Why Wait to Get Paid?

EDI insurance clearinghouse partners and services


Electronic Claims

Medisoft Revenue Management allows claims to be scrubbed and edited before the claims are transmitted to the clearinghouse.

Get claims right the first time!

Electronic Remittance

Automated payment posting into Medisoft eliminates manual entry and improves accuracy in collections.

Advance collections by weeks!


Eligibility Verification

Real-time and batch eligibility options provide quick confirmation of patient insurance and benefit coverage in your billing system.

Forget insurance web sites!

Integrated EDI Clearinghouse Partners

Electronic Medical Claims Processing - Trizetto

eMEDIX is an extension of your PM offering a powerful, intelligent platform that strengthens financial performance and simplifies workflow.

  • Hassle-Free Enrollment:  Enrollment paperwork is a burden and one of the top concerns we hear from providers considering a clearinghouse switch. Our enrollment experts do the heavy lifting to ensure a smooth transition for each provider while our unique back end EDI transition process ensures minimal disruption.
  • Easy Claims Management:  Fast reimbursements, full transparency, and reduced denials with our industry leading solution. Handle claims, payment remits, and eligibility in one, convenient, tightly integrated PM and EDI system from a single vendor. We can manage all claim types including professional, institutional, dental, worker’s compensation, and auto accident.
  • Efficient Payment Management:  Seamless processing of Electronic Remittance Advice reduces staff payment posting effort. Easy Claim Status response review helps you see the adjudication status of your claims so you can quickly determine any follow ups that ensure you’re paid faster.
  • Smart Reporting & Analytics:  Powerful reporting and analytics allow you to drill down into your data making it easy to manage your billing. We offer enhanced reporting at every stage of your revenue cycle and include robust auditing of all activity within MEDISOFT EDI.
Electronic Medical Claims Processing - Trizetto

Access up-to-date status of your claims at any point during the payer adjudication cycle with just a click.

  • Performance-at-a-Glance. Evaluate your practice’s revenue performance using benchmarks from the industry and other TPS clients.
  • Delivery Confirmation. See key information about all pending and processed claims files, including transmitted files, claims value, acknowledgements and more.
  • Safety Net Reporting. Review all rejected claims, along with claim values, on one simple screen.
  • Rejection Analysis. Easily identify the most common reasons for rejected claims.
Electronic Medical Claims Processing - Change

Formerly known as RelayHealth, Change Healthcare solutions offers their powerful ConnectCenter portal to help reduce the time to payment by removing manual steps in the claim process. Submitting claims electronically can reduce paper and postage costs and increase staff productivity.

Change Healthcare manages over 3.3 billion financial transactions between healthcare provider annually. We are driven by customer needs to innovate solutions that help enable your success in the business of healthcare.

Want To Learn More?

Feel free to drop us a line anytime to speak with someone directly.