EDI - The Physician Network Solution

Allow your practice to dramatically improve productivity with secure real-time claims management solutions from EDI Insight.

Now you can have an all payer solution that submits and tracks each claims status related message from initial transmission to final payment in a true paperless format.

Total Claims Management

• More than just a pipeline for claims
• Claims 'scrubbing' for clean submission
• Real-Time or batch claim status with messaging
• Real-Time or batch eligibility

Claims Follow-Up

• End lengthy and costly phone follow-ups tracking the status of your outstanding claims.
• Real-Time status inquiry to multiple claims instead of one at a time.
• Track claims by status – pending, rejected, paid….
• Filter claims by subscriber, physician, payer, status, batch and date
• View all claims status messages and edits per claim
• Total paperless administration

Rules Based Claim Management

Reduce rejected claims with the power and flexibility of the EDI rules based claim management.

• Table driven rules
• Testing rules by payer or practice
• Response rules for claim status
• Substitution rules by practice

Electronic Statements and Letters

Give your patients a more informative view of their payment responsibility using the EDI electronic 'patient due letter'. These letters are automatically generated when a claim status is due from the patient.

Electronic statements will provide a view of all open encounters due from the patient.

• Automatically generate 'patient due letters' the day the claim balance is due from the patient
• Informative patient statements
• View statements online
• Add a message online to a statement
• Send recall and collection letters electronically