Emdeon leads the industry in clearinghouse and EDI solutions for automated EDI workflow that decreases electronic claims receipt and pre-processing cost; reduces phone calls from providers and improves your auto-adjudication rate. Our secure transmission mechanisms and HIPAA translations and formats offer you the best, and most reliable, connectivity services available so that claims are processed correctly. Our nationwide electronic network reach allows us to connect to any system for all payer-to-provider HIPAA-mandated transactions.

Emdeon Direct Connect - a direct connectivity service for claim transactions, Emdeon’s Direct Connect provides network connection via the HIPAA-standard ASC X12N 4010 format – supporting claims and encounter submission (837), electronic remittance advice (835), eligibility and benefits (20/271), claims status (276/277), Find Provider (274), healthcare services review request and response (278 X094), healthcare services review inquiry and response (278 X059) and claim financial inquire (277/835).

Emdeon Empower - an EDI-enabling solution, Emdeon’s Empower is a payer data hosting service that provides real-time inquiry and response capabilities and supports the following transactions: eligibility and benefits (270/271) and claims status (276/277).

Emdeon Clearinghouse Network - the leading, nationwide electronic clearinghouse from Emdeon that connects to any system, for all payer-to-provider HIPAA-mandated transactions.

Emdeon Managed EDI Gateway – a one-source payment management solution for the payer claims cycle, Emdeon’s Managed EDI Gateway, offers competitive pricing and enhanced value throughout the entire payment transaction cycle.

Emdeon Enhanced Editing – advanced editing that covers membership edits, provider edits and claim-level duplicate checking.