Services
EDI Enrollment Services
Improve efficiency and accuracy through the secure and standardized exchange of electronic claims, remittance, eligibility, and claims status.
Overview
Enrolling in an Electronic Data Interchange (EDI) can be a cumbersome process that drains clinical and administrative resources. This can be particularly time intensive in environments that leverage older, legacy systems.
AGS Health can alleviate administrative burdens by helping you establish Electronic Remittance Advice (ERA)/Electronic Funds Transfer (EFT) authorization agreements for all providers across multiple clearing houses or payers. This support allows you to focus internal resources on the complex challenges that matter most, while still benefitting from the efficiencies of electronic claims, remittance, eligibility, and claims status.
SERVICES PROVIDED
Experienced support to ensure a smooth enrollment process and compliance with industry standards.
- Provide recommendations for EDI service providers that align with your needs.
- Collection of required information and completion of enrollment forms.
- Submission of documentation or certifications requested by the EDI provider.
- Support in facilitating testing, integration, and security review.
BENEFITS
Faster Submissions and Reimbursement
With electronic data exchanges and automated validation checks, EDI enrollment helps accelerate transaction processing while identifying and correcting errors to help prevent rejected claims or discrepancies.
Track Claims and Payment Status
By enrolling your organization in EDI, we can help you more closely monitor claims, examine historical claims’ payment status online, and categorize submitted claims through a structured tracking system to enhance efficiency.
Reduce Administrative Burdens
EDI streamlines data exchange to reduce manual entry, processing time, and the risk of human errors, resulting in faster, more precise, and more reliable transactions that pose less stress on your team.
Interested in learning more?
Contact us today to speak with one of our RCM experts.
Additional patient access services to streamline your revenue cycle
Claims Management Services
Streamline the process of claims submission, billing edits, and reconciliation for both professional and hospital billing to reduce billing backlogs and accelerate cash.
A/R Management Services
Track and collect the outstanding revenue that you deserve with greater operational efficiency and improved financial performance through effective denial remediation, as well as identifying and recovering underpayments.
Self-Pay Management Services
Delivery of patient-friendly statements, collection attempts via outbound calls, and processing of patient payments for consistent and timely patient outreach.
Payment Posting Services
Full transaction services, including payment processing, manual and electronic posting, reporting of unusual adjustments, routing of denied claims, and reconciliation to ensure timely account resolution.
Credit Balance Resolution Services
Effectively manage liability risks and assist with financial stability by identifying the root causes of overpayments and resolving credit balances.
Resources
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Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.