Advantages of Electronic Claims
EDI Support Services (EDISS) constantly strives to educate providers on the ease and benefits of exchanging data electronically. Electronic Data Interchange (EDI) provides the ability to quickly and efficiently exchange healthcare information in a safe, secure and cost effective way.
The exchange of electronic data has several advantages:
- Earlier payment of electronic claims - Claims submitted electronically, depending on the line of business, are historically paid earlier than paper claims.
- Earlier detection of errors - Healthcare information submitted electronically benefits from earlier detection of errors. Different levels of editing are conducted upon submission of the electronic transaction prior to being sent to the payment system. This editing drastically reduces the likelihood of claims being rejected or denied for payment within the claims processing system.
- Lower administrative, postage, and handling costs - Claims submitted electronically reduce postage and other paper-related expenses while increasing efficiency. By getting an electronic remittance you will experience increased efficiency if the electronic remittance can auto post to your accounting software.
- Availability of free software - EDISS provides free billing software, PC-ACE Pro32, for claim submission.
- Access to other electronic HIPAA-compliant transactions - In addition to billing claims electronically, providers can take advantage of other electronic transactions. (Note: Access to the different transactions varies by line of business.) Instead of waiting for Standard Paper Remittance and checks to be delivered via the mail, you are only a click away from performing these tasks electronically. The other transactions include:
- 276/277 Claim Status Inquiry
- 278 Request for Review and Response
- 820 Health Care Premium Payment
- 834 Benefit Enrollment and Maintenance
- 835 Electronic Remittance Advice (ERA)
- Available support - EDISS provides a Telephone Support Help Desk to assist providers utilizing EDI transactions. Click here for contact information and hours of support.
Additional Benefits for Medicare Part A Providers
Medicare Part A providers have the ability to apply for Direct Data Entry (DDE). DDE gives providers the opportunity to:
- Enter claims online
- Perform online correction of claims in error
- Complete electronic adjustments on claims
- Perform online code look-ups
EDI Support Services believes the more we work together to exchange information electronically, the more effectively we can partner to focus on our customer - the recipient of health care benefits. With EDI you are only a click away from being connected. To start submitting claims electonically today visit our Getting Started page.