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Electronic Claims

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Electronic Claims

Advantages of Electronic Claims Submission(EDI)

A hard copy claim goes through many clerical channels before it is entered ino the computer for payment. This is a very time consuming process. In the case of a suspended claim, the time between the receipt of the original invoice and payment can increase by weeks.

EDI significantly reduces the time of payment, and since claims only suspend for medical review and recipient eligibility, the provider has better control of outstanding claims.

Providers submitting hard-copy claims must refer to their remittance-advice (RA) statements when determining payment information. In addition to paper RAs, EDI users can receive electronic remittance 835 - Asynchronous (modem to modem) communication.
835 Request Form

Other advantages of EDI include:

  • Faster turnaround
  • Improved claim control
  • Increased cash flow
  • Automation of receivables information
  • Tremendous error reduction
Last Updated 5/15/2019 
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