- 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 Provider WebConnectSM
- Emdeon Claim Attachments
- Emdeon Workers' Compensation & Auto Medical eBills and Attachments
Emdeon Claims Management
Emdeon's Claims Management services 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 decreases electronic claims receipt and pre-processing cost, reduces phone calls from providers and improves auto-adjudication rates.
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.
- Electronic claims clearinghouse submission with batch import or direct data entry
- Patient roster for claim entry
- Complete dictionary of current ICD, CPT and HCPCS codes
- Powerful reporting and analytics
- Integrates with any practice management system
- Speeds data entry and reduces errors
- Clearinghouse claims network of over 1,200 government and commercial payers
- Helps comply with applicable state mandates
Want to increase your claims efficiency? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.Contact Us
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.
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.
Many states have already adopted legislation that requires providers and payers to transmit Workers' Compensation bills electronically and other states are following. Emdeon's Workers' Compensation and Auto Medical solutions offer built-in components that are compliant with state regulatory requirements, particularly eBill mandates and EDI standards.