authorizations and payment information electronically for a flat monthly fee.