EDI Parsing and Segmenting Services For Health Systems and Physician Practice Groups needing to post payments for different divisions, locations or business units through separate billing systems, ReMedics specializes in working with remittances containing multiple Tax ID/EINs and NPIs in a multi-submitter, single receiver business environment. With the use of workflow automation and AI, powered
Maintaining Your Clearinghouse & Banking Relationships Our client’s Clearinghouses and Banks play an important role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits checking, referral authorization, and claims status
Working in a Multi-Submitter, Single Receiver Business Environment For aggregated Physician Practice Groups that operate with business unit autonomy, health insurance payors will often combine payments generated by claims that originated from different divisions. These co-mingled batch files received from the Clearinghouses, require us to split the EDI payments within the Electronic Remittance Advice (ERA)
Managing Cash Flow in a Multi-Vendor Environment For larger practice groups and MSOs, the complexities of a multi-vendor environment can often inhibit efficiency and adversely affect cash flow. This is especially true for organizations with business units using a variety of EMR/Practice Management (PM) Systems and Clearinghouses to capture charges, process claims and receive payor
Case Study Preview: Automated Parsing of EDI Transactions A new case study published by ReMedics features a podiatry practice group with over 100 board certified podiatrists and a network of approximately 80 office locations. The client was receiving EDI transaction payments for multiple business units/divisions within a single ERA file from their Clearinghouse. Further complicating
Keep Cash Moving with Automated EDI Splitting For healthcare providers with multiple business units needing to split large, co-mingled EDI payments, the task can be time-consuming and prone to errors. This delays payments, adds more work downstream, and ultimately affects cash flow. With many of ReMedics clients, a proprietary EDI Splitter application is utilized to
