Payer Connectivity Services
A claims administration, routing, and first-pass adjudication system for payers that want to consolidate and manage their inbound and outbound transaction streams at a single connection point.
Increase first-pass adjudication rate by using standard SNIP edits, as well as advanced custom edits.
Reduce administrative waste across a health plan’s claims, operations, network management, and EDI departments.
Consolidate EDI transaction streams to simplify the claims administration process.
Streamline transaction processing across multiple claim systems and lines of business with advanced transaction routing.
Enhance provider experience with portal research functions and metrics to proactively reduce common provider errors.
Simplify regulatory compliance (CORE Phase I, II, III and HIPAA 5010 compliant) and all standard HIPAA transactions (837, 835, 270/271, 276/277/277CA, 278, 820, 834, 835, 999/TA1).
Reduce Transaction Costs and Enable Faster Payments with Medical EDI Network
Learn how the size and capabilities of our Medical EDI Network can help you optimize your revenue cycle.
Boost Efficiency and Cost Savings with Electronic Claims Processes
Learn how electronic Claiming & Remittance can help streamline processes, reduce costs, and improve provider satisfaction.