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Products
- Emdeon TransformTM
- Emdeon Paper-to-EDI Conversion
- Emdeon Claims Connection
- Emdeon Electronic Remittance Advice
- Emdeon Advanced Claiming
- Emdeon Clinical Integrity for Claims
- Emdeon Vision for Claim Management
- Emdeon Managed Gateway
- Emdeon Accelerated Growth Program for Claims
- Emdeon Provider WebConnectSM
- Emdeon Claim Attachments
Popular Solutions
Claims Management
Emdeon's Claims Management solutions offer the expertise of an organization with nearly two decades of experience in the healthcare claims processing industry. Emdeon leads the industry in clearinghouse and eServices solutions for automated EDI workflow that decrease electronic claims receipt and pre-processing cost, reduce 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 also offers a host of integrated imaging and data capture solutions that support a unified payment stream. We're the only provider of both industry-leading software automation and business process outsourcing solutions.
Want to increase your claims efficiency? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.
Contact UsFeatured Products
Emdeon TransformTM is a high-volume imaging, data capture and transaction/forms processing software capable of scanning any form, claim or document to enable electronic transaction processing.
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Through state-of-the-art mailroom operations and industry leading scanning and data capture technology, Emdeon Paper-to-EDI Conversion allows payers to streamline their organization and focus on core business competencies by outsourcing mailroom operations, scanning, imaging and data capture to Emdeon.
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Emdeon Claims Connection is a direct connectivity service for claims transactions. Claims Connection provides Emdeon network connection via the HIPAA-standard ASC X12N format, supporting claims and encounter submission (837). Claims Connection also supports alternative technology platforms and format options so you can select the best solution for your needs.
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Emdeon Electronic Remittance Advice provides Emdeon network connection via the HIPAA-standard ASC X12N format, supporting electronic remittance advice (835). Emdeon Remittance Advice also supports alternative technology platforms and format options so you can select the best solution for your needs.
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Emdeon Advanced Claiming improves the efficiency of the payment settlement cycle and lowers processing cost-per-claim by providing intelligent routing between payers, PPOs and other business partners, and applying client-specific pre-adjudication services to all claims.
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Approximately 1 billion claim attachments are generated every year by the US healthcare system. Paper is expensive to generate, difficult to track, easy to misplace and costly to store. But now with Emdeon Claim Attachments, all that can change.
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Emdeon Vision for Claim Management is a web-based application that offers payers end-to-end, claim-level views into the claim filing process from claim submission to Emdeon through delivery to the payer organization.
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Emdeon Managed Gateway provides payers with a single-vendor solution for the entire claim lifecycle from pre-adjudication to post-adjudication.
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Emdeon Accelerated Growth Program for Claims impacts payers' bottom lines by increasing EDI transactions, improving auto-adjudication rates and moving payer organizations and the industry closer to paperless administration.
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Provider WebConnectSM offers payers their own internet-based portal that enables their submitting providers to login and submit batch claims, perform real-time eligibility and benefit verification, referrals, pre-certifications, authorizations and claim status inquiries, with no hardware or software requirements.
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Emdeon Clinical Integrity for Claims offers payers flexible and transparent claims edits that leverage more than 16 million rules based on protocols from the American Medical Association, Centers for Medicare and Medicaid Services and other industry sources.
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Payer News: Emdeon Connection
The Emdeon Connection eNewsletter provides information to our government and commercial payer audience.
Congress Begins Task of Merging Five Health Reform Bills into One
As healthcare annual spending tops $2.4 trillion, the stakes are high as Congress faces conflicting pressures to expand coverage and curtail spiraling costs.
Member Management...Moving Efficiencies Upstream in the Healthcare Cycle
In a market where efficiencies equate to increases in the bottom line, payers continuously look for additional solutions where they can do more with minimal resources.
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