EDI - Set Up

MS Revenue & RCM Automation offers complete EDI set-up services for new practices or those transitioning from paper-based claims to electronic forms. Our process involves setting up the user and database on the EDI (Clearing House) website, conducting sample batch testing to ensure the correct processing of 837 and 835, and integrating the EDI with the billing system for efficient claim batch transmission. Additionally, we can set up 276/277 (Claim Status) and 270/271 (Eligibility and Benefits Verification) functionalities as required.

ELECTRONIC CLAIMS SUBMISSION

Submitting claims through EDI is a crucial step in the medical billing process, as it reduces processing delays and increases acceptance rates with payers. At MS Revenue & RCM Automation, our teams have the expertise to check for transmission-related errors at a 'loop level,' ensuring prompt analysis and resolution of recurrent errors. We prioritize daily EDI transmission of claim batches, closely monitor EDI transmission reports, identify rejections, and coordinate with the clearinghouse to resolve any field mapping issues.

Our team members are dedicated to daily EDI transmission tasks, tracking reports, identifying rejections, and promptly sending them back to the billing team for error resolution. They also liaise with the clearinghouse to address any field mapping issues, ensuring smooth and accurate claim submissions. With EDI submission, carrier confirmation reports are generated instantly, minimizing delays due to transmission errors. Corrections can be made for rejected claims and re-transmitted without delay, streamlining the payment process.

We understand the importance of diligently tracking reports and their impact on revenue flow, and our teams at MS Revenue & RCM Automation ensure that EDI rejections are handled immediately and resubmitted for processing. This approach helps prevent any delays in payments from insurance payers, contributing to smoother revenue cycles.