Solutions for HealthCare EDI

HIPAA EDI 835 – HealthCare Claim Payment Advice

Imagine that you are a clinic administrator and you are in charge of claims processing for the entire clinic. You have thousands of outstanding claims and you need to know when you get paid, which claim that you are being paid for and why some claims aren’t being paid in full. Today, you get a weekly paper report on claims paid but it is a manual process to reconcile the payment to your financial and claims management system.

Wouldn’t it be great if this information could automatically flow into your systems so that you can review them and focus only on problem claims? The implementation of a fully integrated EDI 835 Health Care  Claim Payment/Advice into your applications allows this to become reality.

The 835 is intended to meet the particular needs of the health care industry for the payment of claims and transfer of remittance information. The 835 can be used to make a payment, send an Explanation of Benefits (EOB) remittance advice, or make a payment and send an EOB remittance advice from a health care payer to a health care provider, either directly or through a DFI [Depository Financial Institution].

 

More Information on Claim Payment Advice Solutions from SoftCare

Download the WhitePaper "Health Care Claim Payment Advice – Improving the Processing of Claim Payments "

 

 

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