EDI - The Physician Network Solution
Allow your practice to dramatically improve productivity with secure real-time claims management solutions from EDI Insight.

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
.........................................................